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Published on November 04, 2019

NKCH Adds Second da Vinci Xi Robot to Surgical Services

Surgeons Trained in Robotic Surgery

Colorectal Surgery Associates
Benyamine Mizrahi, MD

Kansas City Urology Care
Justin M. Albani, MD
Thomas B. Herrick, MD
Gregory J. Horwitz, MD
Brandan A. Kramer, MD
Gerald Y. Park, MD

Meritas Health Comprehensive Surgery
Brian J. Wittek, MD, FACS

Meritas Health Pavilion for Women
Bridgett A. Crowley, MD
Michelle S. Daniels, MD, FACOG
Dawn C. Heizman, MD, FACOG
Brian T. Lovitt, DO, FACOG
Ian M. Rosbrugh, MD, FACOG

Meritas Health Surgery & Trauma
Gregory A. Eason, MD, FACS
Jon S. Gengler, MD, FACS
Ashley B. Holly, MD, FACS
Patrick E. McGregor, MD, FACS
Thomas M. Reardon, MD

MidAmerica Heart and Lung Surgeons
Jessica K. Heimes, DO

North Kansas City Hospital’s acquisition of a second da Vinci Xi® Surgical System gives patients greater access to minimally invasive surgery in the Northland.

Improved Scheduling

“Adding a second robot allows us to perform more cases, but it also means we can schedule them much sooner,” said Patrick E. McGregor, MD, FACS, general surgeon with Meritas Health Surgery & Trauma.

An early adopter of robotic surgery, NKCH now has 18+ surgeons trained and credentialed in robotic surgery. They specialize in colorectal, general, gynecologic, urogynecologic and urologic surgeries

“We want to provide the best possible care to our patients, and having the ability to see more patients sooner allows us to provide more minimally invasive surgeries,” said Brian J. Wittek, MD, FACS, general surgeon with Meritas Health Comprehensive Surgery.

Minimally invasive surgery allows for shorter hospitalizations, reduced postoperative pain, a quicker return to activities, smaller incisions and minimal scarring.

“Since I first performed robotic surgery six years ago, the field has grown not only in numbers but also in the range of complex procedures that can be performed with more precision,” added Dr. McGregor, who has performed more than 375 robotic surgeries.

daVinci Xi

An integrated table motion feature allows the da Vinci Xi to connect
to the operating table so a patient can be dynamically positioned while
the surgeon operates. (Source: Hill-Rom)

Enhanced Surgical Access

Each da Vinci Xi is equipped with additional technology — integrated table motion. During a robotic procedure,
the anesthesiologist repositions the surgical table in tandem with the da Vinci’s docked robotic arms. As the table tilts, the endoscopic and robotic instrument arms align with the patient’s anatomy.

Coupling the two technologies in real time allows the surgeon to use gravity to improve surgical access and enhance visualization.

“We use gravity by tilting the table, which displaces some of the internal organs and helps us to see our targets, and the table motion allows us to reposition the patient while the instruments are still attached,” Dr. Wittek said.

Without table motion, patients had to be undocked from the robot, repositioned and redocked, which could take 15-20 minutes, increasing surgery time.

“If I was working in an upper abdomen and needed the patient tilted up or down, we’d need to undock the patient, move the table, turn the robot to work the other way and redock the patient,” Dr. McGregor said. “With integrated table motion, I can seamlessly work in all quadrants.”

Patrick E McGregor, MDPatrick E. McGregor, MD, FACS

Dr. McGregor earned his medical degree from the University of Kansas and completed his residency in general surgery at Creighton University.

Brian J Wittek, MDBrian J. Wittek, MD, FACS

Dr. Wittek earned his medical degree from Creighton University and completed his residency in general surgery at the University of Missouri-Kansas City.