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Dr. Eugene A. Grossi screens the place of devices as he makes changes throughout the robotic double lung transplant surgical procedure. | Supply: NYU Langone Well being
A surgical staff at NYU Langone Well being has carried out a completely robotic double lung transplant utilizing a da Vinci Xi robotic from Intuitive Surgical. The group stated the process marks a breakthrough within the potential of robotic surgical procedure and minimally invasive affected person care.
Stephanie H. Chang, M.D., led the minimally invasive process. Her staff transplanted each lungs right into a 57-year-old lady with power obstructive pulmonary illness (COPD) utilizing the da Vinci Xi robotic system at every stage.
“It is among the best privileges to have the ability to assist sufferers return to a wholesome high quality of life,” stated Dr. Chang. “By utilizing these robotic methods, we intention to scale back the influence this main surgical procedure has on sufferers, restrict their postoperative ache, and provides them the very best end result. It couldn’t occur right here with no gifted group of surgeons and an establishment devoted to transferring transplantation ahead.”
She is affiliate professor within the Division of Cardiothoracic Surgical procedure at NYU Grossman College of Drugs and surgical director of the Lung Transplant Program for the NYU Langone Transplant Institute.
Robotic participates in minimally invasive process
The transplant was carried out on Oct. 22. This was simply 4 days after affected person Cheryl Mehrkar was added to the lung transplant checklist following a number of months of analysis by Jake G. Natalini, M.D., assistant professor within the NYU Division of Drugs’s Division of Pulmonary, Essential Care, and Sleep Drugs, and Luis F. Angel, M.D., medical director of lung transplantation for the NYU Langone Transplant Institute.
Mehrkar, who inherited a genetic predisposition to lung illness, was recognized with COPD in 2010 at 43 years previous. Her situation worsened after a bout with COVID-19 in 2022.
The staff began the process by making small incisions between the ribs. They then used Intuitive Surgical’s robotic system to take away the lung, put together the surgical website for implantation, and implant the brand new lung. Each lungs have been transplanted utilizing these robotic methods.
Dr. Chang was assisted by Travis C. Geraci, M.D., assistant professor within the Division of Cardiothoracic Surgical procedure, and Eugene A. Grossi, M.D., the Stephen B. Colvin, M.D., Professor of Cardiothoracic Surgical procedure at New York College.
“I’m so grateful to the donor and their household for giving me one other probability at life,” stated Mehrkar. “For a very long time, I used to be advised I wasn’t sick sufficient for a transplant. The staff at NYU Langone Well being centered my high quality of life as a precedence, and I’m so grateful to the docs and nurses right here for giving me hope.”
NYU Langone has expertise with robotic transplants
Only a month earlier, NYU Langone claimed that Dr. Chang had carried out the primary absolutely robotic single lung transplant within the nation. “Now her staff is the worldwide chief in lung transplantation surgical procedure,” it stated.
“This newest breakthrough in robotic surgical procedure speaks to the tradition of innovation we’ve constructed by bringing essentially the most gifted folks of their fields collectively,” acknowledged Robert Montgomery, M.D., D.Phil., the H. Leon Pachter, MD, professor of surgical procedure, chair of the Division of Surgical procedure, and director of the NYU Langone Transplant Institute. “Our Transplant Institute staff pushes the sphere ahead to higher serve our sufferers and ship the lifesaving care they want with the most effective affected person expertise.”
The NYU Langone Transplant Institute carried out 76 lung transplants in 2023. It was rated greatest within the nation for lung survival after transplant and for getting sufferers off the waitlist the quickest by the Scientific Registry of Transplant Recipients. This can be a nationwide high quality tracker overseen by the U.S. Division of Well being and Human Providers.
NYU Langone Well being is an built-in tutorial medical heart. It affords a variety of medical providers throughout six inpatient areas, its Perlmutter Most cancers Middle, and greater than 300 outpatient areas throughout the New York space and Florida. With $14 billion in income this yr, the system additionally consists of two medical colleges, in Manhattan and on Lengthy Island.
The institute stated its surgeons carry out greater than 2,000 robot-assisted surgical procedures every year. It trains surgeons from hospitals from around the globe to carry out the newest robot-assisted cardiac, bariatric, thoracic, gynecologic, colorectal, urologic, and gastrointestinal procedures.
In regards to the da Vinci Xi
Sunnyvale, Calif.-based Intuitive Surgical stated the da Vinci Xi affords superior instrumentation and imaginative and prescient. The system additionally consists of options resembling Firefly fluorescence imaging and built-in desk movement.
The da Vinci Xi is standardized, serving to to handle stock and enhance total working room effectivity, asserted the corporate.
Designed to offer flexibility for procedures carried out throughout a number of specialties, the da Vinci Xi surgical system affords broader anatomical entry, enhanced ease of use, and built-in know-how. This fourth-generation system consists of the identical superior 3DHD imaginative and prescient and wristed devices in different da Vinci methods in a modular, adaptable format, Intuitive Surgical stated.
The boom-mounted structure of the da Vinci Xi affected person cart permits for correct deployment, it added. Guided setup has a transparent and easy-to-learn person interface, with each visible and audible cues, in line with Intuitive.