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Robotic Surgery
The daVinci robot can be used for many different operations.
The daVinci robot is made by an American company Intuitive Surgical.
The "robot" is really a form of telesurgical surgery; that is, the robot does not function autonomously or "know" how to do any operation or any maneuvers.
The surgeon controls the robotic instruments from a console. The console is usually in the same room as the patient, though in theory the console could be in any location connected with an electronic signal.
An assistant attends to the patient at the bedside, while the surgeon operates at the console.
With thoracic operations, several small incisions are made between the ribs. The robotic camera and robotic instruments are inserted. The surgeon then manipulates the controls at the console, which allow the camera and instruments to move and accomplish the operation.
A robotic approach can be difficult to learn. The hand controls take a while to get used to, for one thing.
One of the main things to learn is related to the fact that the robot has no haptic feedback. This means that the robot instruments and controls do not provide any feedback to the surgeon about how soft or hard tissues may be. There is no indication about the consistency of tissue, other than visual feedback.
This is much different than how a surgeon usually operates. Usually, a surgeon can feel the tissues with his (or her) hands. The feedback from his hands combines with what he can see to guide his maneuvers.
Without haptic feedback, it is easy to pull tissues to the point of breaking. Or to crush a delicate tissue with an instrument. With the robot, the surgeon must learn to manipulate tissues based solely on what he can see. This is a major change for most surgeons.
However, once the robotic technique is learned, the daVinci robot provides an excellent way to perform many operations.
There are many different instruments which have been developed for the robot. Scissors, graspers, retractors (which hold tissues out of the way), staplers, and other instruments have been designed.
Generally, the smaller incisions used with the robot involve less pain than more traditional open operations. This can lead to less pain, quicker recovery, and quicker return to work.
In some cases, a robotic operation has been shown to be safer than open operation, meaning less risk. Dr. Pool would be happy to discuss the feasibility and risks of robotic surgery for you.
Dr. Pool has performed hundreds of robotic operations.
Dr. Pool is among the busiest surgeons to perform robotic thoracic operations. In 2018, he was among the top 1% of surgeons in the USA, in terms of how many thoracic robotic operations he performed.
Dr. Pool is a proctor for the daVinci robot and teaches other thoracic surgeons how to use it.
Dr. Pool is one of a few surgeons the Dallas area who regularly perform robotic lobectomy.
Actually, Dr. Pool has used the robot to perform roughly 95% of the thoracic (non-cardiac) operations he has done in the past 5 years.
Dr. Pool has extensive experience performing robotic
--- Lung biopsy
--- Thymectomy
--- Lymph node biopsy
--- Pleurodesis and decortication
--- First rib resection
--- Sympathectomy
--- Blebectomy
--- Plication of Diaphragm
Dr. Pool also performs rare operations with the robot including:
--- Epicardial lead placement
--- Cardiac sympathetic denervation
Aortic Stenosis
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