Robotic Surgery Center

• Robotic assisted Spinal Surgery
• Robotic assisted Total Knee Replacement
• Robotic assisted Urology Surgeries
• Robotic assisted ENT Surgeries
• Robotic assisted General Surgeries

ExcelsiusGPS® Robotic Navigation

ExcelsiusGPS® is designed to improve accuracy and optimize patient care by using robotics and navigation for spine surgery. It offers real-time tracking of instruments and implants, along with audible, visual and tactile feedback.

Special Features:
- Robotic guidance: The End Effector aligns the guide tube precisely along the desired trajectory, allowing for direct implant placement with GPS instruments.

- Navigation: The system provides real-time feedback on instrument positioning relative to the patient’s anatomy.

- Rigid robotic arm: The robotic arm’s rigidity ensures stability during implant insertion, even on step trajectories.

- Imaging compatibility: The system seamlessly integrates into the surgical workflow and supports planning and navigation in both 2D and 3D imaging modalities.

Advantages:
- Robotic guidance: The system can speed up the surgery procedure and enhance the precision.

- Navigation: This feature has the potential to significant reduce the amount of radiation required during the procedure.

- Rigid robotic arm: The system with high stability which enhances the accuracy and precision of the surgical procedure.

- Imaging compatibility: The system assists surgeon to have comprehensive understanding of the patient’s anatomy during the procedure. It enhances the accuracy of the surgery.     

ROSA® Robotic System 

The ROSA® Robotic System is an advanced system can be used to assist surgeons in orthopedic knee replacement surgery. The system offers assistance in bone resections and evaluating the condition of the soft tissues to optimize implant positioning during the surgery. 

Special Features:
- Complete preoperative plan: The system utilizes 3D images of the knee joint to create a comprehensive preoperative plan.

- Safer surgical experience: The system can enables precise surgical resections with minimal errors.

- Robotic guidance: The system automatically corrects the displacement during the surgery, ensuring accurate implant placement.

Advantages:
- Complete preoperative plan: This not only assists surgeons visualize the procedure but also instills confidence in patients.

- Safer surgical experience: It reduces the risk of damage to cartilage, ligaments and other tissues. This precision contributes to a safer surgical experience for patients.

- Robotic guidance: Surgical time is significant reduced and the occurrence of complications is minimized. This ultimately leads to a higher success rate for knee replacement procedures.

Da Vinci Xi Robotic Surgical Systems

The Da Vinci Xi surgical system is renowned for its comprehensive integration of advanced da Vinci technology, offering expanded anatomical access and improved ease of use.

Special Features:
- Thinner and longer arms: The system’s thinner and longer arms facilitate simpler port placement, allowing for increased flexibility and adaptability from case to case.

- Integrated Table Motion: The Da Vinci Xi system incorporate Integrated Table Motion, enabling surgeons to reposition the patient during the procedure without interrupting the case

- Multiple perspectives: With the Da Vinci Xi system, a small scope can be placed on any of the four robotic arms during a procedure.

Advantages:
- Thinner and longer arms: This feature increases flexibility of arms to enhance the surgical team’s ability to access and navigate challenging anatomical structures.

- Integrated Table Motion: The system’s capability optimizes access, exposure and reach, enhancing the surgical outcomes.

- Multiple perspectives: This feature provides the surgical team with additional perspective and angles, enhancing visualization and precision during the surgery.

The Center brings together a team of highly skilled surgeons and medical professionals from diverse specialties. Collaborating seamlessly, they offer a holistic range of surgical services, encompassing thorough examinations, consultations, treatments, surgeries, and rehabilitation, all under one roof.

1. What is robotic surgery?
   
   Robotic surgery is a method of surgery performed with the assistance of a robotic system. It combines the expertise of a surgeon with the precision and stability of a robotic system, which comprises multiple robotic arms and surgical instruments. Surgeons perform robotic surgery by operating the robotic surgery system.
2. What robotic surgical instruments does the Robotic Surgery Center at HKAH?
   
   - ExcelsiusGPS® Robotic Navigation
   - ROSA ® Robotic System
   - Da Vinci Xi Robotic Surgical Systems
3. What kind of surgery can adopt robotic surgery?
   
   Robotic surgery is used in many surgical fields. At Hong Kong Adventist Hospital’s Robotic Surgery Center, for example, robotic surgery may be used in urology, neurosurgery, orthopedics, otolaryngology, general surgery, and other areas.
4. Who should receive robotic surgery?
   
   Robotic surgery may be used across various specialties, and is considered an effective surgical method for certain cases. Whether a patient is a good candidate for robotic surgery depends on the doctor’s assessment based on the patient's specific condition and needs. Patients should discuss the benefits and risks of robotic surgery with their medical team to make an informed decision.
5. Who should not receive robotic surgery?
   
   While robotic surgery is generally safe and effective, some patients may not be suitable candidates for this type of surgery. Patients who are excessively overweight, for example, may not benefit from robotic surgery as the system needs to be able to position and operate on the patient with precision within the confines of the surgical area, and the patient’s body size may affect the movement of the robotic arms. Patients should discuss with their medical team to determine the most suitable surgical approach.
6. What are the advantages of robotic surgery over traditional surgery?
   
   - Minimally invasive surgery: robotic surgery is performed through smaller incisions, making it less invasive compared to traditional surgery. Surgical trauma, pain, and risk of bleeding are reduced, while recovery time is shortened.
   - Enhanced precision: robotic systems are highly flexible and precise, allowing for accurate movements and increased control. Surgeons are able to make more accurate assessments, thereby improving the success rate of surgeries.
   - 3D visualization system: robotic surgery systems provide high-definition 3D visualization, offering surgeons a clearer view of the surgical area and allowing them to perform operations with greater precision and accuracy.
   - Improved stability: robotic systems offer stability and tremor compensation that counteract the surgeon’s minor hand tremors, facilitating more stable and smooth operations and reducing surgical risks.
   - Remote operation: robotic surgery may be performed remotely with surgeons controlling the system while seated at a console. This reduces the physical strain a surgeon may experience from having to maintain a fixed posture and position for extended periods of time.
   - Enhanced safety and reduced trauma to soft tissues and other organs
   - Reduced postoperative pain, contributing to faster recovery
7. Any risk from robotic surgery?
   
   Each surgery is unique, and the risks and complications depend on the patient's condition and the complexity of the surgery. The medical team assesses each patient's risks and provides appropriate recommendations and preventive measures. Patients should discuss the risks and benefits of the surgery with their doctor and consider their options carefully before making a decision.
8. Would it be more expensive for using robotic surgery than traditional surgery?
   
   The cost of the surgery depends on the patient's condition and the doctor's recommendation. Robotic surgery may be more expensive than traditional surgery, but it significantly improves surgical flexibility and allows for more precise treatment of areas that may be difficult to reach with traditional surgery. This often leads to shorter hospital stays and faster recovery, and therefore potentially reduces the overall medical cost. In light of this, the surgical cost of robotic surgery cannot be directly compared to that of traditional surgery.
9. Any qualification or training for doctors who in charge of robotic surgery?
   
   To ensure the safety of robotic surgery, doctors and medical teams need to understand the operation and functions of the robotic surgery systems. They must undergo specific professional training and meet the necessary qualifications before they are allowed to perform robotic surgery at the hospital.