Da Vinci X® – operating with cutting-edge technology

The da Vinci X® operation system is currently the most advanced system for minimally invasive operations. It supports the surgeon in the so-called keyhole surgery. The major incisions that are common in open surgery are no longer necessary. Small incisions in the skin, only 5–10 mm in size, are used to insert the required instruments into the body, along with a camera. The procedure is commonly referred to as a robotic surgery or robot-assisted surgery, but this is somewhat inaccurate. The device has no programming and does not perform any actions autonomously; instead it precisely copies the hand movements of the surgeon.

The da Vinci X® system is made up of three main components: the control panel, the video system and the robot arms on the patient side

At the control panel, the surgeon looks at a full HD 3D monitor through an integrated stereoscopic visor system. Small control levers convert the movements of the surgeon’s fingers and wrists into electronic control signals. These signals are then sent to the robot arms on the patient side where they transform the hand movements into identical instrument movements in the operating area.

Cutting-edge technology is used to refine the movements of the physician’s hands and adapt them to suit the fine structures in the body. The surgeon thus works with a perfectly steady hand, which would not be possible in classic open surgery or in manual laparoscopic surgery.

The outstanding visibility in surgery performed with the da Vinci X® system is based on the full HD 3D technology. The view at the control panel can best be described as like looking through a pair of binoculars. Two optical systems that work independently are installed in the camera that is inserted into the body. The image information is synchronised and transmitted to the control panel’s display system. Merging the left and the right image results in a three-dimensional image with full depiction of depth. Furthermore, the cameras work with 10–15x magnification, so even very fine structures can be displayed. This provides optimum visibility – the most crucial requirement for precise microsurgery.

The instruments are inserted into the patient’s body through special metal sleeves, so-called trocars. Beforehand, special adapters are used to dock the robot arms. The instruments have multiple joints, which allows them to mimic the movements of the surgeon’s wrists. This is a particularly important advantage when it comes to preparing and reconstructing ultra-fine anatomical structures.