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Minimally invasive surgery: da Vinci update

Jun 3, 2019, 13:01 PM
Skagit Regional Health rolled out the latest in surgical robotics in fall 2018 with the addition of the da Vinci® Xi™ Surgical System at Skagit Valley Hospital and the program continues to grow. 
 
The robot has been busy in the first six months, as more than 100 cases were performed by three surgeons, with procedures ranging from hernia repairs to advanced colorectal procedures, according to Kelly Bradford, Director of Surgical Services at Skagit Valley Hospital.
 
Dr. Hawkins“Robotic surgery continues to go well and is a huge asset to our patients,” said General Surgeon Josh Hawkins, pictured left, who had performed 50 cases as of early March, with more on the schedule. “Patients are having excellent outcomes. Their hospital stay, postoperative pain and time to return to usual activities have all decreased.”
 
Surgeon Joel Dean, MD, has performed nearly 50 cases through March, in addition to many cases completed during his one-year Colon and Rectal Surgery Fellowship at St. Mark’s Hospital in Salt Lake City. Dr. Dean said he continues to see consistent patient interest and excellent patient outcomes using the minimally invasive approach. 
 
“There are a number of cases that I could share that illustrate the unique benefits of robotics over traditional minimally invasive approaches,” Dr. Dean said.
 
Dr. Hawkins agreed. “Patients are having minimally invasive surgery for which their only previous option in some cases would have been open surgery,” Dr. Hawkins said. “I am continuing to expand, now tackling more complex operations robotically.”
 
General Surgeon Allison Porter, MD, said patients are asking about robotics. 
 
Dr. Porter“Many of our patients have been requesting a robotic approach to their operations if one is available; and many of those who have undergone robotic surgery have required no narcotic pain medications after the procedure,” Dr. Porter said.
 
Dr. Porter, who completed an Advanced Minimally Invasive Surgical Fellowship at the University of Washington, has a special interest and training in the foregut, which is the esophagus and stomach – the beginning of the digestive tract. She has recently completed the credentialing process to perform additional robotic procedures at Skagit Regional Health.
 
“There is a very thorough and methodical process by which the types of procedures performed robotically are selected and our surgeons are trained,” Dr. Porter said. “I will soon be offering a robotic approach for upper gastrointestinal procedures such as antireflux surgery and hiatal hernia/paraesophageal hernia repair.”
 
Additional surgeons are joining the group using the da Vinci for minimally invasive surgery including General Surgeon Chinnaya Parimi, MD, who started performing cases in March, and Thoracic Surgeon Richard Leone, MD, who will perform lung cancer surgery using the robotic system. In the future, plans are to add gynecologists and urologists to the specialists using the da Vinci.

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Last post : 06/12/2019