Tulane surgeons were the first to perform robotic surgery in the Gulf South. Our doctors have pioneered minimally invasive procedures for over two decades and offer expertise in laparoscopic and robotic surgery.
Tulane Medical Center offers minimally invasive surgery with the newest da Vinci® Xi Robotic Surgical System. Tulane’s specialized dual console robot allows two surgeons to operate alongside one another during more complex cases. Additionally, Tulane is the first hospital in the New Orleans region to offer physicians and patients the benefits of a new robotic guidance and navigation system that provides minimally invasive surgical options for several complex spinal, orthopedic and neurological conditions. The ExcelsiusGPS™ system provides surgeons enhanced, real-time visualizations of a patient’s anatomy to help improve the accuracy of procedures.
Robotic surgery can replace large-incision surgeries (open surgery) with a minimally invasive approach that results in less pain, smaller scars, minimal blood loss and faster recovery time when compared to traditional surgical techniques.
Robotic Surgery Procedures
Tulane Medical Center uses robotic for a broad range of conditions and surgical specialties including:
- Abdominal and esophageal surgery – appendectomy, gallbladder, hernias, gastroesophageal reflux diseases (GERD)
- Bariatric surgery – laparoscopic sleeve gastrectomy, Roux-en-Y gastric bypass
- Colorectal surgery – tumors, inflammatory bowel disease
- Gynecological surgery – hysterectomy myomectomy, endometrial resection, sacrocolpopexy
- Head and neck surgery – adrenalectomy, TransOral robotic surgeries (TORS)
- Spine and back surgery – lumbar, thoracic or cervical spinal fusions, procedures related to scoliosis an other conditions
- Urology surgery – prostatectomy, radical cystectomy, cancer surgeries and other urological procedures
da Vinci® Robotic Surgery
Robotic surgery has improved many surgical procedures because it offers the surgeon better precision and control. Robotic surgery translates into faster healing, less scarring and a shorter hospital stay for the patient. Traditional surgical methods typically use 6- to 12-inch incisions. The da Vinci® system uses dime-sized incisions to produce the same or better results. A single-site incision is now possible for certain surgeries, and in some cases, the incision can be hidden inside the navel, for a totally scar-free appearance.
The da Vinci Xi System has broader capabilities than prior generations of the da Vinci System. The da Vinci Xi System’s key features include:
- A new overhead instrument arm architecture designed to facilitate anatomical access from virtually any position.
- Improved 3D and high definition visualization which provides the surgeon with a highly magnified view.
- An ability to attach the endoscope to any arm, providing flexibility for visualizing the surgical site.
- Smaller, thinner arms with newly designed joints that offer a greater range of motion than ever before.
- Longer instrument shafts designed to give surgeons greater operative reach.
Depending on the patient’s circumstances, many robotic surgeries can be done using a single incision. Called single-site surgery, the tiny incision (usually through the belly button) means little to no scars, less risk of infection and shorter recovery time.
The ExcelsiusGPS™ System
The ExcelsiusGPS™ system helps guide surgeons along a patient’s spine to more accurately place implants using minimally invasive techniques. On the day of surgery, medical images are taken and imported into the system. The surgeon uses these images to determine the size and placement of implants and creates a plan based on the patient’s anatomy. This plan guides a rigid robotic arm to a specific region of the spine. Throughout the procedure, the surgical instruments and implants are continuously displayed on the screen for the surgeon and staff to monitor.
The system not only provides benefits to patients, but to operating room staff, as well. Traditional spine surgeries require multiple CT scans throughout the procedure. The improved imaging of the new system greatly reduces that need – and greatly reduces the amount of radiation exposure endured by patients and staff.
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