Has anyone here had experience with the Da Vinci

[The Medic]

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[HoboCommander]

i don't see what the advantage is. it looks weird walking into an OR with surgeons staring into da vinci stations in the corner of the room

 

[572776]

It's a pain in the ass. It takes forever to set up and it frequently malfunctions. It's a fun toy though if it decides to cooperate once in a while.

 

[The Medic]

It's a pain in the ass. It takes forever to set up and it frequently malfunctions. It's a fun toy though if it decides to cooperate once in a while.

Ah kk ty for the feedback. Also apologies for posting this in the neurosurgery section lol, as it does not do neurosurgery.

 

[Winged Scapula]

Ah kk ty for the feedback. Also apologies for posting this in the neurosurgery section lol, as it does not do neurosurgery.

You posted it in the General Surg forum not NSGY.

 

[LostinLift]

I recall reading an article about the complications with Da Vinci, burns inside patient, etc. Seemed pretty negative, too lazy to find it. More importantly I'm too lazy to do surgery anyways. Kidding, maybe? We'll see 3rd year.

 

[Pir8DeacDoc]

I worked in a lab before med school that did a lot of the early work on the DaVinci in cardiothoracic applications. I got to tinker around with it and see docs coming to train on it.

It's just starting to be used in ENT applications (TORS- transoral robotic surgery) but I watched a handful of cases and have done some small parts of other cases during residency. Still not sure whether it will take off for us or not. It can be nifty in the right application. Though I'm not sure we've fully defined that. David Terris at MCG is doing transaxillary or facelift approach thyroidectomy with the robot for the young lady with the tiny papillary tumor who doesn't want a scar. Who knows where we will end up using it?

 

[Slack3r]

i don't see what the advantage is. it looks weird walking into an OR with surgeons staring into da vinci stations in the corner of the room

Before you post, do you always think to yourself, "Hey! I feel the need to broadcast my glaring lack of insight into this particular topic?" Just curious, 'cus I'm noticing a trend.

 

[Pir8DeacDoc]

Intuitive officially withdrew support for using the robot for transaxillary thyroids. I'm actually surprised there is anyone still doing it.

http://www.physiciansweekly.com/whatever-happened-robotic-thyroidectomy/

Thanks for the info. He was pushing this approach a few years ago at our national meeting. It seems the prevailing opinion has changed. I honestly don't follow this trend much as I work in a small facility and just do a traditional thyroidectomy. No reason to make things complicated.

 

[KinasePro]

Any urologists care to defend this fine piece of technology?

I'm a bit lazy to look up the numbers, but IIRC robot-assisted radical prostatectomy and partial nephrectomy have been shown to have superior results in some studies relative to lap/open. In particular, I think the nerve-sparing prostatectomies are exclusively done robotically... so if you ever get your prostate removed, and you want to still achieve boners, I think you'll become an instant fan of da vinci. Plz correct me if I'm wrong, uro bros.

 

[Pir8DeacDoc]

Urology is a field where the robot has proven better outcomes.

 

[VisionaryTics]

I worked in a lab before med school that did a lot of the early work on the DaVinci in cardiothoracic applications. I got to tinker around with it and see docs coming to train on it.

It's just starting to be used in ENT applications (TORS- transoral robotic surgery) but I watched a handful of cases and have done some small parts of other cases during residency. Still not sure whether it will take off for us or not. It can be nifty in the right application. Though I'm not sure we've fully defined that. David Terris at MCG is doing transaxillary or facelift approach thyroidectomy with the robot for the young lady with the tiny papillary tumor who doesn't want a scar. Who knows where we will end up using it?

We have a couple of attendings who are pretty aggressive with TORS for OSA and oropharyngeal tumors.

Seems good for low stage stuff, especially younger HPV-positive patients: save them a lifetime of radiation complications and avoid a transhyoid or more aggressive approach.

 

[DoctwoB]

Any urologists care to defend this fine piece of technology?

I'm a bit lazy to look up the numbers, but IIRC robot-assisted radical prostatectomy and partial nephrectomy have been shown to have superior results in some studies relative to lap/open. In particular, I think the nerve-sparing prostatectomies are exclusively done robotically... so if you ever get your prostate removed, and you want to still achieve boners, I think you'll become an instant fan of da vinci. Plz correct me if I'm wrong, uro bros.

There is some evidence for superiority with the robot for prostate and partial kidneys, namely reduced blood loss, shorter hospital stays, and less warm ischemic time for partials (at least compared to lap). No longer term benefits for survival or cancer control have been show . This is at the expense of longer OR times and higher costs.

Nerve sparing prostatectomies can be done both open or robotically. There are some fantastic open prostate surgeons who have similar outcomes and LOS compared to robotic cases. Realistically, however, very few people trained in the last 5 to 10 years have had a great open prostate experience and the trend towards robot will continue as new grads are much more comfortable doing the case robotically.

 

[funshi baba]

da vinci is a great system and its not going to go anywhere soon. infact i believe it will become a requirement at some point for general surgery residency like FLS. i'm not sure see overwhelming financial advantage to using the robot from health care dollar perspective, Considering not just the cost of the equipment but the cost of mentainance and daily operation.

 

[The Medic]

da vinci is a great system and its not going to go anywhere soon. infact i believe it will become a requirement at some point for general surgery residency like FLS. i'm not sure see overwhelming financial advantage to using the robot from health care dollar perspective, Considering not just the cost of the equipment but the cost of mentainance and daily operation.

Ya there is definitely no cost advantage lol, but cost efficiency wasn't the goal in designing the Da Vinci. It was solely designed to make some surgeries as minimally invasive as possible, so patients can recover faster and have less deformities afterwards.

 

[JayDoc06]

It will be very popular for rectal cancer in fellowship trained colorectal surgeons after another 5 years or so. When I was in fellowship just 3 years ago, training programs were starting to talk about how to adopt it widely but only a few programs actually gave any significant console experience. Now it is widespread. A minimally invasive proctectomy in a fat radiated man is near impossible without robotic assistance. Certainly there a few surgeons around who could do it but they are rare. However, as a robotic surgeon, I feel it is not indicated for colon work.