Why Robotic Surgery

  • Precision in surgery
  • Smaller incisions and less scarring
  • Fewer complications, such as surgical site infection
  • Less postoperative pain and less need for pain medication
  • Reduced hospital stay and faster healing
  • Quicker return to normal activity and work

Robotic Surgery AT FMRI

Despite the ubiquitous use of minimally invasive or laparoscopic surgery nowadays, its usage has been limited to regular procedures. This is primarily due to the dependency on older instruments as well as conventional video technology surgeons must count on to operate through small incisions.

At Fortis Memorial Research Institute, we have a dedicated Robotic Surgery department which dramatically enhances the visualisation, precision, control and dexterity of the surgical procedure by helping the physicians in performing complex surgery in a manner never before experienced. With advanced surgical enhancements, our physicians are now capable of extending the benefits of minimally invasive surgery to the broadest possible range of patients.

The majority of robot-assisted minimally invasive surgical procedures involve a few very small incisions; some require none. Even many procedures can be carried out on an out-patient basis. Our patients get:

  • Quicker recoveries
  • Fewer and/or smaller scars
  • Reduced blood loss
  • Faster return to normal daily activities
  • Shorter hospital stays

Fortis Memorial Research Institute employs the da Vinci Surgical System, a robotic system that makes it possible to perform diaphanous and complex procedures with a high degree of precision. This is particularly important in highly vascular areas in the human body, such as the pelvic area.

We possess great expertise in the related domain and have successfully carried out hundreds of minimally invasive procedures using robotic assistance. In addition, we always strive to explore new technology platforms, innovative instruments and advanced systems of care for performing minimally invasive surgical procedures through the next-generation operation room.

About Fortis Memorial
Research Institute

Fortis Memorial Research Institute is a multi-super-speciality, quaternary care hospital with an enviable international faculty, reputed clinicians, including super-sub-specialists and speciality nurses, supported by cutting-edge technology.

A premium referral hospital, it endeavors to be the ‘Mecca of Healthcare’ for Asia Pacific and beyond. Set on a spacious 11-acre campus with 1000 beds, this ‘Next Generation Hospital’ is built on a foundation of ‘Trust’ and rests on four strong pillars: Talent, Technology, Service and Infrastructure.

Our Team

  • Dr. Rama Joshi
    Dr. Rama JoshiDirector, Gynae Oncology, Robotic Surgery
  • Dr. Sanjay Gogoi
    Dr. Sanjay GogoiDirector & HOD, Urology & Renal Transplant
  • Dr. Vedant Kabra
    Dr. Vedant KabraDirector, Surgical Oncology
  • Dr. Vikram Sharma
    Dr. Vikram SharmaDirector, Urology
  • Dr. Anjila Aneja
    Dr. Anjila AnejaDirector & HOD, Minimal Access Gynae Surgery, Robotic Surgery
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Dr. Rama Joshi
Dr. Joshi is a dedicated Gynae Oncologist, Gynae Onco Surgeon and a robotic surgeon.She has a rich experience of over two decades of performing all radical surgeries for Gynaecological Cancers. She has worked in reputed hospitals in Delhi-NCR as HOD, Gynae Oncology. She was a Fellow Gynae Oncology at Tata Memorial Hospital, Mumbai and a UICC Fellow at BGH, Buffalo, NY USA. She has also been trained at the Comprehensive Cancer Centre, University of Michigan, USA and University of Lyon France. Robotic surgery training: da Vinci Intuitive at Sunnyvale, California USA.
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Dr. Saurabh Pokhriyal
Dr. Sanjay Gogoi, is a renowned name the field of Urology. He is the Director for Urology and Renal Transplant unit at Fortis Memorial Research Institute, Gurgaon. With a rich experience of over 17 years to his credit, Dr. Gogoi has been associated with several prestigious organizations like Apollo Hospitals. He has extensive experience in Robotic Pediatric Urology and has individually carried out over 500 renal transplants. He has conducted the largest series of Interstim Insertion in India (Sacral Neuromodulation). He has various national and international publications to his credit.
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Dr Vedant Kabra
Dr. Vedant Kabra is Director of Surgical Oncology at Fortis Memorial Research Institute, Gurgaon. He received Surgical Oncology training from Tata Memorial Hospital, Mumbai and National Cancer Centre, Singapore. Dr. Kabra has experience of over 12000 cancer surgeries and has successfully performed various complex oncosurgical procedures including Robotic Surgery for Cancer. He has been a faculty at various international and national conferences, has numerous papers and three book chapters to his credit apart from various awards for academic excellence.

Dr. Kabra is passionate about spreading cancer awareness through regular health talks, awareness drives and self examination camps. He is also spearheading the tobacco cessation movement - Voice of Tobacco Victims (VoTV) in Gurgaon and Haryana.
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Dr vikram Sharma
Dr. Vikram Sharma, MS (General Surgery) and Diploma in Urology, Institute of Urology, London, is one of the most senior pioneers and innovators in the field of Indian Urology with 30 years of clinical experience . A nationally and internationally acknowledged expert, he is the Director of Urology, Andrology, Robotics and Kidney Transplant surgery at Fortis Memorial Research Institute, Gurgaon. He is also a Visiting Professor of Urology – Adjunct Faculty at the Keck School of Medicine, University of Southern California, Los Angeles, USA. He has a vast experience in Robotic and Laparoscopic Urological surgeries and has been a speaker and invited faculty member at numerous national and international conferences. Dr. Sharma has been extensively featured in print, visual and electronic media for his contributions in the field of urology. He is also a member of some of the world’s leading urological institutions and associations including the American and British Urological Associations.
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Dr Anjila Aneja
With a rich experience of over 24 years to her credit, Dr. Aneja has been associated with several prestigious organizations like Apollo Hospitals, New Delhi and Moolchand Hospital, New Delhi besides others. Her last assignment was with Max Super Specialty Hospital, Saket, New Delhi as Lead Consultant & Head Unit - Obstetrics & Gynaecology.

Speciality Interests:

  • Minimal Access Surgery
  • Robotics Surgery
  • Infertility
  • Urogynaecology
  • Reproductive endocrinology
  • Menopausal related issues
  • Adolescent gynaecology

FAQ’s

What does robotic surgery mean?

Robotic Surgery refers to a surgical procedure where surgeons use a computer to control small instruments attached to a robot. Therefore, it is also known as computer guided Minimally Invasive Surgery (MIS).

This surgical method is considered to be extremely safe and is carried out making very small incisions. Here, the surgical robot is controlled by surgeons who use computer for this purpose. The likelihood of success in this procedure primarily depends on the skills and experience of the surgeon who performs the procedure.

How robotic surgery is done?

During this procedure, surgeon guides the movement of sophisticated instruments using a computer-based console. The robotic arm follows the surgeon’s instruction precisely. This way, surgeons carries out the procedure without actually touching the human body directly.

How robotic surgery is a better option in comparison to conventional surgical methods?

It is quite clear from the above information that robotic surgery is much advanced and it helps surgeons perform complex surgeries with much ease. These robot-assisted arms are found to be more stable, precise, and can reach to the interior regions of the human body easily than a human hand. Therefore, this surgery ensures greater accuracy, enhanced motion range, better dexterity to surgeons.

In addition, the 3D vision provided by the camera renders a more detailed view to the surgeon that enhances access, surgical outcome and the overall procedure.

From patient’s perspective, the benefits include:

  • Shorter hospital stay
  • Reduced pain
  • Lower risk of infection
  • Precise surgical procedure with improved outcomes
  • Lesser blood loss
  • Less scarring with minimal incisions
  • Quicker functional retrieval

Which type of robot is used for robotic surgery?

Fortis Memorial Research Institute boasts of highly advanced, latest 4th generation robotic surgery system, the DaVinci Xi Robotic platform, which feasibly follows the surgeon’s instructions in regard to the procedure being performed.

How surgeon ensures the best outcome in robotic surgery?

Alike all other surgeries, the level of success largely depends on the experience of the surgeon working behind the robot. This is because it is the surgeon who controls the movement of robotic arms and keeps a close control on the surgical procedure. Though robots today are highly advanced, they can’t replace a qualified experienced surgeon.

Is robotic surgery more expensive than general surgical procedure?

In general, robotic surgery costs around INR 50K – 70K more than a typical surgical procedure. Since robot is costly, the additional cost is directly related to the robotic instruments used for performing the procedure.

All other associated costs remain same as compared to any traditional, open or laparoscopic surgery. With respect to the incurred cost of robotic surgery, patients get several benefits such as lesser complexities, quicker recovery, minimal incisions, lesser blood loss, and ultimately better quality of life.

Is there any difference in anesthesia used for robotic surgery?

No, there won’t be any difference in anesthesia given for robotic surgery.

Why there is a need for a new technique for minimally invasive surgery?

Generally minimally invasive laparoscopic surgical techniques are employed for typical procedures, but these techniques have their limitations of standard 2D video and rigid instruments that surgeons use. These instruments are incapable of providing high quality video of the affected region that is very much important in case of complex surgeries. Robotic surgery makes it easier for surgeons to carry out complex procedures without making bigger incisions.

The limitations associated with conventional laparoscopic surgical techniques trigger the need for a more advanced minimally invasive surgical technique.

What surgical procedures can be done with robotic support?

Fortis Memorial Research Institute employs the da Vinci Surgical System, a robotic system that makes it possible to perform diaphanous and complex procedures with a high degree of precision. Some of the most commonly performed surgeries using robot include:

  • Radical surgeries for uterine cancer (Endometrial cancer)
  • Very early cervical cancer
  • Fertility preserving surgeries for ovarian cancers
  • Surgical staging for ovarian cancers
  • Surgery for recurrent ovarian cancer
  • Complicated hysterectomies
  • Excision of complex ovarian masses
  • Robotic Radical Prostatectomy
  • Robotic Radical Nephrectomy and Nephroureterectomy
  • Robotic Partial Nephrectomy
  • Robotic Radical Cystectomy with Intracorporeal Ileal Conduit
  • Robotic Radical Cystectomy with Intracorporeal Neobladder
  • Robotic Pyeloplasty
  • Robotic Pyelolithotomy and Ureterolithotomy
  • Robotic Renal Cyst Excision
  • Robotic Ureteral Reimplantation
  • Robotic Lymph Node Dissection
  • Robotic Metastasectomy
  • Robotic Adrenelectomy
  • Robotic Cystoplasty
  • Robotic Mitrofanoff procedure
  • Robotic Varicocoele surgery

How surgeons determine the eligibility of a patient for robotic surgery?

In most cases, surgeons check whether the patient’s case is feasible enough for robotic surgery. If yes, this surgery is recommended with complete details about the procedure, benefits, effects, costs and time. Most patients follow their surgeons’ advice in regard to surgical procedure.

What makes Robotic Surgery department at FMRI the most sought after avenue for robotic surgery?

FMRI has always been up to the challenge with the induction of the latest 4th generation robotic surgery system, the DaVinci Xi Robotic platform, AMS GreenLight Laser technology and High Intensity Focused Ultrasound treatment for prostate cancer. We possess immense expertise in the related domain and have successfully carried out hundreds of minimally invasive procedures using robotic assistance.

Address

Fortis Memorial Research Institute, Sector - 44,
Opposite HUDA City Centre
Gurgaon, Haryana - 122002, India

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