Robotics Program

If your doctor recommends surgery for bladder cancer, you may be a candidate for minimally invasive da Vinci Cystectomy. da Vinci uses state-of-the-art technology to help your doctor perform a precise operation through a few tiny incisions with enhanced vision, precision, dexterity and control.

da Vinci Surgery offers several potential benefits to bladder cancer patients over traditional open surgery, including:

• Significantly less pain²
• Less blood loss^2,3
• Less occurrence of major complications³
• Shorter hospital stay³
• Quicker recovery of bowel function²

This procedure is performed using the da Vinci Surgical System, a state-of-the-art surgical platform. By overcoming the limits of both traditional open and laparoscopic surgery, da Vinci is changing the experience of surgery for people around the world.

If you are facing bladder cancer surgery, talk to a doctor who performs da Vinci Surgery.

As with any surgery, these benefits cannot be guaranteed since surgery is specific to each patient, condition and procedure. It is important to talk to your doctor about all treatment options, including the risks and benefits. This information can help you make the best decision for your situation.

BIBLIOGRAPHY

1. Parkin DM; The global burden of urinary bladder cancer. Clinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford, Old Road Campus, Headington, Oxford, UK. max.parkin@ctsu.ox.ac.uk Available from: http://www.ncbi.nlm.nih.gov/pubmed/19054893

2. Nix J, Smith A, Kurpad R, Nielsen ME, Wallen EM, Pruthi RS. Prospective Randomized Controlled Trial of Robotic versus Open Radical Cystectomy for Bladder Cancer: Perioperative and Pathologic Results, Eur Urol(2009), doi: 10.1016/j.eururo.2009.10.024.

3. Ng CK, Kauffman EC, Lee MM, Otto BJ, Portnoff A, Ehrlich JR, Schwartz MJ, Wang GJ, Scherr DS. A Comparison of Postoperative Complications in Open versus Robotic Cystectomy. Eur Urol(2009) doi: 10.1016/j.eururo.2009.06.001

4. Bladder Cancer Treatment; Treatment Option Overview. National Cancer Institute. Available from: http://www.cancer.gov/cancertopics/pdq/treatment/bladder/Patient/page4

DA VINCI® SURGERY FOR KIDNEY OBSTRUCTION

If your doctor recommends surgery to treat a kidney obstruction, you may be a candidate for da Vinci® Surgery. To remove the blockage in the urinary system, your doctor will reattach the healthy part of the kidney to the healthy part of the ureter – the narrow tubes that carry urine from the kidneys to the bladder.

da Vinci Surgery uses state-of-the-art technology to help your doctor perform a more precise operation than conventional surgery. It offers several potential benefits over traditional open and laparoscopic surgery, including:

• Shorter operation^2,3
• Less blood loss^2,3
• Less pain^2,3
• Shorter hospital stay^2,3

DA VINCI SURGERY FOR KIDNEY CANCER (PARTIAL NEPHRECTOMY)

The da Vinci Surgical System uses state-of-the-art technology to help your doctor provide the gold standard treatment, where indicated, and also perform a more precise operation. da Vinci offers several potential benefits to patients facing kidney surgery, including:

• Excellent clinical outcomes and cancer control⁵
• Short hospital stay⁶
• Low blood loss^5,6
• Precise tumor removal and kidney reconstruction^6,7
• Greater chance of preserving the kidney, in certain cancer operations⁷
• Low rate of operative complications⁷

By overcoming the limits of both traditional open and laparoscopic surgery, the da Vinci Surgical System is changing the experience of surgery for people around the world.

If you are facing kidney surgery, talk to a doctor who performs da Vinci Surgery.

As with any surgery, these benefits cannot be guaranteed since surgery is specific to each patient, condition and procedure. It is important to talk to your doctor about all treatment options, including the risks and benefits. This information can help you make the best decision for your situation.

BIBLIOGRAPHY

1. Bansal P, Gupta A, Mongha R, Narayan S, Kundu A K , Chakraborty S C , Das R K , Bera M K. Laparoscopic versus open pyeloplasty: Comparison of two surgical approaches- a single centre experience of three years. J Minim Access Surg. 2008 Jul–Sep; 4(3): 76–79.
2. Hemal AK, Mukherjee S, Singh K; Laparoscopic pyeloplasty versus robotic pyeloplasty ureteropelvic junction obstruction: a series of 60 cases performed by a single surgeon.
3. Lee R, Retik A, Borer J, Peters C; Pediatric Robot Assisted Laparoscopic Dismembered Pyeloplasty: Comparison With a Cohort of Open Surgery. The Journal of Urology, Vol. 175, 683-687, February 2006.
4. Kunkle D, Egleston B, Uzzo R; Excise, Ablate or Observe: The Small Renal Mass Dilemma – A Meta Analysis and Review. The Journal of Urology, Vol. 179, 1227-1234, April 2008
5. Benway BM, Wang AJ, Cabello JC, Bhayani SB; Robotic Partial Nephrectomy with Sliding-Clip Renorrhaphy: Technique and Outcomes; European Association of Urology, Accepted December 28, 2008. Published online ahead of print on January 7, 2009
6. Rogers CG, Menon M, Weise ES, Robotic partial nephrectomy: a multi-institutional analysis; J Robotic Surgery (2008) 2:141-143 DOI 10.1007/s11701-008-0098-2
7. Bhayani SB, Das N., Robotic-assisted laparoscopic partial nephrectomy for suspected renal cell carcinoma. BMC Surgery 2008, 8:16 doi:10.1186/1471-2482-8-16.

More U.S. men choose da Vinci Surgery than any other treatment for prostate cancer1 and more and more men worldwide facing prostate cancer are choosing da Vinci Surgery.

Thanks to breakthrough surgical technology, doctors can offer a minimally invasive treatment for prostate cancer – da Vinci Prostatectomy.

WHY DA VINCI?

Imagine major surgery performed through the smallest of incisions. Imagine having the benefits of a definitive treatment with the potential for:

Better Cancer Control

Studies show that, compared to open surgery, experienced da Vinci surgeons achieve better cancer control – lower positive margin rates. Positive margin rates are a measure of cancer cells left behind – lower is better.^2,3,4

Faster Return of Erectile Function

Studies show patients who are potent prior to surgery experience a faster return of erectile function than patients who have open surgery.^5,6

Better Chance for Return of Urinary Continence

Recent studies show more patients have full return of urinary continence within 6 months as compared to patients having open surgery.^4,5,6

• Shorter hospital stay^4,5,6,7,8
• Less blood loss^{4,5,6,7,9,10,11}
• Less need for blood tranfusion^4,6,7,9,11
• Lower risk of complications^4,7,11
• Lower risk of wound infection¹¹
• Fewer days with catheter⁵
• Less pain⁹
• Faster recovery¹⁰ and return to normal
  activities⁸

The da Vinci Surgical System is a state-of-the-art surgical platform with 3D, high-definition vision and miniaturized, wristed surgical instruments designed to help doctors take surgery beyond the limits of the human hand. Though it is often called a “robot,” da Vinci cannot act on its own – surgery is performed entirely by your doctor from start to finish. By overcoming the limitations of traditional open and laparoscopic surgery, da Vinci is changing the experience of surgery for people around the world.

If you have been told you need treatment for prostate cancer, it’s time to ask your doctor about da Vinci Surgery.

As with any surgery, these benefits cannot be guaranteed since surgery is specific to each patient, condition and procedure. It is important to talk to your doctor about all treatment options, including the risks and benefits. All surgeries involve the risk of major complications. Before you decide on surgery, discuss treatment options with your doctor. Understanding the risks of each treatment can help you make the best decision for your individual situation.

BIBLIOGRAPHY

1. Claim based on 2008 U.S. data. Data on file at Intuitive Surgical, Inc.
2. Rocco B, Matei DV, Melegari S, Ospina JC, Mazzoleni F, Errico G, Mastropasqua M, Santoro L, Detti S, de Cobelli O. Robotic vs open prostatectomy in a laparoscopically naive centre: a matched-pair analysis. BJU Int. 2009 Oct;104(7):991-5. Epub 2009 May 5.
3. Ficarra V, Novara G, Fracalanza S, D’Elia C, Secco S, Iafrate M, Cavalleri S, Artibani W. A prospective, non-randomized trial comparing robot-assisted laparoscopic and retropubic radical prostatectomy in one European institution. BJU Int. 2009 Aug;104(4):534-9. Epub 2009 Mar 5.
4. Ho C, Tsakonas E, Tran K, Cimon K, Severn M, Mierzwinski-Urban M, Corcos J, Pautler S. Robot-Assisted Surgery Compared with Open Surgery and Laparoscopic Surgery: Clinical Effectiveness and Economic Analyses [Internet]. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH); 2011 (Technology report no. 137).
5. Hohwu L, Akre O, Pedersen KV, Jonsson M, Nielsen CV, Gustafsson O. Open retropubic prostatectomy versus robot-assisted laparoscopic prostatectomy: A comparison of length of sick leave. Scand. J. Urol. Nephrol. Apr 7 2009:1-6.
6. Menon M, Tewari A, Baize B, Guillonneau B, Vallancien G. Prospective comparison of radical retropubic prostatectomy and robot-assisted anatomic prostatectomy: the Vattikuti Urology Institute experience. Urology. 2002 Nov;60(5):864-8.
7. Miller J, Smith A, Kouba E, Wallen E, Pruthi RS. Prospective evaluation of short-term impact and recovery of health related quality of life in men undergoing robotic assisted laparoscopic radical prostatectomy versus open radical prostatectomy. J Urol. 2007 Sep;178(3 Pt 1):854-8; discussion 859. Epub 2007 Jul 16.
8. Carlsson S, Nilsson AE, Schumacher MC, Jonsson MN, Volz DS, Steineck G, Wiklund PN. Surgery-related complications in 1253 robot-assisted and 485 open retropubic radical prostatectomies at the Karolinska University Hospital, Sweden. Urology. 2010 May;75(5):1092-7.