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University of Florida Multispecialty Robotics Program

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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University of Florida Multispecialty Robotics Program

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  1. UF U N I V E R S I T Y of FLORIDA The Foundation for The Gator Nation University of FloridaMultispecialty Robotics Program

  2. 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

  3. daVinci Surgical Robotic System • Better visualization: • 3-D, high definition, 10X magnified • Improved dexterity: • multi-jointed robotic instruments • Improved surgical precision: • motion scaling technology

  4. 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

  5. Small Instruments = Small Incisions • 8 mmrobotic Instruments fit through dime-sized incisions • A wide range of instruments are available

  6. Multi-jointed Robotic Instruments

  7. UF Multispecialty Robotic Program Huang Tan Klodell Vaysberg Werning Canales Gilbert Moy Parekattil Su Lukowski Madani Morgan Byun Castagno

  8. 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

  9. UF-Shands Robotic Webpage http://shands.org/ufrobotics

  10. 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

  11. 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

  12. Robotic Prostatectomy Growth in the US Intuitive Surgical Inc., 2010

  13. Approaches to Radical Prostatectomy Intuitive Surgical Inc., 2010

  14. Robotic Prostatectomy Incisions Open Surgical Incision Robotic Prostatectomy Incision

  15. Open Surgeon’s View of the Prostate

  16. Robotic OR Setup

  17. Robotic Surgeon’s View of the Prostate

  18. Extraction of Prostate

  19. Postoperative Incisions

  20. 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

  21. 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

  22. Robotic Kidney Cancer Surgery

  23. 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

  24. Robotic Hysterectomy Growth in US ___________________ Adapted from Intuitive Surgical Data

  25. Robotic Hysterectomy Incisions

  26. Robotic Hysterectomy

  27. Robotic Hysterectomy

  28. UF Robotics: ENT • Drs. Mikhail Vaysberg and John Werning • Both received advanced fellowship training • Tonsillectomy and Base of tongue cancers • Shands Hospital

  29. Trans-Oral Robotic Surgery (TORS)

  30. Trans-Oral Robotic Surgery (TORS)

  31. UF Robotics: Thoracic Surgery • Dr. Charles Klodell • Received advanced fellowship training • Lung cancer • Shands Hospital

  32. Robotic Lung Cancer Surgery

  33. UF Robotics: General Surgery • Drs. Sanda Tan and Emina Huang • Both received advanced fellowship training • Rectal prolapse and rectal cancer • Shands Hospital

  34. Robotics and Origami

  35. 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

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