Robotic & Minimally Invasive Surgery

Making the big decision to undergo surgery is a little easier when the incisions are tiny, the results are virtually scar-free and healing time is shorter than ever.

Redefining surgery, on the cutting edge of technology.

Operating with Enhanced Vision, Precision and Control

Thinking of surgery as “going under the knife” is becoming a thing of the past because at INTEGRIS, we’re dedicated to providing the most state-of-the art, minimally invasive treatments with robotic surgery.

The INTEGRIS da Vinci® Si surgical robot is the most advanced technology in Oklahoma and performs a variety of minimally invasive robotic surgery procedures. Even the most experienced surgeon’s skills can be made more precise with INTEGRIS Robotics Institute’s new da Vinci Si Surgical System. INTEGRIS offers Oklahoma the most advanced treatment options, and when surgery is needed, we provide the most precise care with the da Vinci® robot. If you are facing surgery, consider minimally invasive robotic surgery at the INTEGRIS Robotics Institute of Oklahoma.

For you the results are:

  • Less pain
  • Faster return to normal daily activities
  • Less blood loss and less need for blood transfusions
  • Less post-operative pain than with traditional open surgery
  • A shorter hospital stay
  • A quicker recovery

For the physician, the da Vinci Si Surgical System provides:

  • Superior visualization
  • Enhanced dexterity
  • Greater precision
  • Ergonomic comfort
  • And INTEGRIS offers dual console platforms so two physicians can operate together – and see clearer than ever with Firefly Fluorescent Imaging

INTEGRIS utilizes robotic surgery across multiple specialties, including:

  • Bariatrics
  • Colorectal
  • General surgery
  • Single incision
  • Gynecology
  • Hysterectomy
  • Urology
  • Prostate cancer
  • Kidney cancer
  • Reconstructive urology

Benefits of Robotic Surgery

When comparing da Vinci® surgery to traditional laparoscopic surgery, da Vinci also provides patients with the potential for:

  • Less blood loss
  • Shorter hospital stays
  • Fewer complications
  • Faster return to normal activities

The INTEGRIS da Vinci Si System consists of dual ergonomic surgeon’s consoles, a patient-side cart with four interactive robotic arms, a 3D HD vision system and miniaturized wristed instruments. Powered by state-of-the-art technology, the da Vinci Si System is designed to scale, filter and seamlessly translate the surgeon's hand movements into more precise movements of the instrument tips. The net result is an intuitive interface with breakthrough surgical capabilities.

The da Vinci Si Surgical System’s main features include Intuitive® motion, high-resolution 3D vision and innovative EndoWrist® instrumentation. Intuitive motion refers to the System’s interface, which helps make da Vinci Surgery look and feel like traditional open surgery. But that is where the similarities end.

The da Vinci Si System’s high-resolution 3D stereo viewer is designed to provide surgeons with an immersive experience. Unlike conventional approaches, the target anatomy appears at high magnification, in brilliant color and with natural depth of field. Operating through a few small incisions, the surgeon uses the console’s master controls to maneuver the patient-side cart’s four robotic arms. These arms securely hold the patented EndoWrist® instruments and high-resolution endoscopic camera. The EndoWrist® instruments’ jointed-wrist design exceeds the natural range of motion of the human hand; motion scaling and tremor reduction further interpret and refine the surgeon’s hand movements.

A final hallmark of the da Vinci Si System is that it incorporates multiple redundant safety features designed to minimize risks associated with both machine and human error. By performing over one million safety checks per second, the da Vinci Si system ensures the safest and most reliable operation. The system also features guided instrument exchange where an intelligent mechanism ensures an efficient and safe exchange of instruments during surgery.

The da Vinci Si System is a remarkable improvement over conventional laparoscopy, in which the surgeon operates while standing and uses hand-held, long-shafted instruments that cannot bend or rotate. With conventional laparoscopy, the surgeon must look up and away from the instruments and patient to a nearby 2D video monitor to see an image of the target anatomy.

In conventional laparoscopy, the surgeon must also rely on his/her patient-side assistant to position the camera correctly. In contrast, the da Vinci Si System’s ergonomic design allows the surgeon to operate from a comfortable, seated position at the console, with eyes and hands positioned in line with the instruments. To move the instruments or to reposition the camera, the surgeon simply moves his/her hands.

By providing surgeons with superior vision, enhanced dexterity, greater precision and ergonomic comfort, the da Vinci Surgical Si System makes it possible for more surgeons to perform minimally invasive procedures involving complex and delicate dissection or reconstruction.

Dual Console

The INTEGRIS da Vinci Si Surgical System offers dual consoles, allowing more than one surgeon to participate in the procedure. The second console can also be used for training purposes.

During a dual console operation, each surgeon sits at his or her individual console and can see the same high definition images of the anatomy from the 3D endoscope (flexible tube with a camera and light at the tip). The dual console feature is a technical innovation that is a first in robotic-assisted minimally invasive surgery.

For collaborative surgery with the dual console, two surgeons can operate in concert. While one surgeon performs the primary tasks of the operation, the second surgeon can assist with another task, such as retraction.

When the dual console is used for training, control over instruments can be easily and quickly exchanged during surgery - meaning the teaching/mentoring surgeon can hand over control of the instruments to the resident/fellow at any time. This enables a see-and-repeat model of instruction designed to accelerate the learning curve.

Firefly Technology

White Light

The INTEGRIS da Vinci Si Surgical System features Firefly technology, an integrated fluorescence imaging capability providing the surgeon real-time, image-guided identification of key anatomical landmarks using near-infrared technology.

A green dye in administered by an anesthesiologist through a peripheral IV line. The dye then binds to plasma proteins in blood. The dye under the robot’s special fluoroscopic camera shows up "firefly green" and shows the difference between cancerous and healthy tissue, as well as the blood supply to the tumor. This allows for a more accurate removal of the tumor as the surgeon can leave the healthy tissue of the organ in place and potentially lowers the risk of any cancer being left behind.

Surgeons are able to quickly switch back and forth between Firefly imaging and normal white light. Fluorescence imaging allows surgeons to see and assess anatomy better than the naked eye, further enhancing the unmatched vision, precision and control of minimally invasive da Vinci surgery.

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