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Single-Site Robotic Gallbladder Removal Now Available at Temple
Temple University Hospital has successfully completed Philadelphia's first robotic laparoscopic cholecystectomy (gallbladder removal) using the da Vinci Single Site platform. Da Vinci is the company that manufactures the surgical robot. Sean Harbison, MD, FACS, performed the surgery July 27. Most gallbladder removals are performed with traditional laparoscopy using several incisions. But, through the use of the robot, Temple surgeons can remove the gallbladder by making a single, two-centimeter incision through the navel.
The robot gives the surgeon unparalleled precision and visualization with the use of three-dimensional images on a high-resolution screen. After making the single incision, surgeons use robotic arms to insert surgical instruments and a tiny camera to the gallbladder and the area surrounding it. They then remove the gallbladder fully intact through the single incision in the navel.
"Removing a gallbladder in this way is safer and easier because the robot allows us to see the complexity of the gallbladder in 3D, thus helping to avoid complications," Dr. Harbison said. "This is a big step forward for single-site surgery."
Single-site robotic laparoscopic cholecystectomy is an outpatient procedure and patients are generally able to go home a few hours after the surgery. The single-site surgery means less pain for the patient because there is only one incision, compared to traditional laparoscopy, which requires multiple incisions.
T. Sloane Guy, MD, Chief of Robotic Surgery, commented: "This represents a tremendous milestone in surgery and establishes Temple University Hospital as the epicenter of minimally invasive and robotic surgery in the Philadelphia region."
The ideal patient for the surgery would be someone with biliary colic (gallstones) with pain and minimal inflammation. The single-site robotic surgery is not an option for patients with extreme inflammation or scarring of the gallbladder.
More than one million people have their gallbladder removed in the United States each year. It is one of the three most common general surgeries.
For more information or to make an appointment with a Temple physician, please call 1-800-TEMPLE-MED (1-800-836-7536).
Date Published: Tuesday, August 07, 2012
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