Robotic surgery

Robotic Surgeries in Middle East


Robotic Surgeries have been on the rise lately as a revolutionary tool in the field of medicine and surgeries. The term “Robotic Surgery” mainly refers to the case where surgeries are performed with the assistance of robotic systems allowing surgeons to perform complex operations through very miniature incisions and resulting in better outcome and enhanced patient recovery.

Robotic-Assisted Urologic Procedures


Many urologic procedures are performed through the robot but the 3 most essential urologic surgeries through robot are:

– Partial and Total Nephrectomy (kidney surgery)

– Prostatectomy (prostate surgery)

– Cystectomy (bladder surgery)

Robotic Surgeries in Middle East

Kidney Surgery (in case of kidney cancer)

When kidney cancer is diagnosed, your doctor may recommend a partial nephrectomy (the surgeon removes also the tumor, in order to preserve as much healthy kidney tissue as possible); or a radical nephrectomy (the surgeon removes all the affected kidney).
Surgeons can perform kidney surgery through open surgery or minimally invasive surgery.

Traditional open surgery is performed through a long incision in your side, abdomen, or back; and during this procedure, the surgeon looks directly at the surgical area and removes part or all of the kidney using hand-held tools.

The best minimally invasive procedure to perform a kidney surgery (radical or partial nephrectomy) is robotic-assisted surgery, possibly with da Vinci technology.
Surgeons using the da Vinci system may be able to perform kidney surgery through a few small incisions (cuts) and a 3D high-definition vision system using tiny instruments.

When the nephrectomy  through the robot is done, the patient:

– Will not present any complications.

-Will stay in the hospital for one or two days maximum.

-Will not lose a lot of blood.

-May experience less pain.

-Through the robot, we can complete lymph node dissections that may match or surpass what most experienced open surgeons are able to offer.

Prostate Surgery

In case of a prostate cancer, the robotic surgery has an essential role in tumor resection; without causing incontinence and erectile dysfunction.

A radical prostatectomy can be performed through open surgery, which requires a large incision in your abdomen, or a minimally invasive technique.

There are two minimally invasive techniques: laparoscopic prostatectomy and robotic-assisted prostatectomy, possibly with da Vinci technology.

With the da Vinci system, the surgeon can achieve the procedure with more precision through small incisions; while the cancerous prostate gland is resected with clarity, the erectile function is not affected most of the time and the patient experiences a faster return of urinary continence.

Through the robot, the patient may stay in the hospital for a shorter amount of time and the urinary catheter is no longer kept for several days.

Bladder surgery

A cystectomy is a major surgery to remove all the bladder (radical cystectomy) or part of the bladder (partial cystectomy), and this procedure helps to treat bladder cancer.

When the disease is in an advanced stage, the bladder should be removed completely. Through the traditional surgeries, people needed to have an external pouch to collect their urine; but now with the robot which gives more precision, surgeons have developed ways to construct a bladder substitute: a neobladder (your urologist uses a long piece of the small intestine to create a continent reservoir to store urine).

Bladder cancer presents a special challenge for robotic surgery which has multiple advantages for patients:

– A better view of the tissue through the 3D high-definition view.

-Less blood loss than open surgery.

-Low risk of complications and infections.

-Decreased pain.

-Shorter recovery period especially for a partial cystectomy.

First Complex Robotic Assisted Partial Nephrectomy

Robotic Assisted Partial Nephrectomy


What is Robotic Assisted Partial Nephrectomy?

Robotic partial nephrectomy surgery consists of removing a part of a kidney, to treat cancer by preserving as much healthy kidney tissue as possible.

Who needs a robotic partial nephrectomy?

-Patient with small kidney tumor (<4 cm in size).

-Patient with risk of kidney failure and the need of dialysis when the procedure consists of removing all the kidney.

Kidney Tumors between 4 and 7 centimeters can be treated with robotic partial nephrectomy if they are located in certain areas.

Some Tips before the surgery:

-Stop taking blood thinners 5 to 7 days before the surgery.

-Anti-inflammatory medications and certain vitamin supplements can cause increased bleeding, so the surgeon and the anesthetist should be informed about all your medications.

-It’s very necessary to stop smoking few days before the procedure.

-Not eat or drink anything after midnight the night before your surgery, to prevent anesthesia complications.

During a robotic partial nephrectomy:

This procedure is performed under general anesthesia, by making small cuts in the abdomen; so the robotic surgical equipment and camera can be inserted.

Carbon dioxide gas is used to inflate the abdominal cavity to leave space for the manipulation of the surgical equipment and camera to access the cancerous tissues.

While the surgeon is performing the procedure by manipulating the robot, the blood flow to the cancerous kidney is totally stopped; so the kidney can be dissected and the cancerous portion is detached from the tissue. The tumor is totally removed from the body and the surgeon sews the remaining section of the healthy kidney.

After a robotic partial nephrectomy:

– Take analgesics to reduce post-operative pain.

-Walk after a few days of surgery to promote good blood circulation and prevent pneumonia.

-Start with a liquid diet for a few days after the operation.

Robotic partial nephrectomy VS Laparoscopic partial nephrectomy

Robotic partial nephrectomy is more efficient than laparoscopic partial nephrectomy because the da Vinci surgical system has a lot of advantages.

Follow the link for more information about the difference between robotic partial nephrectomy and laparoscopic partial nephrectomy.



Robotic-assisted right partial nephrectomy for a complex 8 cm tumor impinging on the collecting system in an elderly patient with chronic renal insufficiency (eGFR of 40 mL/min)