Dr. David Goldrath, Dr. Richard Troy and a highly skilled surgical team at Centegra Hospital-McHenry performed the first robotic surgery in McHenry County July 6. The team used the newest daVinci Si HD Surgical System to perform a prostatectomy (removal of the prostate) on a 56-year-old patient.
″This is yet another effort to execute our mission to bring the latest technology to the people we serve in the community,” said Connie Secor, director of surgical services with Centegra Health System. “This advanced surgery appeals to physicians and it also appeals to patients who want the latest surgical innovations to treat their conditions.”
Later in the day, Goldrath and Troy also used the robot to perform a partial nephrectomy (a kidney preservation procedure to remove the diseased portion of the kidney), allowing the surgeon to spare the viable portion of the kidney. Both surgeries helped men with cancer get a jump-start on recovery from their cancer illnesses. ”The robot is a way of performing minimally invasive surgery with patients recovering much quicker, having fewer complications, less blood loss and they get out of the hospital quicker,” Goldrath said. “I think it’s something every community needs.”
Goldrath and Troy have performed more than 700 robotic surgeries as a team. They pioneered the techniques they use and typically function with Goldrath at the surgical console and Troy at the bedside overseeing and changing the laparoscopic instruments as needed. These specialized instruments have EndoWrist technology allowing a range of motion similar to the human hand with greater precision.
Both surgeons appreciated that Centegra brought the newest available technology to the people of McHenry County. ”This is the newest and most state-of-the-art version of the Intuitive daVinci Robot System and I think they’ve made some nice upgrades to the system,” Troy said. “The monitors were very nice, very sharp and a little bit bigger than we’re used to using and I think it seemed to be easy to work with today.” The robot was purchased in part through a $500,000 grant from the Centegra Health System Foundation, which helps the health system acquire state-of-the-art technology through donations from community members and corporations.
”The visualization with the monitors is markedly better than the old one,” said Goldrath. “The 40 percent size improvement and high definition of the surgical viewing area on the newest robot makes the movement of the instruments is a little bit easier and there’s more room to move the instruments, also.” Patients recover more quickly from robotic surgery, and both surgeons said patients enjoy more mobility and less pain than they would have in the past with open surgery, which required a large incision. Robotic surgery requires just four to five small incisions that are less than a centimeter each.”When I trained it was all open surgery,” Troy said. “For a procedure like this we would tell patients they would not be recovered for six to eight weeks and now we tell them more like two to three weeks.”
Goldrath said he prefers robotic surgery to laparoscopic surgery because there is less pulling and trauma to the patient’s normal tissues.”Traditional laparoscopic surgery utilizes rigid instruments and the robot has something called an EndoWrist technology where you can move the instruments in every way you are able to move your wrists and hands,” Goldrath said. “When you do it robotically you can tie and dissect exactly as you would open, but you’re doing it in a very small space.” Goldrath serves as chairman for Centegra Health System’s Robotic Surgery Steering Committee, and he said he is excited for the future of robotic surgery in McHenry County.
”I just think it’s really good for the community that this hospital has this here and with time a lot of different specialties will be using it,” Goldrath said. “We started with just doing prostates and then we started doing partial nephrectomies, kidney surgery and bladder cancer surgery. We perform a lot of different types of surgery and I think as time goes on more and more surgeons will be doing the same thing just because it makes difficult laparoscopic procedures much easier with the robot.”
For more information about robotic surgery at Centegra Health System, visit our cite.