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UF. U N I V E R S I T Y of FLORIDA. The Foundation for The Gator Nation. University of Florida Multispecialty Robotics Program. Li-Ming Su, M.D. Professor of Urology Associate Chairman of Clinical Affairs
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UF U N I V E R S I T Y of FLORIDA The Foundation for The Gator Nation University of FloridaMultispecialty Robotics Program
Li-Ming Su, M.D. • Professor of Urology • Associate Chairman of Clinical Affairs • Chief, Division of Robotics and Minimally Invasive Urologic Surgery • 6 Minimally Invasive Surgeons • Robert Newman, M.D. • Marc Cohen, M.D. • SijoParekattil, M.D. • Benjamin Canales, M.D. • Scott Gilbert, M.D. • Vincent Bird, M.D. • Clinical Interests • Minimally invasive therapies for prostate and kidney cancer
daVinci Surgical Robotic System • Better visualization: • 3-D, high definition, 10X magnified • Improved dexterity: • multi-jointed robotic instruments • Improved surgical precision: • motion scaling technology
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009-through Q2 close daVinci Robot Installations in the US 916 robots installed to date Alaska Hawaii Intuitive Surgical Inc., 2010
Small Instruments = Small Incisions • 8 mmrobotic Instruments fit through dime-sized incisions • A wide range of instruments are available
UF Multispecialty Robotic Program Huang Tan Klodell Vaysberg Werning Canales Gilbert Moy Parekattil Su Lukowski Madani Morgan Byun Castagno
Robotic Procedures • Urology • Prostate cancer • Kidney cancer • Urothelial cancer • Bladder cancer • Lymph node metastasis • Kidney obstruction • Ureteral obstruction • Adrenal tumors • Kidney cysts • Pelvic prolapse • Gynecology • Uterine fibroids • Uterine cancer • Ovarian tumors • ENT (Transoral Robotics) • Tonsillectomy • Base of tongue tumors • General Surgery • Rectal tumors • Rectal prolapse • Thoracic • Lung tumors
UF-Shands Robotic Webpage http://shands.org/ufrobotics
UF Robotic Surgeons • 15 robotic surgeons • 10 advanced fellowship training • Over 3,000 robotic procedures • Two hospitals (Shands and Winter Haven) • Three daVinci Si robots • UF Robotic Cases by year • 2007 93 • 2008 185 • 2009 368 • 2010 508
UF Robotics: Urology • 5 robotic surgeons • 5 received advanced fellowship training • Over 1,500 robotic prostatectomies • Over 300 robotic partial nephrectomies • Over 100 robotic pyeloplasties • Shands and Winter Haven Hospital
Robotic Prostatectomy Growth in the US Intuitive Surgical Inc., 2010
Approaches to Radical Prostatectomy Intuitive Surgical Inc., 2010
Robotic Prostatectomy Incisions Open Surgical Incision Robotic Prostatectomy Incision
Evolution of Kidney Surgery Surgical Technique Before 1990 • Open Radical Nephrectomy • Open Partial Nephrectomy Since 1990 • Laparoscopic Radical Nephrectomy Since 1993 • Laparoscopic Partial Nephrectomy Since 2007 • Robotic Partial Nephrectomy
Evolution of Kidney Surgery Surgical Technique Before 1990 • Open Radical Nephrectomy • Open Partial Nephrectomy Since 1990 • Laparoscopic Radical Nephrectomy Since 1993 • Laparoscopic Partial Nephrectomy Since 2007 • Robotic Partial Nephrectomy
UF Robotics: Gynecology • Drs. Sharon Byun, Michael Lukowski, ShireenMadani, Linda Morgan, Jacqueline Castagno • 2 received advanced fellowship training • Both benign and cancerous conditions of the ovary and uterus • Shands Hospital
Robotic Hysterectomy Growth in US ___________________ Adapted from Intuitive Surgical Data
UF Robotics: ENT • Drs. Mikhail Vaysberg and John Werning • Both received advanced fellowship training • Tonsillectomy and Base of tongue cancers • Shands Hospital
UF Robotics: Thoracic Surgery • Dr. Charles Klodell • Received advanced fellowship training • Lung cancer • Shands Hospital
UF Robotics: General Surgery • Drs. Sanda Tan and Emina Huang • Both received advanced fellowship training • Rectal prolapse and rectal cancer • Shands Hospital
UF&Shands The University Of Florida Health System the SCIENCE of HOPE UF Multispecialty Robotics Program Contact Information: 352-294-5333 Robotics Website: http://shands.org/ufrobotics Dr. Su’s Email: sulm@urology.ufl.edu