Robotic assisted surgery in Southern Nevada

MountainView Hospital has been leading the way in robotic surgery since 2011, when the Las Vegas Institute for Robotic Surgery was launched. Our program provides patients with a minimally invasive method of surgery that allows for even more surgical precision and improved care for our patients.

Our program is unique because of the number of highly trained surgeons that make up our panel as well as our dedicated Robotics Program Manager guiding every aspect of your care. This team creates consistency and standardization in the level of care, which improves patient outcomes.

At the Las Vegas Institute for Robotic Surgery, we have pioneered advanced robotic procedures, including Southern Nevada’s first robotic lobectomy. In addition, we deliver advanced education courses to providers and participate in nationwide clinical trials.

Our robotics surgery teams perform hundreds of procedures each year with our robotic surgical system, making us one of the highest volume and most experienced robotic programs in the state of Nevada. We have three robots as a part of our program. All three robotic systems offer patients less invasive options and faster than traditional surgeries.

To be referred to a physician who performs robotic surgery at MountainView Hospital, call (702) 962-5021.

Why robotic-assisted surgery?

Some of the major benefits using a robotic surgical system over traditional approaches have been greater surgical precision, increased range of motion, improved dexterity, enhanced visualization and improved access. Benefits experienced by patients may include a shorter hospital stay, less pain, less risk of infection, less blood loss, fewer transfusions, less scarring, faster recovery and a quicker return on normal daily activities. None of these benefits can be guaranteed, as surgery is necessarily both patient and procedure specific.

How does it work?

The surgeon using a console controls four interactive robot arms. The console shows the surgeon 3D images of the procedure. Three of the robotic arms are used to hold surgical instruments and can act as a scalpel, scissors or electrocautery devices/Bovies. The fourth arm is an endoscopic camera with two lenses that provides stereoscopic vision to the surgeon.

The surgeon uses the camera to view the treatment area and utilizes foot pedals and hand controls to move the robotic arms. The da Vinci® robotic system converts the surgeon’s movements into micro-movements with the instruments.

Robotic surgeries we offer at LVIRS

Colorectal surgery

Diagram of the colon and rectum, as part of the large intestine Diagram showing fewer surgical incisions of da Vinci® robotic system vs open surgery

The colon and rectum are part of the large intestine. For rectal cancer, proctologist surgeons perform low anterior resection to connect the rectum to the colon after removing the cancer. An abdominoperineal resection may also be performed if the rectal cancer is located too close to the anus.

Colon surgery is usually performed through a large open abdominal incision. Laparoscopic surgery is a minimally invasive alternate to open surgery. However, this can be technically challenging because of the extensive dissection required, along with the limitations of traditional laparoscopy. The da Vinci® system offers your surgeon another minimally invasive option to combine the best techniques of an open surgery and with enhanced capabilities of laparoscopic surgery.

Endometriosis surgery

Endometriosis is a condition in which the tissue that usually lines the inside of the uterus—the endometrium—grows outside of the uterus. Spots of endometriosis called "implants" or "lesions" are usually found in the pelvic area. Endometriosis is usually diagnosed in women between the ages of 25 and 35, but can occur anytime during a woman's reproductive years. For women with symptoms, endometrial implants can cause irregular bleeding, infertility and pain. Mild to severe pain is the most common symptom, which can occur during periods, intercourse and bowel movement. Pain may also be felt in the lower back or abdomen.

Treatment options may include lifestyle changes, medication or surgery. Two surgical options include cutting out all visible implants leaving the female reproductive organs, or a hysterectomy, removing the uterus and possibly other organs. Surgery for endometriosis can be performed using traditional open surgery or minimally invasive surgery (laparoscopy). The da Vinci® system offers your surgeon another minimally invasive option using state-of-the-art technology to combine the best techniques of open surgery with enhanced capabilities of laparoscopic surgery.

Ear, nose and throat (ENT) surgery

Diagram showing no surgical incisions of da Vinci® robotic system

Cancer that occurs in the throat (the pharynx), the voice box (larynx), the base of the tongue or tonsils is commonly called throat cancer. If your ear, nose and throat doctor recommends surgery, there are two main types: open and transoral (through the mouth). Tumor size, stage and location will determine the type of surgery required.

Traditional open surgery to remove throat cancer requires your surgeon to make a long incision through the jaw and throat. Your ENT doctor or surgeon may also need to break the jawbone to access the tumor. This can result in disfigurement as well as difficulty eating, speaking and swallowing.

Transoral surgery is a much less invasive treatment option. Using a surgical camera inserted into the mouth, the surgeon is able to cut out the cancerous lesion without the incision through the neck and jaw. This approach may also minimize or eliminate the need for chemo or radiation and its potential side effects. However, depending on the location of the lesion or tumor, surgeons may be limited by instrumentation and visualization, which means this approach may not be appropriate for all cases.

Gallbladder surgery

The gallbladder is a pear shaped organ under your liver that stores and concentrates bile to help digest fat. Gallbladder disease includes inflammation, infection or blockage (obstruction) of the gallbladder. The most common blockage is a gallstone.

Treatment for gallbladder disease may include lifestyle changes, medicines and procedures. Surgery is needed for gallbladder removal, but it depends on how severe your symptoms are. This operation is known as cholecystectomy. Gallbladder surgery is generally minimally invasive using manual laparoscopy. This technique uses several small incisions to access the gallbladder.

Hysterectomy

A hysterectomy is a solution to many uterine conditions, including fibroids, endometriosis, heavy menstrual bleeding, uterine prolapse and certain cancers or pre-cancers. It is the most commonly performed gynecologic surgical procedure and results in the removal of the uterus (a “partial hysterectomy”) or sometimes the cervix with the uterus (a "complete hysterectomy").

The robotic hysterectomy is even less invasive than traditional minimally invasive procedures because the instruments used have more flexibility and a better range of motion. The robotic hysterectomy typically only takes a few small incisions versus a large incision for an open procedure.

Kidney surgery

Kidney surgery is traditionally performed using an open approach, which requires a large abdominal incision. Another approach, conventional laparoscopy, is less invasive but limits the doctor's precision, visualization and control compared to open surgery.

Robotic surgery allows your surgeon to combine state-of-the-art technology and the best techniques of open surgery for a robotic-assisted minimally invasive approach. A more precise minimally invasive procedure, works to preserve as much of your healthy kidney as possible, by removing the tumor and not the entire kidney. Surgeons are also able to perform laparoscopic nephrectomy, which removes your kidney using the robotic-assisted method.

Myomectomy

During a myomectomy, the surgeon removes uterine fibroids from the uterus through small incisions. This type of fibroid surgery can be performed as an open procedure or as a robotic procedure. The surgeon can remove these fibroids with precision, regardless of their size or location. This method should also allow the opportunity for future pregnancy. The robotic myomectomy is even less invasive than traditional open procedures.

Prostatectomy

The prostate is a walnut sized gland that is part of the male reproductive system. Its function is to produce a fluid that is part of male ejaculate or semen. Prostate cancer is a disease in which malignant (cancer) cells form inside the prostate.

Radical prostatectomy is the most common treatment for prostate cancer. Until recently, prostate surgery was usually performed using an eight-inch to 10-inch incision. This approach commonly resulted in substantial blood loss and a lengthy and uncomfortable recovery.

Using robotic surgery, your doctor can perform the most precise and least invasive prostate cancer surgery available today. The robotic prostatectomy typically uses only a few small incisions versus a large incision for the traditional open abdominal incision.

Sacrocolopexy

Sacrocolpopexy has traditionally been done as an open surgery, with a six-inch to 12-inch incision across the lower abdomen that was performed to correct uterine or vaginal prolapse. More than 120,000 women in the U.S. have prolapsed vagina or prolapsed uterine surgery each year. Prolapsed organs occur because connective tissue or muscles are weak and cannot maintain the natural position. These conditions become more likely with age, after childbirth and with significant weight gain. They can also lead to other health problems including urinary incontinence and sexual dysfunction.

For a vaginal prolapse, the surgeon inserts a mesh to hold the vagina in the correct position. Robotic sacrocolpopexy can also be performed in conjunction with a hysterectomy to correct uterine prolapse.

Thoracic surgery

We are proud to be the first hospital in Las Vegas to perform robotic-assisted lung lobectomies. Dr. Arnold Chung, with MountainView Cardiovascular & Thoracic Surgery Associates, is the only cardiothoracic surgeon in Las Vegas to perform robotic-assisted thoracic surgery.

Lung cancer is a disease that attacks the lung tissue. It usually develops in adults older than age 65. It is the most common cancer worldwide, with 1.2 million new cases every year. Of the two main types of lung cancer, non-small cell is the most common. Fortunately, it is also the slower growing of the cancers.

During lung cancer surgery, your surgeon will remove: a small section of your lung with the tumor and a margin of healthy tissue (wedge resection); a larger portion of the lung, but not an entire lobe (segmental resection); an entire lobe of one lung (lobectomy); or an entire lung (pneumonectomy). The amount of tissue/ lung removed will depend on the stage of the cancer.

Lung cancer surgery is often performed using open surgery through a long chest incision. Your surgeon may also need to spread your ribs to access your lung. Open surgery allows doctors to see and touch your organs while operating.

An alternative to open surgery is thoracoscopy (also called video-assisted thoracic surgery or VATS). Doctors insert a tiny camera (thorascope) and surgical instruments into your chest through small incisions. The camera takes images inside your body and sends them to a video monitor in the operating room to guide doctors as they operate.

Urologic surgery

The Las Vegas Institute for Robotic Surgery is proud to use the da Vinci® Si HD Surgical System to treat the most complex urologic case. The minimally invasive urology surgery allows the patient to experience less scarring, pain and quicker recovery time.

MountainView Hospital treats elevated prostate-specific antigen, blood in the urine, urinary leakage and female pelvic reconstruction.

To be referred to a physician who performs robotic surgery at MountainView Hospital, call (702) 962-5021.