Urology

  • Robotic Assisted Surgery

    Minimally Invasive Laparoscopic Robotic Assisted Surgery

    The Division of Pediatric Urology has successfully integrated the use of robotics into our surgical practice using minimally invasive surgical technology. Our surgeons use the state-of-the-art da Vinci S™ Surgical Robot with three-dimensional, high-definition vision. Performing surgery with a robot allows the trained surgeon to complete surgical procedures with greater precision, making only small cuts into the skin.

    Paul Noh, director of minimally invasive surgery in the Division of Pediatric Urology, is certified by Intuitive Surgical as a surgical proctor for robotic assisted surgery.  Noh, along with  Pramod P. Reddy and  W. Robert DeFoor, make up the robotic-assisted, minimally invasive surgical team in pediatric urology. The types of surgeries performed with the surgical robot include nephrectomy, partial nephrectomy, ureteral reimplantation, nephroureterectomy and cecostomy.

  • Frequently Asked Questions

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    + How Are Robotic-Assisted Surgeries Performed?

    Robotic-assisted, minimally invasive surgery is performed by a surgeon using special robotic surgical tools and a camera system that enters the patient’s body through small skin openings. Surgeons who operate with the assistance of the da Vinci robot do not stand over the patient as in traditional surgical cases. The robotic-assisted surgery is performed with the surgeon sitting at a computer console. The console consists of a large monitor and computer controls. The high-definition view and three-dimensional images of the target organ and surrounding vessels and nerves provide the surgeon with an excellent view of the surgical site. The surgeon operates by moving the computer controls to manipulate instruments held by robotic arms that are positioned over the patient. Movement of the computer controls is translated in real time over the patient. By performing minimally invasive surgeries with the use of a surgical robot, the surgeon is able to operate with unmatched precision and dexterity, eliminating any hand tremor.

    + Does the Robot Perform the Surgery?

    During robotic-assisted surgery, the robot does not replace the surgeon nor does the robot make decisions. The robot is a surgical tool that requires a skilled surgeon experienced with laparoscopic and robotic techniques. Minimally invasive, robotic-assisted surgery serves to enhance the precision and movement of the surgeon’s own hands while performing delicate surgeries through small skin incisions.

    + What are the Benefits of Robotic Surgery?

    • Decreased length of stay 
    • Decreased surgical complications 
    • Decreased blood loss 
    • Decreased pain management after surgery 
    • Faster recovery 
    • Quicker return to daily activities

    + How Do You Know if Your Child is Eligible for Robotic-Assisted Surgery?

    Our pediatric urology team will determine the best surgical technique for your child based on many factors such as your child’s physical examination, medical and surgical history and diagnosis. Each patient considering robotic surgery will need to have a history and examination by one of our pediatric urologists.


 
  • Dr. Noh.

    Dr. Noh is performing robotic surgery using the da Vinci robot console.

    Dr. Noh.

    Dr. Noh is performing robotic surgery using the da Vinci robot console. 

  • Dr. DeFoor.

    Dr. DeFoor is part of the minimally invasive surgery team in Pediatric Urology.

    Dr. DeFoor.

    Dr. DeFoor is part of the minimally invasive surgery team in Pediatric Urology.