Center for Minimally invasive and Robot Assisted Surgery

07/09/2026

The Benefits of Robot Assisted Laparoscopic Surgery in Obese patients with multiple Co-morbidities:

Key Benefits for Obese and Multi-Morbid PatientsEnhanced Precision and Control:
The robotic system offers a 3D magnified view and articulating instruments with 7 degrees of freedom, allowing surgeons to operate accurately despite heavy intra-abdominal fat accumulation.

Shorter Ischemia and Operation Times: Compared to traditional laparoscopy, robotic assistance facilitates faster tumor excision and precise renal reconstruction, minimizing the time blood flow to the kidney is stopped (warm ischemia time).

Reduced Blood Loss and Transfusions: The precision of robotic instruments and advanced suturing help control bleeding effectively in a highly vascular organ like the kidney, resulting in lower estimated blood loss and fewer required transfusions.

Lower Complication Rates: Obese patients face higher risks of wound infections and prolonged recovery with open surgery. RAPN decreases overall minor complications and lowers the risk of postoperative ileus (bowel slowdown).

Faster Recovery and Shorter Stay: Smaller keyhole incisions reduce postoperative pain and allow patients—even those with high body mass indexes or medical co-morbidities—to mobilize faster and leave the hospital soone

Key Benefits for Obese and Multi-Morbid PatientsEnhanced Precision ...

19/07/2026

Telesurgery , the next frontier in Robot Assisted Laparocopic Surgery:
Surgical robots allow surgeons to perform precise, minimally invasive operations on patients from thousands of miles away. Using master-slave technology, the surgeon operates a remote console equipped with 3D visualization and haptic feedback, while robotic arms in the distant operating room mimic these hand movements in real-time.
Tese systems—such as the Saroa, SSI Mantra, and Medbot (Tomai)—utilize ultra-low latency telecommunications (like dedicated fiber-optic networks or 5G/Starlink) to ensure instantaneous response times, keeping delays to just 40 to 140 milliseconds.Notable achievements and technologies include:
Transcontinental milestones: Surgeons in Florida (USA) have successfully performed remote prostate cancer removals on patients in Angola, demonstrating the system's viability across the Atlantic Ocean.
Specialty operations: High-stakes remote procedures—ranging from complex gastrectomies across 5,000 km to cardiac endoscopic surgeries (e.g., TECAB)—have proven the technology's effectiveness in urology, gynecology, and cardiology.

19/07/2026

The next phase of MIS is moving beyond simple "assistance" toward a more integrated, intelligent, and accessible surgical environment.
​Miniaturization and Access: Future systems are trending toward single-port (SP) platforms and smaller, more specialized instruments designed for rigid-endoscopic or microsurgical tasks. This development aims to further reduce surgical trauma and allow access to even tighter anatomical spaces.
​AI and Data Integration: The "smart" operating room of the future will likely leverage massive datasets. By integrating preoperative imaging, real-time device telemetry, and patient records, AI-driven platforms may provide:
​Predictive Guidance: Alerting surgeons to potential complications or anatomical risks in real-time.
​Workflow Optimization: Using "black box" technology to capture OR data, which helps streamline staffing, predict procedure durations, and improve overall departmental efficiency.

17/07/2026

Ergonomics and Stability Robot-Assisted Retrograde Intrarenal Surgery (RIRS) represents the integration of robotic master-slave systems with flexible ureteroscopy to manage upper urinary tract pathology, primarily nephrolithiasis.
​While standard RIRS relies entirely on the urologist’s manual manipulation of a flexible ureteroscope to navigate the lower pole calyces and lithotriptor fibers, robotic RIRS introduces a dedicated robotic console and a mechanical manipulator arm to control the scope's deflection, rotation, and advancement.

29/06/2026

A robot-assisted laparoscopic partial nephrectomy on the right kidney is a minimally invasive procedure used to remove a localized tumor or diseased tissue while preserving the healthy portion of your kidney. It utilizes small keyhole incisions and a robotic console to provide unmatched surgical precision. The primary goal of a partial nephrectomy is to remove suspicious masses or tumors (often to cure early-stage kidney cancer) while saving the rest of the kidney. Preserving healthy kidney tissue significantly lowers the long-term risk of kidney failure compared to removing the entire organ.

Benefits vs. Traditional Open Surgery. Using the da Vinci surgical system offers several distinct advantages over traditional open surgery, including:Faster Recovery: Patients typically go home within 1 to 2 days.Reduced Complications: Less blood loss and significantly less post-operative pain.Better Kidney Preservation: Enhanced dexterity and precision enable surgeons to operate on more complex, centrally located tumors that might otherwise require the removal of the entire kidney.

A robot-assisted laparoscopic partial nephrectomy on the right kidn...

28/06/2026

https://youtu.be/Im92GW9Ydr0?si=3K8OWCnu6kgl9Bnk

ROBOT ASSISTED RETROPERITONEAL PARTIAL NEPHRECTOMY FOR Renal Cell Carcinoma in a Hostile abdomen

Advantages of Retroperitoneal Robot Assisted Partial Nephrectomy over Transperitoneal approach

Metrics: Retroperitoneal Approach (R-RAPN) Transperitoneal Approach
Adhesiolysis Required: None to minimal Potentially extensive and high-risk
Risk of Bowel Injury: Extremely low Elevated
Time to Vascular Control : Shorter (Direct posterior access) Longer (Requires colon reflection)
Postoperative Ileus Rates : Significantly lower Higher
Length of Hospital Stay: Shorter Longer (often delayed by bowel recovery)

Robot-Assisted Retroperitoneoscopic Partial Nephrectomy (RARPN) pro...

27/06/2026

https://youtu.be/Im92GW9Ydr
Robot-Assisted Retroperitoneoscopic Partial Nephrectomy (RARPN) provides a highly direct, efficient path to posterior and lateral renal masses while completely avoiding the peritoneal cavity. By bypassing bowel mobilization, RARPN significantly lowers the risk of postoperative ileus, avoids interference from intra-abdominal adhesions, and minimizes contamination risks in patients with complex surgical histories or a hostile abdomen with special thanks to Drs. Agatep@Dr Jun DyUrology

26/06/2026

Robot-Assisted Retroperitoneoscopic Partial Nephrectomy (RARPN) provides a highly direct, efficient path to posterior and lateral renal masses while completely avoiding the peritoneal cavity. By bypassing bowel mobilization, RARPN significantly lowers the risk of postoperative ileus, avoids interference from intra-abdominal adhesions, and minimizes contamination risks in patients with complex surgical histories or hostile abdomen. Special thanks to Drs. Agatep@Dr Jun DyUrology

https://youtu.be/Tcca8tvLnQE?si=JDjSs3DRI02VlWiP

Robot-Assisted Retroperitoneoscopic Partial Nephrectomy (RARPN) pro...

26/06/2026

Robot-Assisted Retroperitoneoscopic Partial Nephrectomy (RARPN) provides a highly direct, efficient path to posterior and lateral renal masses while completely avoiding the peritoneal cavity. By bypassing bowel mobilization, RARPN significantly lowers the risk of postoperative ileus, avoids interference from intra-abdominal adhesions, and minimizes contamination risks in patients with complex surgical histories or hostile abdomen. Special thanks to Drs. Agatep@Dr Jun DyUrology

https://youtu.be/Tcca8tvLnQE?si=JDjSs3DRI02VlWiP

07/06/2026

Preparing for a Robot-Assisted Laparoscopic Prostatectomy (RALP) requires meticulous attention to patient positioning and room setup to ensure both surgical precision and patient safety, particularly given the steep Trendelenburg position usually required. innovation