One of the newest minimally invasive surgical techniques includes using a robot called the daVinci® Surgical System.
This procedure is performed by making small incisions (ports) into the abdomen and inserting surgical instruments through ports to carry out the procedure.

I actually control the robot from the computer terminal in the same room as the patient but not at the patient site but very close in case of emergency.

I have an assistant who stands at the side of the patient, bringing in new instruments and helping with visualization, should there be small amounts of bleeding in the surgical field.

Results from this surgical procedure are excellent. In the hands of an experienced robotic surgeon, they should be equivalent to the open technique. In my hands, cancer control is the same as the more traditional open technique and quality of life outcomes are equal or perhaps slightly better.

Patients return to normal function and activity in a shorter period of time. This is due to significantly less blood loss and small incisions that lead for a quicker recovery. Patients are able to resume most normal activities within 2 weeks after the operation, and all normal activities 3 weeks after the operation, unless, of course, they have had some major postoperative complication that lengthens the period of recovery. Hospitalization is generally 1-2 nights after the operation. The patient is discharged home with a catheter in the bladder, after they are successfully passing flatus.

da Vinci Procedures in Urology

To this date, da Vinci Robotic surgical system has been used in various procedures from minimally invasive heart surgery to minimally invasive cancer surgery including prostate, kidney, bladder, endometrial and many more. In Urological field we are skilled in using this technology in the following situations:

• Prostate Cancer: Robotic Assisted Laparoscopic prostatectomy (removal of prostate) is becoming the gold standard for treating organ confined prostate cancer. My team and I to this date have performed over 1,000 cases and provide a high quality and individualized care to each patient.

• Bladder Cancer: Robotic Assisted cystectomy (removal of the bladder) is gaining more and more favor over the traditional open procedure due to its less morbidity and less hospital stay after the minimally invasive surgery. Dr. Miles was one the first pioneering surgeons who successfully performed the first few Robotic Assisted Cystectomy and continue to be a leader in this procedure.

• Robotic Assisted Laparoscopic Cystectomy
Performing cystectomy (removing the bladder with tumor) using da Vinci Robotic System may make this procedure more efficacious than the standard laparoscopic approach or open surgery. One of the newest minimally invasive surgical techniques includes using a robot called the da Vinci Surgical System. This procedure is performed by making five small incisions (ports) into the abdomen and inserting surgical instruments through ports to carry out the procedure. I (Dr. Brian Miles) actually control the robot from the computer terminal in the same room as the patient but not at the patient site. I have an assistant who stands at the side of the patient, bringing in new instruments and helping with visualization, should there be small amounts of bleeding in the surgical field. Results from this surgical procedure are excellent. In the hands of an experienced robotic surgeon, they should be equivalent to the open technique. In my hands, cancer control is the same as the more traditional open technique and quality of life outcomes are equal or perhaps slightly better. Patients return to normal function and activity in a shorter period of time. This is due to significantly less blood loss and small incisions that lead for a quicker recovery. Patients are able to resume most normal activities within 2-3 weeks after the operation, and all normal activities 3-4 weeks after the operation. Hospitalization is generally 4-7 nights after the operation.

•  Kidney Disorders: da Vinci system can be used for a variety of kidney disorders ranging from benign disease such as Ureteropelvic obstruction, Ureteral strictures, to malignant disease such as kidney tumors. Procedures that Dr. Miles has extensive experience using minimally invasive technology include: Partial nephrectomy (removing part of the kidney with tumor), Radical nephrectomy (removal of the whole kidney), Pyeloplasty (correcting Ureteropelvic junction obstruction), and Ureteral reimplant (surgery to correct ureteral strictures).

•  Robotic Assisted Laparoscopic Partial Nephrectomy
Performing partial nephrectomy (removing part of the kidney that contains the tumor) using da Vinci Robotic System may make this procedure more efficacious than the standard laparoscopic approach or open surgery. One of the newest minimally invasive surgical techniques includes using a robot called the da Vinci Surgical System. This procedure is performed by making five small incisions (ports) into the abdomen and inserting surgical instruments through ports to carry out the procedure. I (Dr. Brian Miles) actually control the robot from the computer terminal in the same room as the patient but not at the patient site. I have an assistant who stands at the side of the patient, bringing in new instruments and helping with visualization, should there be small amounts of bleeding in the surgical field. Results from this surgical procedure are excellent. In the hands of an experienced robotic surgeon, they should be equivalent to the open technique. In my hands, cancer control is the same as the more traditional open technique and quality of life outcomes are equal or perhaps slightly better. Patients return to normal function and activity in a shorter period of time. This is due to significantly less blood loss and small incisions that lead for a quicker recovery. Patients are able to resume most normal activities within 2 weeks after the operation, and all normal activities 3 weeks after the operation. Hospitalization is generally 2-3 nights after the operation.