Robots in laparoscopic surgery

J Laparoendosc Adv Surg Tech A. 2001 Dec;11(6):415-9. doi: 10.1089/10926420152761950.


Background: The Da Vinci Robotic System became available at our institution in late August 2000. We decided to utilize this system to perform advanced laparoscopic procedures.

Methods: This is a review of the status of robotics and its application in surgery. We report our experience using the Da Vinci system.

Results: We have used the Da Vinci for 34 advanced laparoscopic cases: 7 gastric bypasses for morbid obesity, 9 Heller myotomies for achalasia, 11 donor nephrectomies, 2 gastrojejunostomies, and single cases of bilateral adrenalectomy, Nissen fundoplication, Toupet fundoplication, and cholecystectomy. No robot-related complications were noted.

Conclusions: This early experience suggests that robotic surgery is a safe and effective alternative to conventional laparoscopic surgery. We believe that robotic surgery, with its ability to restore the hand-eye coordination and three-dimensional view lost in laparoscopic surgery, will allow us to perform complex procedures with greater precision and confidence and better results.

MeSH terms

  • Digestive System Surgical Procedures
  • Esophageal Achalasia / surgery
  • Fundoplication / methods
  • Gastric Bypass / methods
  • Humans
  • Laparoscopy / methods*
  • Nephrectomy / methods
  • Prospective Studies
  • Robotics*