Urology at UTMB Health was an early adopter of the robotic platform with the development of the robotic assisted prostatectomy.
As use of the surgical robot became more widespread, its use was
expanded to treat a number of different complex surgical problems.
Robotic surgery has many of the same benefits of laparoscopic surgery
including smaller incisions, less pain and quicker recovery time.
Procedures that require more delicate dissection, or complex
reconstructive maneuvers can be facilitated by the robot, as it allows
for exact and precise reproduction of surgeon hand and wrist movements.
Prostatectomy is a common treatment for clinically localized prostate
cancer. The procedure involves complete removal of the prostate and
seminal vesicles, as well as reconnecting the bladder to the urethra.
The robotic platform allows for improved 3D visualization of the
anatomy, and the ability to perform complex reconstruction in the
confined space of the pelvis. It is usually performed using five or six
tiny incisions in the lower abdomen. Potential advantages over the
robotic approach, as compared to a traditional open approach, include
decreased blood loss, decreased post operative pain, quicker discharge
from the hospital post procedure, and quicker overall recovery from
surgery. There are studies suggesting that return of urinary continence
and erectile function may be quicker using the robotic approach. [Read more]
Pyeloplasty is a treatment for congenital or acquired obstruction of
the ureteropelvic junction. It involves removal of a
diseased portion of the ureter as it exits the kidney, followed by
reattachment of healthy ureter to the kidney. Traditionally this
procedure has been done using an open approach through an incision in
the flank or side. Laparoscopic approaches were then developed that
allowed for the procedure to be performed through small incisions. With
the introduction of the robotic platform, the procedure can be completed
through small incisions, but with the added advantages of 3D vision and
instruments that mimic the wrist movements of the surgeon. This can
allow for more precise dissection and reconstruction of the diseased
kidney. [Read More]
Robotic Partial Nephrectomy
Partial Nephrectomy is a treatment option for small, localized kidney
tumors. It can usually be performed through four of
five tiny incisions. It allows for removal of kidney tumors, without the
need to remove the entire kidney. The procedure involves exposure of
the tumor, clamping of the renal artery and vein (to minimize bleeding),
removal of the tumor, followed by suturing the defect in the kidney
that is left after the tumor is removed. Fluorescence imaging is
available on the robotic camera and may be used to help localize renal
vessels as well as tumors. [Read More]
laparoscopic service line is proud to have three Urologists who are
highly trained in the skills of laparoscopic surgery. Laparoscopic
surgery offers great benefits to our patients because of decreased
recovery time, decreased pain, and a more cosmetic surgical outcome. The
procedures are performed through tiny holes made on the abdomen that
our instruments are passed through. Through these tiny holes we are able
to achieve the same surgery as we can while making a large incision.
This avoids a large surgical scar and the associated pain and
convalescence from that incision.
They offer the following laparoscopic surgeries:
- Laparoscopic Nephrectomy (removal of the kidney)
- Laparoscopic Nephroureterectomy (removal of the kidney, ureter, and a cuff of the bladder.)
kidney surgery is performed for removal of the kidney due to cancer, or
due to a nonfunctioning kidney. Our patients are usually able to go
home from surgery within 1-2 days after the surgery.