Robot-assisted Laparoscopic Surgery

Robot-assisted surgery helps surgeons perform complex procedures through tiny incisions.
Robot-assisted laparoscopic surgery helps surgeons perform complex procedures through tiny incisions.
Children's Hospital of Wisconsin is the only pediatric hospital in Wisconsin using robot- assisted surgery, a type of minimally invasive surgery, in children.

Our urology surgeons use robot-assisted laparoscopic surgery to treat a variety of conditions that previously only were treated with open surgery. The most common robot-assisted laparoscopic surgeries in pediatric urology include:

  • Bladder surgery.
  • Genitourinary reconstructive surgery.
  • Nephrectomy (surgery to remove the kidney).
  • Nephroureterectomy (surgery to remove the kidney and ureter).
  • Ureteral reimplantation (surgery to fix the way an abnormally positioned ureter connects with the bladder).
  • Ureteropelvic junction obstruction repair or pyeloplasty (surgery to repair a blockage between the kidney and the ureter).

Advantages of robot-assisted laparoscopic surgery

Robot-assisted laparoscopic surgery helps surgeons perform complex procedures through tiny incisions. For the patient, benefits compared to open surgery may include:

  • Less pain.
  • Less blood loss.
  • Less scarring.
  • Shorter hospital stays.
  • Shorter recovery time.

Safety

Previously, the only way a pediatric patient could undergo robot-assisted laparoscopic surgery in Wisconsin was at an adult hospital. For children, it is safer to have this procedure done at a pediatric facility where the surgeons, nurses, anesthesiologists and other care providers are all specialty trained to treat children. 

How it works

The robot-assisted, minimally invasive (da Vinci™ surgical system) approach allows the surgeon to operate with three interactive robotic arms while sitting at a console. The system interprets the surgeon's hand movements to the robotic instruments, which can move in a tiny surgical area with more precision and greater range of motion than the human wrist.

Robot-assisted laparoscopic surgery involves making only a few of incisions that are under 1 centimeter to insert for the camera and for instruments to perform the procedure.

One of the robot's arms holds a camera that is lowered through one of the incisions and lets the surgeon see inside the body in high-definition, 3-D view while operating. The system provides up to 10 times magnification, helping the surgeon to see small structures even more clearly than in open surgery.