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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 crew at NYU Langone Well being has carried out a totally robotic double lung transplant utilizing a da Vinci Xi robotic from Intuitive Surgical. The group mentioned 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 crew transplanted each lungs right into a 57-year-old lady with persistent 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,” mentioned Dr. Chang. “Through the use of these robotic techniques, we intention to cut back the impression this main surgical procedure has on sufferers, restrict their postoperative ache, and provides them the absolute best final result. It couldn’t occur right here with out a proficient group of surgeons and an establishment devoted to shifting transplantation ahead.”
She is affiliate professor within the Division of Cardiothoracic Surgical procedure at NYU Grossman Faculty of Medication 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 record following a number of months of analysis by Jake G. Natalini, M.D., assistant professor within the NYU Division of Medication’s Division of Pulmonary, Important Care, and Sleep Medication, 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Mehrkar, who inherited a genetic predisposition to lung illness, was recognized with COPD in 2010 at 43 years outdated. Her situation worsened after a bout with COVID-19 in 2022.
The crew 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 web site for implantation, and implant the brand new lung. Each lungs had 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 likelihood at life,” mentioned Mehrkar. “For a very long time, I used to be advised I wasn’t sick sufficient for a transplant. The crew 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 crew is the worldwide chief in lung transplantation surgical procedure,” it mentioned.
“This newest breakthrough in robotic surgical procedure speaks to the tradition of innovation we’ve constructed by bringing essentially the most proficient individuals 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 crew pushes the sphere ahead to higher serve our sufferers and ship the lifesaving care they want with the very best affected person expertise.”
The NYU Langone Transplant Institute carried out 76 lung transplants in 2023. It was rated finest 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 Companies.
NYU Langone Well being is an built-in educational medical heart. It gives a spread of medical companies throughout six inpatient areas, its Perlmutter Most cancers Heart, 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 mentioned its surgeons carry out greater than 2,000 robot-assisted surgical procedures annually. It trains surgeons from hospitals from all over the world to carry out the newest robot-assisted cardiac, bariatric, thoracic, gynecologic, colorectal, urologic, and gastrointestinal procedures.
Concerning the da Vinci Xi
Sunnyvale, Calif.-based Intuitive Surgical mentioned the da Vinci Xi gives superior instrumentation and imaginative and prescient. The system additionally consists of options equivalent to 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 gives broader anatomical entry, enhanced ease of use, and built-in expertise. This fourth-generation system consists of the identical superior 3DHD imaginative and prescient and wristed devices in different da Vinci techniques in a modular, adaptable format, Intuitive Surgical mentioned.
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 consumer interface, with each visible and audible cues, in response to Intuitive.
