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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
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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
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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
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199920002001200220032004
Alaska
2005
Hawaii
2006200720082009-through Q2 close Intuitive Surgical Inc., 2010
916 robots installed to date
daVinci Robot Installations in the US
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• 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
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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
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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
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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
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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
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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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2007
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0
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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
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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
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Intuitive Surgical Inc., 2010
Robotic Prostatectomy Growth in the US
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Intuitive Surgical Inc., 2010
Approaches to Radical Prostatectomy
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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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0
10000
20000
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40000
50000
60000
70000
2005 2006 2007 2008 2009
___________________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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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: