UConn Health Expands Robotic Surgery Capabilities

Dr. Eric Girard, a surgeon who specializes in colorectal surgery, says use of the new robot can translate to 'people feeling better faster and getting back to their families and their jobs sooner.'

Dr. Eric Girard, a surgeon who specializes in colorectal surgery, with da Vinci Xi Robotic Surgery System. (Kristin Wallace/UConn Health Photo)

Dr. Eric Girard, a surgeon who specializes in colorectal surgery, with UConn Health's da Vinci Xi Robotic Surgery System. Girard says use of the new robot can translate to 'people feeling better faster and getting back to their families and their jobs sooner.' (Kristin Wallace/UConn Health Photo)

Surgeons at UConn Health have a new option for minimally invasive procedures.

The da Vinci Xi System expands on the core features of earlier robotic surgery systems, offering even greater access, vision, and precision when performing robot-assisted procedures.

One example of the advances in robotic-assisted surgery is a magnified, high-definition, 3D view. This example shows a fluorescent die that highlights the blood supply, and therefore the viable tissue, improving patient safety. (Image provided by Eric Girard)
One example of the advances in robotic-assisted surgery is a magnified, high-definition, 3D view. This example shows a fluorescent die that highlights the blood supply, and therefore the viable tissue, improving patient safety. (Image provided by Eric Girard)

“The Xi gives us the ability to do multi-quadrant surgery,” says Dr. Eric Girard, one of the UConn Health surgeons who uses the new system. “What this means is it allows for a faster more efficient way to do the surgery than is already being done by the previous robot. It also allows us to expand what we can offer as a minimally invasive surgery. I can now take out an entire colon and rectum robotically, whereas before, I would not offer patients this procedure on the old robot.”

One example of a procedure where minimally invasive surgery historically was not an option is bowel anastomosis, in which the surgeon essentially splices the large intestine back together after removing a section of it.

“I can anastomose [splice] two ends of a bowel together inside the body with ease instead of making large incisions and doing it outside the body,” Girard says. “This translates to people feeling better faster and getting back to their families and their jobs sooner. I have had patients home within one day where the national average is five days.”

Dr. Ben Ristau, UConn Health’s surgical director of urologic oncology, says the updated instrumentation enables him to offer wider range of procedures, including robotic prostate removal for prostate cancer, removal of a kidney tumor while leaving the healthy kidney behind, or a partial nephrectomy (partial kidney removal), and robotic bladder removal for bladder cancer.

UConn Health's robotic surgery team includes (back, from left) nurses Taylor Bain, Brent MacDonald, Jen Pelletier, and Tracey McCann; (front, from left) Drs. Eric Girard and Ben Ristau, and surgical technologist Leeta Chinkoe (absent). (Photo by Kristin Wallace)
UConn Health’s robotic surgery team includes (back, from left) nurses Taylor Bain, Brent MacDonald, Jen Pelletier, and Tracey McCann; (front, from left) Drs. Eric Girard and Ben Ristau, and surgical technologist Leeta Chinkoe (not shown). (Photo by Kristin Wallace)

An advanced endoscope provides a highly magnified, 3D, high-definition view, virtually extending the surgeon’s eyes and hands into the patient. Surgeons also have a greater range of anatomical access, motion, and reach.

“We can adjust the patient’s position with the robot docked to the patient,” Ristau says. “This allows for greater access to both the abdomen and the pelvis and translates into a faster minimally invasive operation.”

Primary functions at UConn Health are in general, urologic, colorectal, and gynecologic surgeries.

It’s also a more effective training tool than its predecessors, according to Dr. Brian Shames, UConn Health general surgeon with expertise in minimally invasive and hepatobiliary procedures (those having to do with the liver, the gallbladder, bile ducts, or bile).

“The training modules are much more realistic,” Shames says, “and provide better simulation of actual operations, including hernia repair.”