NEW AT BRYAN
Bryan marks 10 years of robotic-assisted surgeries
A decade of breakthroughs
T
his summer marked a major milestone for Bryan Health — the 10-year anniversary of our innovative use of the da Vinci® robotic-assisted surgical system in Lincoln. Bryan was a leader in robotic-assisted surgery early on as one of the first two medical centers in Nebraska to acquire the da Vinci surgical system. Surgeons here were first in the state to use da Vinci for gynecologic procedures and among the first to perform robotic-assisted urologic
surgeries. Bryan is now first in the region to have two da Vinci systems and two robotically trained surgical staffs in the same hospital, so patients and physicians have ready access to the advantages of this innovative technology. From the beginning, the Bryan program has used the very accurate multiport da Vinci system, which Dr. Richard Thompson Dr. Peter Howe allows surgeons to operate through up to five 1-inchlong incisions, Dr. Peter Howe, who has performed more using highly flexible than 500 multiport da Vinci procedures, surgical instruments adds, “Multiport robotic surgery has been a What procedures are n Prostatectomy (removing and high-definition, particular boon for urologic surgery because offered, using the da Vinci® all or part of the prostate). 3-D visualization. we often work in very small spaces within robotic-assisted tools? n Partial nephrectomy “The multiport the pelvis. These state-of-the-art (removing part of a da Vinci system “We also do lots of pediatric surgeries, surgeries are being performed kidney). allows a precise, and the da Vinci surgical tools’ small size is now by surgeons at Bryan: n Radical cystectomy minimally invasive ideal for getting top-notch results with our (removing the bladder surgical approach,” youngest patients.” and surrounding tissues). Single-incision: explains Dr. Richard “An important thing to understand about n Pyeloplasty (surgery to n Hysterectomy (removing Thompson, a robotic surgery,” says Dr. Thompson, “is that repair a kidney). the uterus). cardiothoracic the robot is not controlling the surgery — it’s n Ureteral reimplantation/ n Salpingo-oophorectomy surgeon who simply a precise tool used to translate the anastomosis. (operations on the ovaries performs roboticn Distal ureterectomy surgeon’s hand movements into movements and fallopian tubes). (removing part of the assisted lung of very small surgical instruments in real n Cholecystectomy (removing ureter). lobectomies, time within the patient’s body. the gallbladder). n Abdominal perineal mediastinal mass “Just like with traditional surgeries, resection (removing the excisions and lung the surgeon and surgical team are in the Multi-incision: lower rectum and anus). wedge resection same room, continuously observing and n Colorectal polyp/tumor n Hysterectomy (removing surgeries. “That monitoring the patient.” removal. the uterus). promotes less blood The field continues to evolve. n Hemicolectomy (removing n Salpingo-oophorectomy loss, lower infection “In the near future we expect to (operations on the ovaries colon’s right or left side). risk, reduced postintroduce robotic-assisted coronary artery n Peristomal hernia repair. and fallopian tubes). surgical pain and bypass surgeries,” says Dr. Thompson. “And n Ovarian cystectomy (ovarian n Rectopexy (repair of faster recovery single-incision da Vinci surgery (see article rectal prolapse). cyst removal). compared to on Page 2) will likely be introduced in n Pulmonary lobectomy. n Removal of endometriosis. traditional open various new surgical areas,” Dr. Howe says. n Sacrocolpopexy (repair of surgeries.” “We are still just seeing the tip of the pelvic organ prolapse). Urologic surgeon iceberg for this exciting technology.” n
Versatile surgical tool
Bryan Journeys 5