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Dr. Eugene A. Grossi displays the place of devices as he makes changes in the course of the robotic double lung transplant surgical procedure. | Supply: NYU Langone Well being
A surgical crew 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 crew transplanted each lungs right into a 57-year-old girl with continual obstructive pulmonary illness (COPD) utilizing the da Vinci Xi robotic system at every stage.
“It is likely one of the best privileges to have the ability to assist sufferers return to a wholesome high quality of life,” stated Dr. Chang. “Through the use of these robotic programs, we intention to cut back the influence this main surgical procedure has on sufferers, restrict their postoperative ache, and provides them the very best final result. It couldn’t occur right here with out a proficient 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 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 listing 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, Vital 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 previous. 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 website for implantation, and implant the brand new lung. Each lungs have been transplanted utilizing these robotic strategies.
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,” stated Mehrkar. “For a very long time, I used to be informed 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 medical doctors 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 totally robotic single lung transplant within the nation. “Now her crew 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 proficient individuals of their fields collectively,” said 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 sector 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 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 provides a variety of medical providers throughout six inpatient places, its Perlmutter Most cancers Heart, and greater than 300 outpatient places throughout the New York space and Florida. With $14 billion in income this yr, the system additionally contains 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 provides superior instrumentation and imaginative and prescient. The system additionally contains options reminiscent of 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 provides broader anatomical entry, enhanced ease of use, and built-in know-how. This fourth-generation system contains the identical superior 3DHD imaginative and prescient and wristed devices in different da Vinci programs 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 consumer interface, with each visible and audible cues, in keeping with Intuitive.
