Sunway Medical Centre proudly offers patients the advanced technology of minimally invasive surgery with the da Vinci Si Surgical system.
Powered by the state of the art technology, the da Vinci surgical system enables surgeons to perform complex and reconstructive surgery with tiny incisions, enhance visualisation, precision and control.
The da Vinci Surgical Robot
The da Vinci surgical system was first introduced in 1999 and received clearance by the FDA in 2000. It has evolved rapidly in terms of technology advancement and clinical application.
To date, over 4,000 da Vinci robotic surgical systems have been installed worldwide and more than 4 million surgeries were done robotically in the field of urology, gynaecology, cardiac thoracic, general surgery and pediatric surgery. The high adoption of this technology is due to its proven clinical benefits to patients and ease of use.
Open Surgery Incision
Minimally Invasive Surgery Incision
Since the robotic assisted surgery is done with small incisions, potential benefits include:
- Fewer complications
- Less blood loss
- Faster healing time
- Shorter hospital stay
- Minimal scarring
- Lower conversion rate to open surgery
The da Vinci Surgical System consists of an ergonomic surgeon console, a patient-side cart with four interactive arms, a high-performance vision system and proprietary EndoWrist® instruments.
Endowrist Instrumentation
Provide surgeons with natural dexterity and range of movement far greater than the human hand
3D HD Vision
3-dimensional, enhanced high definition vision with 10 times magnification – offering surgeons an immersive view of the operation field
Intuitive Movement
The surgeon’s hand movements are scaled, filtered and seamlessly translated into robotic arms and instruments
Sunway Medical Centre has more than 10 surgeons with accreditation to perform robotic assisted surgeries in the following disciplines:
- Urology surgery (Prostate, Kidney & Urology reconstructive surgery)
- Gynecology Surgery (Uterus & fibroid removal surgery)
- Colorectal Surgery (Colon and rectal surgery)
- Hepato-pancreatic biliary surgery (liver, pancreas, gall bladder and hernia surgery)
Dr. Chua Chong Beng
Consultant Urologist
Dr. Badrulhisham Bahadzor
Consultant Urologist
Dr. Wong Chin Yuan
Consultant Gynaecologist
Dr. Jason Lim Meng Hock
Consultant Gynaecologist
Dr. Chong Chin Kooi
Consultant Gynaecologist
Dr. Samuel Tay Kwan Sinn
Consultant Colorectal Surgeon
Dr. Chong Hoong Yin
Consultant Colorectal Surgeon
Dr. Bong Jan Jin
Consultant Hepatobiliary & Pancreatic Surgeon
Prostate cancer occurs in the prostate gland when abnormal cells develop in the prostate. It is one of the more common cancers globally and usually affects men aged 50 and above. Prostate cancer is a heterogeneous group of cancers consisting of mostly slow growing cancer cells and often has no early symptoms.
Q: What are the surgical options available for prostate cancer (Prostatectomy)?
A: prostatectomy can be performed with open surgery or minimally invasive surgery (robotic-assisted or laparoscopic).
Q: Who is the candidate for a robotic assisted prostatectomy?
A: Men who are diagnosed with a localized prostate cancer are candidates for this procedure.
Q: What is Robotic Assisted Prostatectomy?
A: Robotic assisted prostatectomy (also called da Vinci prostatectomy) is a minimally invasive surgical removal of the prostate and some of the tissue surrounding the gland using the latest advancements in robotics and computer technology (da Vinci Surgical System)
Q: What are the potential benefits of robotic assisted prostatectomy surgery?
- Similar positive surgical margin* rates with open prostatectomy
- Faster return of erectile (sexual) function
- Better chance for return of urinary continence within 6 months
- Less blood loss or need for a transfusion
- Fewer complications
- Lower risk of wound infection
- Shorter hospitals stay
- Less chance of hospital readmission
- Fewer days with catheter
- Less risk of deep vein thrombosis**
Q: How long does a robotic assisted prostatectomy surgery take?
A: The actual procedure normally takes three hours, depending on Patient anatomy and the extent of surgery which may takes longer time.
Q: How long will I have to stay in the hospital after surgery, and when can I resume normal activities?
A: Most robotic prostatectomy patients will stay 2 to 3 days after surgery. Most patients are able to resume normal activities about 14 to 21 days after surgery.
Q: Risks & considerations related to Prostatectomy?
A: Risks of surgery apply to any types of operation which is not limited to robotic surgery and every care is taken to minimize these risks. The improved vision and functionality of the robot helps in minimizing but not eliminating the risks of post-operative infection, excessive blood loss requiring transfusion, urinary incontinence, erectile dysfunction, adjacent organ (rectal or bowel) injury, narrowing of the urethra, pooling of lymphatic fluid in the pelvic area and may help in earlier recovery of these functions
*Surgical margin: Surrounding tissue that is removed with the tumor.If cancer cells are found in this tissue, it’s called a “positive surgical margin”. If cancer cells are not found, it’s called a “negative” or “clear margin”
**Deep vein thrombosis: Dangerous condition that occurs when a blood clot forms deep in the body
Many benign (non-cancerous) conditions can affect a woman’s reproductive system, which includes the uterus, vagina, ovaries and Fallopian tubes but mostly affect the uterus (the hollow, muscular organ that holds a baby as it grows inside a pregnant woman).
A hysterectomy is the surgery to remove your uterus and is used to treat common benign conditions such as:
- Uterine fibroids (Abnormal growth of endometrial tissue outside the uterus)
- Endometriosis (non-cancerous growths of the uterine lining)
- Uterine prolapse (the falling or slipping of the uterus into or out of the vagina)
- Abnormal uterine bleeding (that does not improve with medical treatment)
- Chronic pelvic pain (due to adenomyosis or endometriosis)
Q: What are the surgical options available for removal of uterus (hysterectomy)?
A: Hysterectomy can be done with open surgery or minimally invasive surgery (Laparoscopy or robotic assisted)
Q: What is Open Surgery (Abdominal Hysterectomy)?
A: Traditionally, abdominal hysterectomies are performed with open surgery, which requires a wide incision below the navel. This procedure can be painful, involving heavy pain medications, risk of infection and significant blood loss. After surgery, a long recovery (often 6 weeks) is necessary. In addition, many patients are not happy with the scar left by the incision.
Q: What is Vaginal Hysterectomy?
A: Surgery is done through a cut in your vagina. The surgeon takes your uterus out through this incision and closes it with stitches. However, when the uterus is large or if you have internal scarring from prior surgery or other conditions, vaginal route may not be suitable.
Q: What is Laparoscopic Hysterectomy?
A: With traditional laparoscopy, your surgeon operates through a few small incisions in your abdomen using long instruments and a tiny camera. The camera sends images to a video screen to guide doctors during surgery.
Q: What is Robotic Assisted Hysterectomy (da Vinci Hysterectomy)?
A: Surgeon operates through just a few small cuts incisions in abdomen, just like traditional laparoscopy but the surgery is assisted with a robotic surgical system, the da Vinci Surgical System.
Q: What are the patient criteria for robotic assisted hysterectomy?
A: Not all patients are suitable for robotic surgery. Severe medical problems and/or advanced age may mean that the patient cannot tolerate the special positioning and length of the procedure. Severe obesity is a common limitation, although robotic surgery can sometimes be successful when standard laparoscopy is not feasible. Severe intra-abdominal adhesions due to previous surgery may prevent a minimally invasive approach. Treatment options should be discussed with your consultant to help you decide the best course of action.
Q: How long does a robotic assisted hysterectomy surgery take?
A: The actual procedure normally takes less than an hour to 2 hours, depending on Patient anatomy and the extent of surgery which may takes longer time. Robotic assisted Open hysterectomy hysterectomy
Q: What are the potential benefits of robotic assisted hysterectomy?
- Lower complication rate shorter hospital stay
- Less blood loss & likelihood for transfusion Lower
- Hospital admission rate
- Less pain
- Faster recovery
- Less wound infection
- Less chance surgeon switches to open surgery
- Better assess to pelvic anatomy (as compared to vaginal hysterectomy)
Q: How long will I have to stay in the hospital after surgery, and when can I resume normal activities?
A: Most robotic hysterectomy patients are able to go home 2 to 3 days after surgery. Most patients are allowed to return to work at 10-20 days depending on the type of job.
Q: Risks & considerations related to Hysterectomy for benign condition?
A: Risks of surgery apply to any types of operation which is not limited to robotic surgery and every care is taken to minimize these risks. Common complications include injury to the ureters (ureters drain urine from the kidney into the bladder), vaginal cuff problems (infection, hematoma, incision opens or separates), injury to bladder (organ that holds urine), bowel injury, vaginal shortening, problems urinating (cannot empty bladder, urgent or frequent need to urinate, leaking urine, slow or weak stream), abnormal hole from the vagina into the urinary tract or rectum. Uterine tissue may contain unsuspected cancer. The cutting or morcellation of uterine tissue during surgery may spread cancer, and decrease the long-term survival of patients.
For more information or appointments, please call:
Location:
LG, Tower C
