Krisha McCoy, MS
A doctor guides small robotic arms through several tiny keyhole incisions. This allows for greater range of movement than a doctor's hand.
Robot-assisted surgery is considered for procedures that:
Performing surgery in this way may result in:
Many types of surgery, including pediatric surgery, can now be done with the assistance of a robot, including:
Complications are rare, but no procedure is completely free of risk. If you are planning to have robot-assisted surgery, your doctor will review a list of possible complications, which may include:
Some factors that may increase the risk of complications include:
Depending on the reason for your surgery, your doctor may do the following:
Leading up to the surgery:
Depending on the type of procedure that you have, you may be given:
Several small keyhole openings will be cut in the skin near where the surgery will take place. In most cases, a needle will be used to inject carbon dioxide gas into the surgical area. This gas will make it easier for the doctor to see internal structures. Next, a small camera called an endoscope will be passed through 1 of the incisions. The camera will light, magnify, and project an image of the organs onto a video screen. Then robotic arms holding instruments for grasping, cutting, dissecting, and suturing will be inserted through the holes.
While sitting at a console near the operating table, the doctor will use lenses to look at a magnified 3-D image of the inside of the body. Another doctor will stay by the table to adjust the camera and tools. The robotic arms and tools will be guided by movements of the surgeon. Lastly, the tools will be removed and stitches or staples will be used to close the area.
Usually 1-2 hours or less, depending on the procedure
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications. You may also feel discomfort from the gas used during the procedure. This can last up to 3 days.
This procedure is done in a hospital setting. The usual length of stay is a few days. Your doctor may choose to keep you longer if you have any problems.
While you are recovering at the hospital, you will:
It is important for you to monitor your recovery after you leave the hospital. Alert your doctor to any problems right away. If any of the following occur, call your doctor:
If you think you have an emergency, call for medical help right away.
American College of Surgeons
US Food and Drug Administration
Canadian Agency for Drugs and Technologies in Health
The da Vinci surgical system. University of Southern California, Cardiothoracic Surgery website. Available at:
http://www.cts.usc.edu/rsi-davincisystem.html. Accessed February 19, 2016.
Robotic radical prostatectomy. Cleveland Clinic website. Available at: http://robotic-surgery.med.nyu.edu/for-patients/what-robotic-surgery. Accessed February 19, 2016.
Robotic surgery. Brown University website. Available at:
http://biomed.brown.edu/Courses/BI108/BI108_2005_Groups/04. Accessed February 19, 2016.
What is robotic surgery? The Robotic Surgery Center at NYU Langone Medical Center website. Available at: http://robotic-surgery.med.nyu.edu/for-patients/what-robotic-surgery. Accessed February 19, 2016.
6/3/2011 DynaMed Plus Systematic Literature Surveillance
Available at: http://www.dynamed.com: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.
Last reviewed February 2016 by Michael Woods, MD
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