Laparoscopic and Open Robotic Surgery at North Suburban Medical Center


– Early advances in
minimally invasive surgeries came with endoscopic or
laparoscopic surgery in the 1970s which spread widely in the 1990s. Also called key hole surgery, surgeons make a very small incision and use an endoscope to
reach internal organs. The long, thin tube is equipped
with a light and camera through which small surgical
instruments are used to remove tumors, clear blockages, and perform many other procedures. Then along came robotics. To learn more about the inception of minimally invasive robotic surgery we’ll talk to doctor Cindy Long, a board certified
obstetrician and gynecologist specializing in minimally invasive surgery at North Suburban Medical Center. – Any surgical procedure can
be traumatic to the human body and an important caveat of
surgery is less is more. The smaller the incision, the less pain, the less blood loss, the less infection. We’re continually adapting
innovative and less invasive surgical techniques in order
to accomplish those goals. The less pain someone has after surgery the less medication
they’re going to require and the faster they’re going to return to their normal activities. An important development
in the history of robotics was the development of
endoscopic procedures where small holes were
made in the human body and long, thin cameras and instruments are inserted through those holes in order to accomplish surgery. Laparoscopy’s been a great development but it does have its limitations. With laparoscopic instruments
I’m able to grasp, cut, and move things around. But it’s very hard to get around tight corners or into small spaces. It’s also hard to do very
delicate maneuvers such as suture. The robot was developed in the 80s in order to help overcome
these limitations. – [Narrator] Experts continued
to improve on these surgery enhancing robotic machines over
the next couple of decades. And in 2000 the Da Vinci robot became the first complete
robotic surgical system approved by the FDA for
general laparoscopic surgery. In the following years
the FDA cleared the system for thoracoscopic or chest surgery, cardiac procedures performed
with adjunctive incisions, as well as urologic and
gynecologic procedures. Da Vinci represented the
first time the FDA approved a system that included
surgical instruments and 3D visual aids all in one. – [Dr. Long] One of the
main advantages of the robot is it takes the same small
instruments of the laparoscope and allows the instruments
to articulate and replicate every movement I can make
with my hands and wrists. Additionally, the robot
has a true 3D camera system which gives me far
superior depth perception than the 2D camera of the laparoscope. There I can get into small, tight spaces with great visualization. Additionally, the robot helps to overcome any minor tremors that the
surgeons hands may have to make those delicate
maneuvers even smoother. The robot doesn’t replace all
open or laparoscopic surgeries but it does enable us to do
far more difficult surgeries with minimally invasive techniques. Four questions I encourage
patients to ask their provider if they’re considering surgery would be: What are all of my surgical options? Secondly, what is the
most minimally invasive of those options? Thirdly, what are all the potential risks that may be encountered
with any of those options? And lastly, what are the
all the potential benefits of each of those options. If a minimally invasive option exists and it has not been offered to you, I encourage you to seek a second opinion.

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