A two-system stack mixed 3D imaginative and prescient, wristed instruments and motion-scaled microsuturing to resect a sarcoma above the larynx.
St Vincent’s Hospital Melbourne used two surgical robots, the da Vinci and the Symani to take away a throat sarcoma whereas maintaining the affected person’s larynx. Protecting the larynx avoids a complete laryngectomy, which completely removes the voice field, creates a neck stoma for respiratory, and adjustments how folks communicate and swallow. These adjustments require lifelong adaptation and further medical help.
The case used two programs with totally different roles. The da Vinci platform dealt with the tumour resection contained in the throat and after the removing of the tumor, the Symani platform then carried out microsurgical restore and reconstruction together with suturing vessels round 1–1.5 mm and resuspending the larynx. The hospital stories full removing of the tumour and preserved speech and swallowing on this 27-year-old affected person.
Da Vinci is a broadly deployed tele-operated system for minimally invasive surgical procedure made by Intuitive Surgical. Symani is a tele-operated microsurgery system made by Medical Microinstruments, designed for work on very small vessels and ducts with movement scaling and tremor discount. Symani holds a US De Novo authorisation for specified microsurgical indications.
St Vincent’s is the primary web site in Australia, and within the Asia-Pacific cohort, to introduce Symani. The hospital has arrange a Scientific Microsurgery Robotic Unit utilizing the system for breast reconstruction, sarcoma, and head-and-neck reconstruction.
For the sector, the case reveals a dual-robot workflow for head-and-neck oncology: a resection robotic adopted by a microsurgery robotic in a single session. Twin-robot approaches have been reported in different procedures, resembling lymphatic surgical procedure at UZ Brussel. The Melbourne outcome extends this mannequin to throat most cancers, with potential impression on working room planning, coaching, and future procurement of complementary robotic platforms.
