Santiago Horgan, first surgeon in the United
States to remove a diseased gallbladder with the aid of a new FDA-approved da
Vinci Si Surgical System. With one incision, Horgan removed the gallbladder in
60 minutes. The patient returned home five hours after the groundbreaking
surgery and reported minimal pain.
Our goal is to offer surgery options that reduce
discomfort, shorten hospital stays and minimize scarring, said Horgan, a
robotic surgery expert and director of the UC San Diego Center for the Future
of Surgery. With the aid of this robotic system, we can accomplish all three.
This is a significant advancement for the 750,000 patients who need gallbladder
removal each year.
Intuitive Surgical, Inc. received FDA-approval on
the new operating platform specifically for cholecystectomy procedures, the
surgical removal of the gallbladder. The system enables surgeons to reduce the
traditional number of incisions from 4-6 down to one incision that is less than
an inch in length.
What we have here is a convergence of new
technologies and advanced surgical skills, said Mark Talamini, MD, professor
and chairman of surgery at UC San Diego Health System. Instead of multiple
incisions, we can operate through one small cut with tools that function with
great precision in a narrow space. This is a win-win for the surgeon and
Horgan and Talamini are pioneers in minimally invasive
surgery at the UC San Diego Center for the Future of Surgery. Together they
have advanced single-site surgery as well as Natural Orifice Translumenal
Endoscopic Surgery or NOTES. By operating through natural body openings,
surgical teams at UC San Diego can remove diseased organs such as the
gallbladder and appendix. Other options include esophageal surgery for
achalasia and sleeve gastrectomy for obesity.