HEALTH & FITNESS
Karmanos surceons excel
at robotic surgery.
Michael L. Cher, M.D.
Special to the Jewish News
Karmanos Institute in
Detroit. it's not enough just
to house the best in high-
tech surgical equipment. It's how to
use that technology that counts.
One prime example of how
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Karmanos surgeons have mastered
technology is our use of the da Vinci
Surgical System. Our highly trained
surgeons who focus on treating
prostate. urologic and gynecologic
cancers have used this innovative
robotic system for five years.
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The da Vinci Surgical System
allows me and my fellow surgeons
to perform complicated surgery
— such as prostate cancer surgery
— with greater dexterity, all while
being less invasive to the patient.
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short. Hospital stays are minimal,
and there is less pain and scarring
and less risk of infection.
As a surgeon performing nerve-
sparing radical prostatectomy. I set as
my goal to remove the tumor, while
Besides treating prostate and
gynecologic cancers, Karmanos sur-
at the same time avoiding any injury
to adjacent tissues and thus preserve
continence (the ability to control the
geons also use the da Vinci system
to treat patients with bladder cancer
and kidney tumors. In fact, robotic
bladder) and sexual function.
Our surgeons' superlative skill
using the da Vinci Surgical System for
surgery is now the preferred surgical
approach for technically-demand-
ing kidney cancer surgery where the
prostate cancer surgery has proven
to reduce the potential for urinary and
sexual side effects. My colleagues
tumor is removed without removing
the kidney itself.
As one of 40 National Cancer
and I use the da Vinci's master control
console to maneuver the patient-side
cart's four robotic arms, which secure-
cancer centers in the United States,
our standards are set high in how we
ly hold the surgical instruments and
approach the fight against cancer.
Another invaluable aspect of our
The robotic instruments on the
da Vinci system provide us greater
The system's 3-D stereo viewer
eight Loss &
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Dr. Cher with the da Vinci Surgical
lets us view anatomy in high magni-
fication, in vivid color, and in natural
depth of field, without having to
make large incisions.
t the Barbara Ann
range of motion than standard lapa-
roscopic instruments and provide
dexterity and a flexibility of move-
ment similar to a tiny human wrist.
The da Vinci's safety features also
reduce the chance of human error and
lessen the chance of tremors that are
characteristic of the human hand.
For the patient, this translates to
incisions no larger than about 1 2
cm. There is minimal blood loss dur
ing surgery and recovery times are
philosophy is the team approach to
cancer care. Our patients are evalu-
ated by a multidisciplinary team of
surgical oncologists, medical oncol-
ogists, radiation therapists, patholo-
gists and radiologists.
This multi-specialty approach
allows our team to put together
comprehensive and individual-
ized treatment plans that take into
account individual situations.
To learn more about the da Vinci
Surgical System, visit Karmanos.org
or call 1-800-KARMANOS.
Michael L. Cher, M.D., is chief of urology at
the Karmanos Cancer Center and chair of
the Department of Urology at Wayne State
University School of Medicine in Detroit.