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Da Vinci Robotic Surgical System: Early Experience from Pakistan
Harris Hassan Qureshi1, Rehan Mohsin1, Naveed Ahmed Mahar1
1Department of Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Summary
Robotic surgery using the Da Vinci robotic surgical system (DVSS) in urology demonstrated effectiveness and safety. This minimally invasive approach resulted in low complication and mortality rates in Pakistan.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- The Da Vinci robotic surgical system (DVSS) represents a significant advancement in minimally invasive surgery.
- Robotic surgery offers potential benefits such as enhanced precision and reduced patient morbidity.
Purpose of the Study:
- To evaluate the outcomes of robotic urological surgeries performed using the Da Vinci robotic surgical system (DVSS).
- To assess the safety and efficacy of DVSS in a major urological tertiary care setting in Pakistan.
Main Methods:
- A descriptive study design was employed, analyzing hospital records of patients who underwent robotic urological procedures.
- Data collected included blood loss, mortality rates, system malfunctions, and conversions to open surgery.
- Descriptive statistics were used to analyze the outcomes of 550 procedures performed between March 2017 and December 2021.
Main Results:
- A total of 550 robotic urological procedures were conducted.
- The mean blood loss was 255.61±353.57 ml, with 3 reported system malfunctions.
- Forty cases (7.3%) required conversion to open surgery, and the overall mortality rate was 1.1%.
Conclusions:
- Robotic surgery utilizing the Da Vinci system is a safe and effective minimally invasive technique in urology.
- The findings support the use of DVSS for surgical interventions, highlighting its precision and potential for fewer complications.
