Robotic and Laproscopic Surgery.  Associates in Urology. PA


Robotic and Laparoscopic Surgery

What is Laparoscopy:

Laparoscopic surgery is a minimally invasive surgical approach that is carried out via small 'keyhole' incisions thus avoiding long incisions of traditional surgery. In laparoscopy the abdominal cavity is insufflated with carbon dioxide gas, creating a working space for the surgeon, and the operation is performed using a video camera and thin long instruments. While achieving cure rates identical to those of traditional open surgery, laparoscopy allows patients a shorter hospital stay, speedy recovery and quick return to normal daily activities.

Associates in Urology carry an extensive expertise in various minimally invasive surgical procedures of the kidney and the adrenal gland. In patients with small kidney tumors, we perform a laparoscopic cryoablation of the tumor. In this minimally invasive procedure the tumor is destroyed by freezing with a specially designed temperature probe while the healthy part of the kidney remains intact. Click here to view laparoscopic cryoablation of renal tumors. (Video will open in a new window. Please see WARNING on the right). In patients requiring the removal of the entire kidney a laparoscopic nephrectomy is performed Click here to view a hand assisted laparoscopic nephrectomy. (Video will open in a new window. Please see WARNING on the right).

Our physicians also perform laparoscopic removal of the adrenal gland (gland situates above the kidney and involved in production of different hormones) for a variety of benign and malignant conditions. Click here to view laparoscopic adrenalectomy. (Video will open in a new window. Please see WARNING on the right).

Watch Video of Robotic-Assisted Radical Prostatectomy
Robotic-Assisted Radical Prostactmomy.  Urology Associates. PA.
(video will open in a new window)

Warnining: Video contains materials from an actual operation. Images shown can be disturbing for some viewers.

da Vinci® Prostatectomy

Endowrist technology

Since being introduced in the United States in 2001, the da Vinci® Surgical Robotic System has gained rapid popularity as the minimally invasive surgical treatment of prostate cancer. In addition to the benefits of quick postoperative recovery and minimal blood loss shared with traditional laparoscopy, robotic-assisted surgery provides further advantages to the patients and the surgeons.

The Endowrist® technology of the robotic system replicates the dexterity of a human hand thus allowing performance of complex reconstructive maneuvers, which are crucial for prostatectomy.

The InSite® robotic video system

The InSite®robotic video system allows for 10-fold magnification and 3-dimentional visualization of the operative field. This superior visualization aids in nerve-sparing robotic prostatectomy, a precise dissection of delicate nerve structures and blood vessels that surround the prostate and are responsible for preservation of potency.

Also, an optimal visualization of the apex of the prostate reduces the risk of trauma to the urinary sphincter, a small muscle responsible for urinary control, and thus enhances post-operative urinary continence.

The pneumoperitoneum (insufflation of the abdominal cavity) used in the operation allows for minimal blood loss and exceedingly rare need for blood transfusion. Patients undergoing this procedure are expected to ambulate within 12 hours after surgery, and are usually discharged home the next day.

It is because of the speedy recovery and quick return of the patient to the normal activities of daily living, the da Vinci® prostatectomy has been nicknamed the “band aid surgery”

View DaVinci® prostatectomy information for patients
View DaVinci® prostatectomy information for patiens
View DaVinci® System Technology

View DaVinci® system. Technology information


* da Vinci System photos ©2007 Intuitive Surgical, Inc. Used with permission.