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Robotic Surgery Center

 

Information Brochure

 

Ege Robotic Surgery Center is equipped with the "da Vinci Robotic Surgery System" and it is being used by expert surgeons specialized in their own field. This robotic system enables the surgeon to perform surgical procedures with a minimal incision, while benefiting from its advanced three-dimensional imaging and precise movement capabilities.

Cardiovascular surgery, general surgery, gynecology, otorhinolaryngology and urology departments utilize robotic surgery for a variety of procedures ranging from mitral valve prolapse, coronary by-pass surgeries, endocrine surgery, colorectal surgery, obesity surgery, upper gastrointestinal surgery, pancreatic suregry, hernia surgery, hysterectomy to cancer surgeries.

 

Robotic Surgery in General Surgery:
Endocrine glands surgery (adrenal gland diseases, scarless transoral thyroidectomy, scarless transoral parathyroidectomy), colorectal surgery (colon and rectal cancer, rectal prolapse, Crohn disease, ulcerative colitis, diverticulosis coli),obesity surgery (morbid obesity), donor nephrectomy (kidney transplantation), upper gastrointestinal surgery (gastric cancer, gastric tumor, achalasia, gastroesophageal reflux operation, hiatal hernia), pancreatic resection, cholecystectomy (gallstones), abdominal hernia repair.


Robotic Surgery in Cardiovascular Surgery:


Robotic Surgery in Urology:
In the past 15 years, after the approval of the da Vinci robotic surgery system (Intuitive Surgical, Sunnyvale, CA, USA) by the Food and Drug Administration, robotic surgery has become widespread worldwide. The image obtained with the dual 3-chip camera in robotic surgery provides an enlarged (10-12X) 3-dimensional image and gives a clearer perception than conventional laparoscopic 3-dimensional systems. Robotic instruments equipped with EndoWrist technology have greatly improved the ability to maneuver and suture within the body. In this way, it is possible to move more comfortably in the hard-to-reach areas of the body compared to conventional laparoscopy. This provides an important advantage especially in surgeries requiring intensive reconstruction.

The main operations in which robotic surgery is performed in urology are radical nephrectomy, partial nephrectomy, simple nephrectomy, donor nephrectomy, pyeloplasty, adrenalectomy, ureteroneocystostomy, radical prostatectomy, radical cystectomy/neobladder and sacrocolpopexy. 
 
Considering that the oncological and functional long-term data are not different from the laparoscopic method and high costs are considered, robotic radical nephrectomy is an over-treatment in terms of technical requirements. However, the robotic technique can be applied in these cases due to its advantages such as shorter recovery time, hospital stay than open nephrectomy and safer tissue dissection than the laparoscopic method.
 
Comparison of robotic partial nephrectomy and laparoscopic partial nephrectomy have yielded similar results in terms of early oncological results, morbidity, length of hospital stay, operation time, intraoperative blood loss and conversion to open surgery rates. However, the robotic technique has a shorter warm ischemia time. Based on all these data, it can be considered that the robotic technique is a valid alternative to laparoscopy for partial nephrectomy. It can be predicted that the robotic technique may replace laparoscopy in the future with the publication of long-term results.
Robotic-assisted pyeloplasty and laparoscopic pyeloplasty have similar results in terms of operation time, success and complication rates. However, most of these results come from pediatric studies. In an operation requiring advanced suturing technique and reconstruction, such as pyeloplasty, the benefit provided by the robotic technique cannot be denied, and the benefit of the robotic technique to the surgeon should be taken into consideration.
 
Radical prostatectomy is the operation that comes to mind first when robotic surgery is used in urology and where the robot is most commonly used. It has been reported that robotic prostatectomy has less blood loss and lower transfusion rates compared to open prostatectomy, and has an advantage in terms of post-operative general complications. The main advantage of robotic prostatectomy over laparoscopic and open prostatectomy is functional results (continence and erectile function recovery). The steep learning curve of laparoscopic prostatectomy was also a reason that popularized the use of the robotic technique in this operation. 
 
Robotic surgery offers a very different perspective for urological operations as in many branches. In the 15 years since the first application of the robotic surgery, its place and position in the urological operations have begun to become clear. Especially in urological surgeries requiring more reconstruction, it has been shown to provide significant advantages over other methods. Thanks to the innovations of robotic surgery in urology practice, some technical limitations in conventional laparoscopy have been overcome. The technical limitation and operation difficulty of conventional laparoscopy in surgeries requiring reconstruction have been resolved significantly with robotic surgery. In the future, robotic surgery is taking firm steps towards becoming a gold standard method for urological operations that require intensive reconstruction, especially partial nephrectomy, pyeloplasty, radical prostatectomy, and radical cystectomy, if the cost problem disappears significantly.
 
Assoc. Prof. Dr. Adnan ŞİMŞİR
E-Mail: adnan.simsir@ege.edu.tr
Phone: +90 232 390 25 17
 
 
Adnan ŞİMŞİR completed his medical education in Ege University Faculty of Medicine in 1998. Between 2000-2005, he specialized in Urology at Ege University Department of Urology. In 2013, he received the title of Associate Professor at Ege University Faculty of Medicine. After his specialty education, he continued his vocational education by participating in many different educations, courses and congresses. He took courses and educations on endourology courses, PNL - RIRS (closed kidney stone surgeries), pelvic organ prolapse, urinary incontinence, and robotic surgeries. 
 
He continues to serve as the Chairman of the Turkish Continence Association Izmir Branch and member of the Turkish Continence Association Board of Directors. He is a member of Urological Surgery Association, Turkish Urology Association, European Urology Association, International Continence Society (ICS) Association. More than 200 scientific articles have been published in domestic and foreign scientific journals. Assoc. Prof. Dr. Adnan Şimşir is married and has one child.

 

Robotic Surgery in Gynecologic Oncology:


Robotic Surgery in Otorhinolaryngology:

 

 

 


Ege Üniversitesi

EGE ÜNİVERSİTESİ

Huzurlu Üniversite, Kaliteli Eğitim, Aydınlık Gelecek


Ege University Hospital Bornova - İZMİR
Telefon : +90 232 390 1818 - +90 232 390 3190
E-Posta: eutf.saglikturizmi@mail.ege.edu.tr
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