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Robot-Assisted Laparoscopic Procedures
|Close-up view of laparoscopic tools used to remove the gallbladder (green structure).|
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Reasons for Procedure
- Adrenalectomy—removal of adrenal gland
- Appendectomy—removal of the appendix
- Bariatric surgery—surgery of the stomach to treat obesity
- Cholecystectomy—removal of the gallbladder
- Colorectal procedures
- Hernia repair
- Nephrectomy—removal of a kidney
- Nissen fundoplication—surgical reinforcement of the valve between the esophagus and stomach
- Prostatectomy—removal of the prostate
- Hysterectomy—removal of the uterus
- Myomectomy—removal of fibroids, which are noncancerous tumors in the walls of the uterus
- Less scarring
- Reduced recovery times
- Less risk of infection
- Less blood loss
- Reduced trauma to the body
- Shorter hospital stay
- Faster recovery
- Damage to neighboring organs or structures
- Anesthesia-related problems
- The need to switch to traditional surgical methods such as traditional laparoscopic or open surgery
- Pre-existing heart or lung condition
- Excessive alcohol intake
- Previous abdominal or pelvic surgery
- Use of certain medications
What to Expect
Prior to Procedure
- Physical exam
- Blood tests
- Urine tests
- Electrocardiogram (EKG)
- Intravenous pyelogram (IVP)
- X-ray of kidneys, ureter, bladder (KUB)
- Abdominal or pelvic ultrasound
- CT scan
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
- Take antibiotics if instructed.
- Take a laxative and/or use an enema to clean out your intestines 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.
- General anesthesia—blocks pain and keeps you asleep through the surgery
- Local anesthesia—just the area that is being operated on is numbed; given as an injection and may also be given with a sedative
Description of the Procedure
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How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Wash the incisions with mild soap and water.
- Limit certain activities, such as driving and strenuous activity.
- Participate in any physical therapy or rehabilitation.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from an incision site
- Abdominal swelling or pain
- Severe nausea or vomiting
- Persistent diarrhea or constipation
- Blood in the stool
- Pain and/or swelling in your feet, calves, or legs
- Cough, shortness of breath, chest pain
- Being unable to eat or drink liquids
- Headache, feeling faint or lightheaded
- Excessive vaginal bleeding after a gynecologic procedure
- Persistent or foul smelling vaginal discharge after a gynecologic procedure
- New or worsening symptoms
American College of Surgeons http://www.facs.org
National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov
Canadian Cardiovascular Society http://www.ccs.ca
Health Canada http://www.hc-sc.gc.ca
The da Vinci surgical system. University of Southern California, Cardiothoracic Surgery website. Available at: http://www.cts.usc.edu/rsi-davincisystem.html. Accessed July 25, 2013.
Robotic surgery. Brown University website. Available at: http://biomed.brown.edu/Courses/BI108/BI108%5F2005%5FGroups/04/. Accessed July 25, 2013.
Robotic surgery. Thinkquest website. Available at: http://library.thinkquest.org/03oct/00760/. Accessed July 25, 2013.
Ruurda JP, van Vroonhoven ThJMV, Broeders IAMJ. Robot-assisted surgical systems: a new era in laparoscopic surgery. Ann R Coll Surg Engl. 2002;84:223-226.
6/3/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Michael Woods, MD
- Review Date: 05/2014
- Update Date: 00/52/2014