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Robot-assisted Surgery - the Next Generation

  

 

 

We were the first hospital in western Massachusetts to implement the da Vinci Surgical System.The newer system (Si), with 3D HD vision, gives surgeons twice the effective viewing resolution for improved clarity and detail of tissue and critical anatomy.

 

 

The use of robotics carries minimally invasive surgical techniques into a new era by:

  • Taking surgery beyond the limits of the surgeon's hands with precision technology.
  • Introducing the da Vinci Surgical System®, capable of precise, versatile instrument movement, while giving the surgeon at the control three-dimensional visualization of the operative site.
  • Reducing the physical and emotional impact of surgery on patients.

The da Vinci Surgical System at Baystate Medical Center is the only operative surgical robot deemed safe and effective by the United States Food and Drug Administration for actually performing surgery.
 

BMC's Operating Room Robotic Surgery Team

 

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Front row (L to R): Imelda Valdez-Babao; Angela Cremins; Kay Tetherly.

Middle row (L to R): Marie Judge; Stacy Alvarez; Todd Lescarbeau; Kathy Mercadante; Heather LaCasse; Emilia Scala; Amy Lambert; Craig Vermes.
Back row (L to R):
Jim Ramirez; Melanie Demattia; Brandon D'Antonio; Nancy Corliss.

 

 

The OR Robotic Surgery Team

In addition to the surgeon, anesthesiologist, and OR manager, the OR Robotic Team includes:

  • A physician assistant who helps the surgeon and is positioned at the OR table.
  • Surgical technicians who set up instruments, maintain sterile field and organizational flow of the case.
  • Registered nurse who serves as the patient advocate and maintains paperwork/consent.
  • Operating room assistant (pre- and post-op), who moves the patient into the OR, sees that the extra equipment is in the room, and opens the sterile packages.
  • Equipment tech who makes sure that all parts are working and properly maintained.

 

How Robot-Assisted Surgery Works

As with MIS, the surgeon inserts miniature surgical instruments and a camera into small incisions in the patient.  Unlike MIS, the surgeon controls the movement of the instruments and camera at a robotic console in the operating room.  The console is equipped with a special three-dimensional monitor and intuitive hand controls.  The system has three main components:

 

  • The InSiteTM Vision System provides the surgeon with a true minimally invasive 3-D view of the surgical field
  • The Surgical Cart includes the EndoWristTM Instruments that mimic the movement of human hands, wrists and fingers.
  • The Surgeon Console contains the master controls that the surgeon uses to manipulate the EndoWrist Instruments.
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The da Vinci Surgical System

Patients diagnosed with prostate cancer may be candidates for the da Vinci Prostatectomy, one of the most common robot-assisted surgical procedures.