(calm music)
- [Voiceover] The da Vinci Si
System is a state of the art,
minimally invasive
robotic surgical solution
that can be used under the
guidance of a trained surgeon
to treat numerous conditions.
At the Las Vegas Institute
for Robotic Surgery
at Mountainview Hospital,
surgeons operate on the patient
through just a few small incisions
that are referred to as ports.
These ports are then used for
high-definition video cameras
and tiny, wristed instruments
that can bend and rotate
with far greater flexibility
than the human wrist.
Urologist Dr. Victor Grigoriev
tells us more about it.
- Surgery's performed through
three or four small incisions
in the body.
And then instruments are then inserted.
One of the truly remarkable instruments
is a surgical camera,
which allows to have a
three dimensional view
and also 10 times magnification.
The camera and the optics that
I use are truly remarkable
as well.
Not only are they high-definition,
but they allow 10 time magnification
and three dimensional view of your body.
- Once a patient is properly positioned,
and the trocars are placed into the ports,
the surgeon sits comfortably
at a control console,
located just a few feet from the patient.
The surgeon then uses
hand and wrist controls
that translates his or her hand movements
into smaller, more precise movements
of tiny instruments
inside the patient's body.
The surgeon's feet are also
used to control foot pedals
that can be used for dissecting,
and manipulating the robot.
It's important to note
that the surgeon is in
control of the robot
100% of the time.
- The da Vinci robotics system
is really not a robotics system per se.
I think robotic is a misnomer.
This machine behind me can
be programmed to do anything.
It's not like the standard robot
that we would program to do a function.
That machine just really
duplicates a surgeon's movements
inside the body.
- As you can imagine, it takes
a great deal of competency
to utilize the da Vinci system,
and at Mountainview hospital,
we require a high level of
training from our surgical staff.
That includes nurses,
the scrub technicians;
even the anesthesiologists,
physicians, and physician associates
go through training to
use the robotic system.
- One of the advantages
of Mountainview Hospital,
the people who are working
in Mountainview Hospital
are dedicated for this robot surgery
by hiring a specific manager and director
for this robot surgical team.
They also hired better
surgical assistants, nurses,
who are only dedicated
for the robot surgery.
- As a result, the da
Vinci enables our surgeons
to perform routine and complex surgeries
with a level of dexterity and repetition
unmatched by traditional open
or laparoscopic surgeries.
- The post-operative period
after a robotic surgery
is a much better
experience than previously,
when we were doing open
or laparoscopic surgery.
There's much less pain, postoperatively,
recovery is much faster,
and returning to work is a lot quicker.
- So with two complete
da Vinci SI systems,
and a highly trained staff,
the Las Vegas Institute
for Robotic Surgery
at Mountainview Hospital
is changing the surgical experience
for the people of southern Nevada.
(calm music)
