There's a tremendous amount of great interest, excitement, and speculation of surgeon and Gynecologists revolving round the da Vinci surgical system. It's a fascinating bit of engineering, designed to allow advanced minimally invasive approaches to a number of surgical procedures. Predominantly, at present the productive use of "the surgical robot" has been restricted to cardiac and prostate surgeries, though lots of bright minimal access surgeons are trying to expand its applications in common laparoscopic surgery. Laparoscopic, minimally invasive general surgery procedures have gradually gained traction in the past 15-20 years. Initially restricted to simple surgeries for example cholecystectomy and appendectomy. Nissen fundoplication, and Heller myotomy, combined with the less complex procedures noted previously. Better instruments that permit safe dissection and division of tissues, like the Harmonic Scalpel and LigaSure, together with better endoscopic stapling devices have make the majority of this possible. Additionally, it is critical to be facile with laparoscopic suturing; what we should routinely perform operating room within an "open" process could be tedious and difficult with long instruments and a 2-dimensional video system. The robotic system allows a surgeon to have instruments that mimic their hand movements to some very great degree.

This gives the surgeon to duplicate open surgery techniques using minimal access, particularly with suturing. There are several procedures which are "suture-intense," inside a fashion, that have been with good results using the robot prostatectomy and mitral valve surgery are great examples that were not generally feasible with conventional laparoscopic instruments. For operating room most general surgical treatments, however, our current instruments are operating room than as much as the job, and adding the setup time and complexity of the robot might not provide significant improvements in the stuff that matter most outcomes,

OPERATING ROOM time, and cost. It has been proven in many articles, including two in the newest volume of Surgical Endoscopy.The very first, entitled Robotic versus laparoscopic colectomy, comes from the Univ. of Illinois and compared 30 consecutive robotic and 27 consecutive non-robotic laparoscopic colon resections Conclusions The best colectomies showed significant increases in total OPERATING ROOM cost, OPERATING ROOM personnel cost,

OPERATING ROOM supply cost, and OPERATING ROOM time cost. The sigmoid colectomies had significant increases in OPERATING ROOM personnel cost and OPERATING ROOM supply cost. The total hospital cost was higher for operating room the robotic groups, but the difference wasn't statistically significant.