Dallas Regional Medical Center Sur?geons Offer Gallbladder Removal through Belly Button Incision with da Vinci® System

Dallas Regional Medical Center Sur​geons Offer Gallbladder Removal through Belly Button Incision with da Vinci® System

12-17-2013

Dallas Regional Medical Center Sur​geons Offer Gallbladder Removal through Belly Button Incision with da Vinci® System

Mesquite, TX (December 17, 2013) – Gallbladder disease affects 10-15% of adults in the United States and Europe. According to the American College of Surgeons, surgery is the recommended treatment for gallbladder pain from gallstones and non-functioning gallbladders.

More than 1 million people in the U.S. have their gallbladder removed each year. Most people who require gallbladder removal are candidates for the robotic-assisted, single-incision surgery.

The surgical team at Dallas Regional Medical Center is proud to provide patients with the most minimally invasive surgical options, including single-incision gallbladder removal using the da Vinci® Surgical System. During a da Vinci® Single-Site Cholecystectomy a patient’s gallbladder is removed through one tiny incision in the belly button, approximately one inch, making the procedure virtually scarless.

"Neither robotic-assisted surgery nor single-incision surgery is new, but combining the two to remove the gallbladder requires additional training and special equipment," says Dr. Lebron. "To offer this technically advanced surgery demonstrates Dallas Regional Medical Center’s leadership in providing patients with the most minimally invasive surgical options."

Dr. Lebron is one of a group of surgeons in the country who has received training to perform the surgery.

Single-Site instruments used with the da Vinci Surgical System are the next step in the evolution of surgical technologies,” Dr. Lebron said. “We are truly excited to be a leader today in the surgical treatment of tomorrow.”

Potential benefits of Single-Site gallbladder surgery may include virtually scarless surgery, minimal pain, low blood loss, fast recovery, a short hospital stay and high patient satisfaction.

During the procedure, the surgeon sits comfortably at a console, viewing a 3D, high-definition image of the patient’s anatomy. The surgeon uses controls below the viewer to move the instrument arms and camera. In real-time, the system translates the surgeon's hand, wrist and finger movements into more precise movements of the miniaturized instruments inside the patient.

Unlike traditional robotic surgeries requiring three to five small incisions, this technology allows for a single incision in the belly button where instruments are placed and the diseased gallbladder is removed.

Potential risks include conversion to other surgical techniques and multiple incisions. All surgery presents risk, including da Vinci Surgery. Serious complications may occur in any surgery, up to and including death. Other risks include injury to tissues and organs. Risks specific to gallbladder surgery, including surgery with da Vinci, include pancreatitis (inflammation of the pancreas); urinary retention and hernia (bulging tissue) at the incision site.

Dallas Regional Medical Center offers various types of robotic-assisted surgeries. In addition to gallbladder removal, Dallas Regional Medical Center surgeons perform robotic-assisted surgery in Gynecology and Orthopedics. Dallas Regional Medical Center also offers a wide range of minimally invasive conventional laparoscopic surgeries.

For information on robotic and other minimally invasive surgeries at Dallas Regional Medical Center contact us at (855) 637-6268.

Sources:

Portincasa P, Moschetta A, Palasciano G. Cholesterol gallstone disease. Lancet. 2006 Jul 15;368(9531):230-9.

American College of Surgeons. Cholecystectomy: Surgical Removal of the Gallbladder. http://www.facs.org/public_info/operation/cholesys.pdf

Thomson Reuter Solucient Data. Cholecystectomy Outpatient Hospital Patient Profile, 2010.

Kroh M, El-Hayek K, Rosenblatt S, Chand B, Escobar P, Kaouk J, Chalikonda S. First human surgery with a novel single-port robotic system: cholecystectomy using the da Vinci Single-Site platform. Surg Endosc. 2011 Nov;25(11):3566-73. Epub 2011 Jun 3.

Haber GP, White MA, Autorino R, Escobar PF, Kroh MD, Chalikonda S, Khanna R, Forest S, Yang B, Altunrende F, Stein RJ, Kaouk JH. Novel roboticda Vinciinstruments

Wren SM, Curet MJ. Single-port robotic cholecystectomy: results from a first human use clinical study of the newda Vinci single-site surgical platform. Arch Surg. 2011 Oct;146(10):1122-7. Epub 2011 Jun 20.

US Department of Health and Human Services. Health, United States, 2009. In Brief – Medical Technology.http://www.cdc.gov/nchs/data/hus/hus09_InBrief_MedicalTech.pdf. p. 8.

American College of Surgeons. Cholecystectomy: Surgical Removal of the Gallbladder. http://www.facs.org/public_info/operation/cholesys.pdf

National Institutes of Health. Gallbladder Removal Surgery. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/002930.htm

da Vinci Surgery withSingle-Site™ Instruments is cleared for use in gallbladder removal, and for hysterectomy and ovary removal for benign conditions. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, includingda Vinci Surgery withSingle-Site™ Instruments. The safety and effectiveness of this device for use in the performance of general laparoscopic abdominal surgery procedures have not been established.

All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include damage injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to http://www.davincisurgery.com/safety.

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