Robotic Surgery is Big Now: Chief of Robotics is a Whole New Title
Chief of Robotics is a Whole New Title
by John Otrompke, JD July 19, 2007
Another bell has rung in the medical robotics revolution, as another high-reputation medical institution, Mt. Sinai has appointed a chief of medical robotics.
David B. Samadi, M.D, was appointed chief of Chief of the Division of Robotics and Minimally Invasive Surgery in the Department of Urology at the Mount Sinai Medical Center in New York.
“I have the highest volume of these cases on the East coast. In the past two-and-a-half months, I have performed 115 robotic laparoscopic prostatectomies,” said Samadi, who was formerly Director of Robotic Laparoscopic Surgery at Columbia Presbyterian Hospital.
Samadi said the future of medical robotics lies in realizing that a properly trained surgeon carries three competencies: open, laparoscopic, and robotic surgery.
“In prostate surgery, you can’t be just a technician, without knowing how to save the nerves that lead to sexual function, and develop earlier recovery of continence. And all that knowle3dge comes from open surgery,” said Samadi.
“The robot is like a bridge between the two fields,” he continued.
Along with colleagues, Samadi performed the first 11 robotic surgeries ever performed in France in 2001, with the former robot, the Aesop, and the Da Vinci, at Henri Mondor Hospital, under the mentorship of Professor Claude Abbou.
All told, Samadi has performed over 1000 of these cases, including about 100 with the new robotic Da Vinci.
Samadi has also been pioneering new procedures with the Da Vinci, including robotic surgery for invasive bladder cancer. “Now we’re moving to complete bladder surgery,” he said. “We create a new bladder using a segment of the small intestine. The removal of the bladder and prostate in done with the robot, and the creation of the new bladder is done through a small 3 inch incision,” he said.
“I’ve done now close to fifteen of these surgeries, and there are another 7 or 8 on schedule. I’m hoping in the next few months to advance our skills to do kidney cancer and renal cell carcinoma,” said Samadi.
Samadi said the Da Vinci has improved outcomes, even in the hands of an experienced surgeon like himself. “Because of the magnification camera has and the three-dimensional view robot has, and the lack of blood, if you’re a good open surgeon, and you’re trained to know where nerves are, 99% of patients are being discharged within 24 hours after surgery,” he said.
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