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Published on November 14, 2017

NKCH Extends Physician Capabilities With da Vinci Xi

North Kansas City Hospital recently invested in the next generation in robotic surgical technology, the da Vinci Xi® Surgical System. With this advanced minimally invasive platform, surgeons can perform more complex cardiac, colorectal, general, gynecological and urological procedures.

Improved Outcomes

“The da Vinci Xi has opened the door for more patients to undergo minimally invasive surgery versus open surgery,” said Gerald Y. Park, MD, a urologist with Kansas City Urology Care and an early adopter of robotic surgery. “When we shift patients toward minimally invasive surgery, they have better outcomes in terms of less pain, blood loss and infection, and they recover more quickly.”

The Xi gives surgeons enhanced 3-D HD visualization, precision and dexterity, and the instruments feature unique movements that exceed the range of motion of the human wrist. Add improved accuracy in port placement, a new overhead instrument arm and endoscope, smaller and thinner arms, longer instrument shafts and intuitive motion, and the Xi’s features have far-reaching patient benefits.

“I’m able to do everything with precision because I have great visualization, exposure, flexibility and the right instruments,” said Benyamine Mizrahi, MD, a colorectal surgeon with with Colorectal Surgery Associates. “With such high precision, patients have better, faster recoveries so they can return to normal function more quickly. The average length of stay for my patients is 3.2 days, which is far below the eight-day national average for open colorectal surgeries.

DaVinci Robotic Surgery Overview

The da Vinci Xi provides enhanced 3-D HD visualization, precision and dexterity, allowing for greater efficiencies.
(Source: Intuitive Surgical)

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Surgeons Trained in Robotic Surgery

Colorectal Surgery Associates

Kansas City Urology Care Meritas Health Pavilion for Women Meritas Health Surgery & Trauma Mid America Heart & Lung Surgeons Midwest Reproductive Center Urogynecology of Kansas City

Dr. Mizrahi appreciates the Xi’s multi-quadrant range. “Now, I can do anything in the abdomen, where the previous robot did not allow for that,” he explained. “The Xi lends itself to performing elaborate redo surgeries, such as cleaning up adhesions and reversing a colostomy after a patient has had multiple abdominal surgeries.”

He noted the Xi is especially advantageous for performing surgeries on patients who are obese. “The majority of my patients are overweight, so that leads to more difficult open surgeries,” said Dr. Mizrahi, who has performed more than 400 robotic surgeries. “The robot takes that away from the table because I can access their tumors and still perform a minimally invasive surgery.”

Dr. Park also has extended his scope of robotic cases. “We were limited by the old robot, but we can now do a bilateral kidney surgery with the Xi,” Dr. Park said. “Because of the multi-quadrant capability, we also can perform nephroureterectomies more efficiently.”

Greater Efficiency

Dr. Park appreciates how the Xi improves efficiency via a reduction in OR turnover. “OR staff do not have to rearrange the room between cases because the Xi can adapt to different orientations of organs and different approaches by specialties,” Dr. Park said.

Creating that efficiency also increases the number of cases performed each day. “On the old system, a difficult case would take much longer, but now I can perform three major cases a day,” Dr. Mizrahi said.

Those added surgeries don’t affect his stamina. “Even though I’m sitting for hours, the console is ergonomically programmed so I’m not tired at the end of the day,” Dr. Mizrahi said. “I’m as sharp for my first case as I am for my third case. I put in the ports, dock and sit down at the console. That’s where I do the majority of the case. I come back to the bedside to remove the specimen, but then I finish up robotically."

Supportive Team

While the surgeon is focused at the robotic console, a team of scrub techs and surgical nurses provides needed support. “Because I am at the console and not at the patient bedside, I cannot move the arms and change instruments, so it’s paramount to have a designated robotic support team,” Dr. Mizrahi explained.

He takes stock in how robotic surgery has changed his career. “I wake up knowing that I’m going to do three robotic cases today, and, in that, I’m going help more people. It’s just a win-win situation,” Dr. Mizrahi said. “Patients don’t need to go elsewhere because North Kansas City Hospital has the latest technology.”

Photo of Benyamin Mizrahi, MDBenyamine Mizrahi, MD

Dr. Mizrahi earned his medical degree from the University of Vermont. He completed his residency in surgery at the University of South Florida and fellowship in colorectal surgery at Marks Colorectal Clinic.

Photo of Gerald Y. Park MDGerald Y. Park, MD

Dr. Park earned his medical degree from the University of Texas Medical Branch, and he completed his residency in urology at the University of Kansas School of Medicine.