Robotic surgery at Binh Dan Hospital: 3 years experiences

Abstract

Objectives: Since November 2016 the Robotic surgery has been initially applied on adult patients for the first time in Vietnam. The aim of the study was to evaluate the outcomes of application of the da Vinci SiTM robot in General Surgery and Urology at Binh Dan Hospital in over 03 years. Materials and Methods: From November 2016 to July 2020, the prospective case-series study for 1030 cases including: 324 cases in General Surgery + Thoracic Surgery cases and 706 cases in Urology are operated by the da Vinci SiTM robot system. We evaluated the short-term outcomes. Results: In 324 cases of General Surgery: 134 rectal cancer cases, 92 colon cancer cases, 50 hepatobiliary surgery cases, 34 gastric cancer cases, 09 thoracic surgery cases, 04 esophageal surgery cases, 01 hiatus hernia case. In 706 cases of Urology: 264 cases of prostate cancer, 214 cases of adrenal and kidney tumors, 160 cases of bladder tumor, 30 cases of ureteropelvic junction obstruction cases, 20 cases of upper tract transitional cell tumor, 09 cases of genital prolapse, 05 cases of retroperitoneal tumor, 02 cases of tumors beside the seminal vesicles, 01 case of patent urachus cancer, 01 case of urethra cancer. Conclusions: Robotic surgery, with many advantages than conventional laparoscopic surgery thanks to technological innovations (3D-HD monitor and optical system, the robotic arms with wrists, the comfortable console table, precise surgical…) has helped the surgeons to perform the sophisticated procedures in the narrow space easily with shorter learning curves. Our initial series of 1030 cases operated by this system have achieved encouraging outcomes.