university of florida multispecialty robotics program
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University of FloridaMultispecialty Robotics Program
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Li-Ming Su, M.D.• Professor of Urology• Associate Chairman of Clinical Affairs• Chief, Division of Robotics and Minimally Invasive
Urologic Surgery
• 6 Minimally Invasive Surgeons– Robert Newman, M.D.– Marc Cohen, M.D.– Sijo Parekattil, M.D.– Benjamin Canales, M.D.– Scott Gilbert, M.D.– Vincent Bird, M.D.
• Clinical Interests– Minimally invasive therapies for prostate and kidney cancer
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
daVinci Surgical Robotic System
1. Better visualization:– 3-D, high definition, 10X magnified
2. Improved dexterity:– multi-jointed robotic instruments
3. Improved surgical precision:– motion scaling technology
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
199920002001200220032004
Alaska
2005
Hawaii
2006200720082009-through Q2 close Intuitive Surgical Inc., 2010
916 robots installed to date
daVinci Robot Installations in the US
• 8 mm robotic Instruments fit through dime-sized incisions
• A wide range of instruments are available
Small Instruments = Small Incisions
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Multi-jointed Robotic Instruments
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
UF Multispecialty Robotic Program
UF RoboticsProgram
Urology Gynecology ENT GeneralSurgery Thoracic
CanalesGilbertMoyParekattilSu
LukowskiMadaniMorganByunCastagno
VaysbergWerning
HuangTan
Klodell
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Robotic Procedures
• Urology– Prostate cancer– Kidney cancer– Urothelial cancer– Bladder cancer– Lymph node metastasis– Kidney obstruction– Ureteral obstruction– Adrenal tumors– Kidney cysts– Pelvic prolapse
• Gynecology– Uterine fibroids – Uterine cancer– Ovarian tumors
• ENT (Transoral Robotics)– Tonsillectomy– Base of tongue tumors
• General Surgery– Rectal tumors– Rectal prolapse
• Thoracic– Lung tumors
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
UF-Shands Robotic Webpage
http://shands.org/ufroboticsU N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
UF Robotic Surgeons
• 15 robotic surgeons• 10 advanced fellowship training• Over 3,000 robotic procedures• Two hospitals (Shands and Winter Haven)• Three daVinci Si robots• UF Robotic Cases by year
– 2007 93– 2008 185– 2009 368– 2010 508
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
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Monthly OR Robot Volumes By Service
GSURG ORTH ENT GYN URO
URO-Parekattil at WH
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
UF Robotics: Urology
• 5 robotic surgeons• 5 received advanced fellowship training• Over 1,500 robotic prostatectomies• Over 300 robotic partial nephrectomies• Over 100 robotic pyeloplasties• Shands and Winter Haven Hospital
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Intuitive Surgical Inc., 2010
Robotic Prostatectomy Growth in the US
Intuitive Surgical Inc., 2010
Approaches to Radical Prostatectomy
Robotic Prostatectomy Incisions
Open Surgical Incision Robotic Prostatectomy Incision
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Open Surgeon’s View of the Prostate
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Robotic OR Setup
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Robotic Surgeon’s View of the Prostate
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Extraction of Prostate
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Postoperative Incisions
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Evolution of Kidney SurgerySurgical Technique
Before 1990 • Open Radical Nephrectomy• Open Partial Nephrectomy
Since 1990 • Laparoscopic Radical NephrectomySince 1993• Laparoscopic Partial NephrectomySince 2007• Robotic Partial Nephrectomy
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Evolution of Kidney SurgerySurgical Technique
Before 1990 • Open Radical Nephrectomy• Open Partial Nephrectomy
Since 1990 • Laparoscopic Radical NephrectomySince 1993• Laparoscopic Partial NephrectomySince 2007• Robotic Partial Nephrectomy
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Robotic Kidney Cancer Surgery
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
UF Robotics: Gynecology
• Drs. Sharon Byun, Michael Lukowski, Shireen Madani, Linda Morgan, Jacqueline Castagno
• 2 received advanced fellowship training• Both benign and cancerous conditions of the
ovary and uterus• Shands Hospital
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
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___________________Adapted from Intuitive Surgical Data
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Robotic Hysterectomy Growth in US
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Robotic Hysterectomy Incisions
Robotic Hysterectomy
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Robotic Hysterectomy
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
UF Robotics: ENT
• Drs. Mikhail Vaysberg and John Werning• Both received advanced fellowship training• Tonsillectomy and Base of tongue cancers• Shands Hospital
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Trans-Oral Robotic Surgery (TORS)
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Trans-Oral Robotic Surgery (TORS)
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
UF Robotics: Thoracic Surgery
• Dr. Charles Klodell• Received advanced fellowship training• Lung cancer• Shands Hospital
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Robotic Lung Cancer Surgery
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
UF Robotics: General Surgery
• Drs. Sanda Tan and Emina Huang• Both received advanced fellowship training• Rectal prolapse and rectal cancer• Shands Hospital
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
Robotics and Origami
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
U N I V E R S I T Y of
FLORIDA UFThe Foundation for The Gator Nation
UF&ShandsThe University Of Florida Health System
the SCIENCE of HOPE
UF Multispecialty Robotics Program
Contact Information:
352-294-5333
Robotics Website:
http://shands.org/ufrobotics
Dr. Su’s Email:
sulm@urology.ufl.edu
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