A doctor guides small robotic arms through several tiny keyhole incisions. This allows for greater range of movement than a doctor's hand.
Complications are rare, but no procedure is completely free of risk. If you are planning to have robot-assisted surgery, your doctor will review a list of possible complications, which may include: Damage to nearby organs or structuresInfectionBleedingAnesthesia-related problems
The need to switch to traditional surgical methods such as
or open surgery
Some factors that may increase the risk of complications include: Pre-existing heart or lung conditionIncreased ageDiabetesObesitySmokingExcessive alcohol intakeUse of certain medicines
Depending on the reason for your surgery, your doctor may do the following:
Physical examBlood testsElectrocardiogram (ECG, EKG)Chest x-rayUltrasoundCT scanMRI scan
Leading up to the surgery:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, like:
Anti-inflammatory drugs such as ibuprofenBlood thinnersAnti-platelet medicationsTake antibiotics if instructed.Follow a special diet if instructed.Shower the night before using antibacterial soap if instructed.Arrange for someone to drive you home from the hospital. Also, have someone to help you at home.Eat a light meal the night before. Do not eat or drink anything after midnight.
Depending on the type of procedure that you have, you may be given: General anesthesia
—blocks pain and keeps you asleep through the surgery
Local anesthesia with sedation—just the area that is being operated on is numbed, given as an injection
Small "Keyhole" Incisions
Small "keyhole" incisions are placed in
preparation for a robot-assisted surgical procedure.
Copyright © Nucleus Medical Media, Inc.
Several small keyhole openings will be cut in the skin near where the surgery will take place. In most cases, a needle will be used to inject carbon dioxide gas into the surgical area. This gas will make it easier for the doctor to see internal structures. Next, a small camera called an endoscope will be passed through one of the incisions. The camera will light, magnify, and project an image of the organs onto a video screen. Then robotic arms holding instruments for grasping, cutting, dissecting, and suturing will be inserted through the holes.
While sitting at a console near the operating table, the doctor will use lenses to look at a magnified 3D image of the inside of the body. Another doctor will stay by the table to adjust the camera and tools. The robotic arms and tools will be guided with joystick-like controls and foot pedals. Lastly, the tools will be removed and stitches or staples will be used to close the area.
Usually 1-2 hours or less
You will have pain and discomfort during recovery. You will be given pain medication. You may also feel bloated or have pain in your shoulder from the gas used during the procedure. This can last up to three days.
This procedure is done in a hospital setting. The usual length of stay is a few days. Your doctor may choose to keep you longer if you have any problems.
While you are recovering at the hospital, you will: Be encouraged to walk with assistance soon after surgeryReceive guidelines on what you should eat and what activities you can do—Depending on your procedure, you should be able to go back to your normal activities in a few weeks.
After you return home, be sure to follow your doctor's instructions. Ask your doctor about when it is safe to shower, bathe, or soak in water.
After you leave the hospital, contact your doctor if any of the following occurs: Signs of infection, including fever and chillsRedness, swelling, increasing pain, excessive bleeding, or discharge from an incision siteCough
, shortness of breath, chest pain, or severe nausea or vomiting
Pain, burning, urgency, frequency of urination, or persistent bleeding in the urinePain and/or swelling in your feet, calves, or legs, or sudden shortness of breath or chest pain
diarrheaOther worrisome symptoms
In case of an emergency, call for medical help right away.
Last reviewed July 2013 by Marcin Chwistek, MD; Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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