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Robotic Surgery - About Minimally Invasive Robotic Surgery

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Uses of Minimally Invasive Robotic Surgery

Robotic surgery is the most technologically advanced and minimally invasive approach to complex surgical procedures available today. Columbia University Department of Urology at NewYork-Presbyterian Hospital is one of only a few highly experienced surgical teams in the world with the clinical and technological expertise to offer minimally invasive robotic surgery of the prostate (robotic prostatectomy), kidney (nephrectomy and partial neprectomy), bladder (cystectomy), and ureteropelvic junction repair (pyeloplasty). We are also one of the few medical centers in the country – and the first in New York City – to use the state-of-the-art High Definition da Vinci-S Surgical System to perform robotic urologic surgery. Before the advent of surgical robots, urologic surgeons performed these procedures through large abdominal incisions or using less versatile and mobile laparoscopic instruments.

Columbia Urology is a national leader in minimally invasive robotic prostatectomy and, together with the cancer care team at the National Cancer Institute-designated Herbert Irving Comprehensive Cancer Center, we are one of the nation's premier treatment facilities for prostate, kidney, and bladder cancer.

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Dr. Ketan K. Badani - Director of Robotic and Minimally Invasive Surgery

Our robotic surgery team is led by Dr. Ketan K. Badani, Director of Robotic and Minimally Invasive Surgery in the Department of Urology at Columbia University. Dr. Badani, a world leader in minimally invasive robotic surgery, has performed over 2000 robotic procedures. He was fellowship-trained in laparoscopic and robotic oncology with Dr. Mani Menon at the Vattikuti Urology Institute in Detroit, Michigan, where robotic prostatectomy was developed. During his tenure at the Institute, doctors there performed more robotic surgeries than anywhere else in the world. Dr. Badani's expertise is now available at Columbia Urology. Dr. Badani also led the team that first developed robotic partial nephrectomy for kidney cancer.

Dr. Badani has developed enhanced nerve-sparing techniques to preserve sexual function after robotic prostatectomy without compromising cancer control. He is also one of the nation's leading robotic surgery instructors, and has demonstrated these nerve-sparing techniques throughout the United States and in Canada, Spain, Austria, China, Malaysia, Switzerland, Brazil, Venezuela, and India. Dr. Badani is a noted author and lecturer on topics including sexual function, cancer control, and urinary continence outcomes after minimally invasive robotic prostatectomy and has published landmark papers in this field. Dr. Badani also pioneered the techniques used today for minimally invasive robotic kidney surgery.

How Minimally Invasive Robotic Surgery Works

During minimally invasive robotic surgery the surgeon sits at a console next to the patient and controls four robotic arms. One arm holds a three-dimensional camera and controls its movements, while the other three hold miniaturized surgical tools, which precisely replicate the surgeon's hand and finger movements. The da Vinci robotic surgery system gives the surgeon a highly magnified view of the surgical field, and unsurpassed surgical dexterity and control. We work very closely with the manufacturer of the da Vinci system (Intuitive Surgical Inc. in Sunnyvale, California) to stay on the cutting edge of this technology.

Benefits of Minimally Invasive Robotic Surgery

As with other minimally invasive procedures, patients who undergo minimally invasive robotic surgery benefit in several ways: their hospital stay is shortened, they experience less pain, lose less blood, have smaller incisions, and can quickly return to their normal activities. Most important of all, studies show that they may have better clinical outcomes. Columbia Urology has published several studies that show improved continence and potency rates, rivaling any institution in the world.

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Related News more

Evolution of Robotic Radical Prostatectomy

Dr. Ketan Badani and colleagues' article on the "Evolution of Robotic Radical Prostatectomy, an Assessment After 2766 Procedures," was published in the November 1, 2007 issue of Cancer, a journal of the American Cancer Society.

Optimizing Robotic Renal Surgery

Dr. Ketan Badani and colleagues' article on Optimizing Robotic Renal Surgery with the Lateral Camera Port Placement Technique was published in the March 2008 issue of the Journal of Endourology.