Robotic Urologic Surgery: where does it fit?

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Presentation transcript:

Robotic Urologic Surgery: where does it fit? Riccardo Autorino Conflict of interest: None

Recent evolution of urologic surgery Autorino Espinho 2011

Brief history 1980s: DARPA (Defense Advanced Research Projects Agency) remote surgery research program 1999: first da Vinci™ System introduced 2000: US FDA clears da Vinci™ for laparoscopy 3D vision Endowrist™ Intuitive™ motion Autorino Espinho 2011

Brief history 2003: major upgrade with 4th arm 2006: da Vinci S™ introduced HD vision TilePro™ Multiquadrant access Autorino Espinho 2011

Brief history 2009: da Vinci Si™ introduced Dual console Enhanced HD vision (1080i) Refined master controllers Simplified energy control footswitch panel Additional ergonomic settings Autorino Espinho 2011

As of April 6th 2011 Autorino Espinho 2011

Robotic surgery: current urologic indications Autorino Espinho 2011

As of April 6th 2011 Autorino Espinho 2011

Robotic RP: initial case report Autorino Espinho 2011

Robotic RP: after a decade Autorino Espinho 2011

Robotic RP: after a decade Autorino Espinho 2011

Robotic RP: after a decade Autorino Espinho 2011

Outcomes in RP: the age of «…fecta» Autorino Espinho 2011

Outcomes in RP: the age of «…fecta» Autorino Espinho 2011

Robotic prostatectomy: an ongoing debate Autorino Espinho 2011

Robotic RP: an ongoing debate Autorino Espinho 2011

Robotic RP: an ongoing debate Autorino Espinho 2011

Robotic RP: where is the truth? The surgeon factor Autorino Espinho 2011

Robotic Partial Nephrectomy Autorino Espinho 2011

Robotic Partial Nephrectomy Autorino Espinho 2011

Robotic Partial Nephrectomy: an open debate Autorino Espinho 2011

Pyeloplasty Autorino Espinho 2011

Pyeloplasty Autorino Espinho 2011

The cost issue Autorino Espinho 2011

The cost issue Autorino Espinho 2011

The cost issue Autorino Espinho 2011

Internet & medicine Autorino Espinho 2011

Internet & medicine Autorino Espinho 2011

Internet & medicine Autorino Espinho 2011

Internet & medicine Autorino Espinho 2011

Robotic Urologic Societies Autorino Espinho 2011

Robotic urologic meetings & courses Autorino Espinho 2011

The traininig issue Autorino Espinho 2011

The patient perspective: one side… Autorino Espinho 2011

The patient perspective: the other side… Autorino Espinho 2011

The patient perspective: the other side… Autorino Espinho 2011

New indications Autorino Espinho 2011

New indications Autorino Espinho 2011

New indications Autorino Espinho 2011

New applications Autorino Espinho 2011

New applications Autorino Espinho 2011

Obrigado Autorino Espinho 2011