Minimally Invasive and Robotic Surgery

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Services: Minimally Invasive and Robotic Surgery at UTMB

Minimally Invasive Surgery, General Surgery

Minimally Invasive and Robotic Surgery: Dr. GomezMinimally invasive surgery (MIS), commonly referred to as laparoscopy for the abdomen and thoracoscopy for the chest, has dramatically changed the way many different operations can be performed today. Since the introduction of the laparoscopic cholecystectomy in the early 1990s, virtually every classical open operation has been adapted and modified to the minimally invasive approach. Minimal access techniques using small incisions significantly reduce trauma, operative bleeding, respiratory dysfunction and cardiovascular distress (among others).

MIS yields better clinical outcomes and the possibility to offer surgical treatments to populations of higher risk, notably elders and individuals with compromised life expectancy. The most tangible advantages of MIS for the patient include:

  • Less pain and decreased use of narcotics
  • Faster return to bowel function and earlier institution of medical therapies
  • Shorter hospital stay
  • Prompt return to normal activities and work
  • Less disability and dependence on ancillary services (rehabilitation)
  • Better cosmesis (physical appearance)
  • In summary, better quality of life

Minimally invasive procedures commonly offered by the surgical teams at UTMB Health include:

  • Diagnostic laparoscopy
  • Esophago-gastric surgery:
    • Antireflux procedures (Nissen and partial fundoplications)
    • Heller myotomy for achalasia
    • Gastrectomy
  • Bariatric surgery:
    • Roux-Y gastric bypass
  • Bilio-pancreatic procedures:
    • Cholecystectomy
    • Common bile duct exploration
    • Pancreatic cyst-gastrostomy or jejunostomy
  • Solid organ and endocrine surgery:
    • Adrenalectomy
    • Splenectomy
    • Radiofrequency ablation of liver metastases
    • Nephrectomy (living donor)
  • Colorectal surgery for benign and malignant disease:
    • Colectomy (right, left, or subtotal colectomy, sigmoidectomy, low anterior resection, and abdomino-perineal resection), colostomy
      formation or closure, rectopexy for prolapse
    • Transanal Endoscopic Microsurgery (TEM)
  • Hernia surgery
  • Splachnicectomy and neurinectomy for chronic pain

Robot-assisted Surgery

UTMB surgeons were the first in the Southwest to practice computer-enhanced robotic surgery. This revolutionary technology allows the surgeon to perform minimally invasive surgery in cases that otherwise would be performed by conventional open surgery due to current limitations of conventional laparoscopic surgery.

Many abdominal procedures are moving from traditional laparoscopic techniques to the more advanced robotic system. One major advantage of robotic surgery is the enhanced dexterity obtained by using articulated endoscopic instruments which possess 7-degree of freedom, tremor filtration, and scale of motion.

The second great improvement is the use of real, magnified 3-dimensional optical system. The apparatus has two main components—a seven-foot tall tower with robotic arms and a console where a surgeon is seated looking down at a three-dimensional view of the organs on which he or she is working.

From the console, the surgeon controls the four robotic arms that position and maneuver the endoscopic instruments that the surgeon inserts into the patient through small incisions. Organs or systems approached using robotic technology at UTMB include: esophagus, stomach, gallbladder, pancreas, adrenal gland, spleen, kidney, colon and rectum, uterus and adnexa, urinary bladder, and prostate.

The advantages of robotic surgery for the patient are similar to what we see with other minimally invasive procedures.

Below, please read more about other minimally invasive and robot-assisted services UTMB Health offers:

Cardiothoracic Surgery

Our surgeons and staff in UTMB's Cardiothoracic Surgery Division offer a high level of expertise using state-of-the art techniques and equipment, including robotic surgery. They care for patients needing adult cardiac surgery, general thoracic surgery, heart and lung transplant, and cardiothoracic surgery critical care. On our site, we offer a partial list of the advanced and routine procedures we perform at UTMB. [read more]

Bariatric (weight loss) Surgery

Our expert physicians and surgeons at the Center for Obesity and Metabolic Surgery work with patients to ensure they receive the most appropriate course of treatment available. Our team includes psychologists, bariatric certified nurses, registered dieticians, physical therapists and other clinical personnel to make sure you receive comprehensive, compassionate care. The program is focused on lifelong weight management that integrates your willingness to make lifelong behavior modifications with an effective social support system. [read more]

Gynecology 

Minimally Invasive and Robotic Surgery: Dr. KilicWhen medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. These include, but are not limited to, cervical and uterine cancer, uterine fibroids, endometriosis, uterine prolapse and menorrhagia or excessive bleeding. Traditional open gynecologic surgery, using a large incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process and threat to surrounding organs and nerves. For women facing gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that usually follows traditional surgery can understandably cause significant anxiety.Fortunately, less invasive options are available and offered at UTMB by our highly experienced gynecologists. [read more]

Gynecologic Oncology

Treating some gynecologic cancers has become easier through the use of minimally invasive therapies, including state-of-the-art robotic technology. Robotic surgery is an evolution from minimally invasive laparoscopy, which is another service commonly offered at UTMB Health. In both types of treatments, medical conditions are addressed using specialized equipment and small incisions. UTMB was a pioneer in the use of robotic surgery, installing the first da Vinci® unit in Texas or the southwest and serving as one of the five original training sites, more than a decade ago. Today, UTMB offers the latest in robotic technology, with a new generation of equipment with enhanced capabilities, and expert surgeons skilled in the equipment's use. [read more]

Interventional Radiology 

Interventional radiology at UTMB Health involves a variety of procedures including regional cancer therapy and endovascular stent grafting. We have a close dynamic collaboration with the surgical and oncology departments and run multiple radiology and multidisciplinary clinics. We offer patients leading edge technology, tremendous expertise, in an environment where the health care team works together with and for their well being.

UTMB's radiology section features, at UTMB's Galveston campus, two angiography suites and a dedicated neurointerventional biplane room. Two interventional suites are also located at Victory Lakes in League City, with one of the two being a state-of-the-art Siemens Artis zee biplane system. An additional system is being installed currently at UTMB Galveston (both feature DynaCT, allowing acquisition of cross sectional images). State of the art 1.5 and 3 T MRI units are available for MRA and MRCP. The interventional radiology section also offers its patients multiple state-of-the-art wide bore CT systems for CT biopsy guidance and intervention. [read more]

Orthopaedics

Otolaryngology (ENT) 

The Department of Otolaryngology at UTMB Health specializes in the advanced practice of otolaryngology-head and neck surgery aimed at the diagnosis and management of diseases affecting the ears, nose, sinuses, throat, and head and neck. As has occurred in many surgical specialties, robotic and non-robotic minimally invasive approaches to manage diseases traditionally requiring complex open surgical approaches has increasingly become the norm.

These minimally invasive approaches, combined with state-of-the-art-equipment and specialized physician training, allow us to address numerous surgical conditions in ways that minimize pain and cosmetic changes while promoting faster recovery, shorter hospital stays, less scarring, and a quicker return to normal activities. Our group of fellowship-trained specialists offers the full spectrum of minimally invasive techniques, including robotic surgery, currently available within the specialty. [read more]

Pediatric Surgery 

Minimally invasive surgery offers many of the same advantages to children as it does for adults, including faster healing, shorter hospital stays, less pain, and reduced trauma to normal tissues. Minimally invasive procedures use instruments that allow physicians to see inside the body and perform the needed procedures with only small incisions for more rapid healing.

Thoracoscopic procedures involve the chest, while laparoscopic procedures involve the abdomen. Scopes used in either area are useful for diagnostic testing as well as in therapeutic intervention.

Many procedures can be performed using minimally invasive techniques, from common procedures such as appendectomy (removal of appendix); cholecystectomy (removal of the gall bladder); pyloromyotomy (cutting pylorus for pyloric stenosis); fundoplication (for the treatment of gastro-esophageal reflux disease or GERD).

Minimally invasive techniques also sometimes lend themselves to correction of more complex congenital anomalies, and the technology for these procedures is changing rapidly, allowing for more complex conditions to be treated. In addition to standard laparoscopy, single incision laparoscopic surgery (SILS) is being performed at UTMB for a number of different pediatric procedures. Families interested in minimally invasive techniques can meet with the pediatric surgery team at UTMB to discuss the options available and see if minimally invasive surgery is appropriate for their child. [read more]

Urology 

Minimally Invasive and Robotic Surgery: Dr. SonsteinAt the UTMB Section of Minimally Invasive and Robotic Urology, urologic surgeons offer several robotic assisted and laparoscopic procedures designed to provide a high level of surgical care and precision, while minimizing pain and scarring that is associated with open surgery. UTMB currently has three urologic surgeons experienced in robotic and laparoscopic procedures providing treatments for cancer of the prostate and kidney, as well as reconstructive procedures for benign diseases.

In addition to our surgeons, the university features an operative team of anesthesiologists, nurses and technicians who have a high level of expertise in working in the unique operative environment of robotic surgery, and the most advanced robotic platform available today. [read more]

Vascular Surgery

To optimize vascular health, vascular surgeons at UTMB Health now perform a variety of new, minimally invasive, catheter-based endovascular procedures in addition to traditional surgical approaches to therapy. These catheter-based treatments include stenting of the carotid artery, endovascular repair of abdominal or thoracic aortic aneurysms, atherectomy or angioplasty devices used to clear lower extremity arteries of plaque, and less invasive therapies for varicose veins.

Vascular surgeons offer a full range of less invasive and simpler treatment options for patients with vascular problems. Treated patients often quickly resume normal activities following short hospital stays.

 Minimally Invasive and Robotic Surgery: Support Team

Call for assistance day or night 409-772-2222

Robotic Cerclage and Dr. Sami Kilic

Read about a mother, her baby, and a groundbreaking robotic laparoscopic procedure. 


We offer minimally invasive and robot-assisted surgical procedures in:

Cardiothoracic Surgery

General Surgery

Bariatric (weight loss) Surgery

Gynecology 

Gynecologic Oncology

Interventional Radiology

Orthopaedics

Otolaryngology (ENT)

Pediatric Surgery 

Radiation Oncology

Urology 

Vascular Surgery

And others.
Please
 contact us for details.

Minimally Invasive and Robotic Surgery 

 

 
 

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