Surgery of the future: da Vinci robot helps perform 6 surgeries in one day
© Helios Kliniken

Surgery of the future: da Vinci robot helps perform 6 surgeries in one day

The da Vinci XI surgical robot enables highly precise and minimally invasive procedures. Dr. Shaojian Ji, Head of Obstetrics and Gynecology at Helios Hospital Pforzheim, is a leading expert in robot-assisted surgery. That is why he organized the hospital's first-ever High Volume Day.

The aim of a High Volume Day is to perform several complex surgical procedures consecutively, following well-established protocols while minimizing trauma to patients. This is made possible by the da Vinci Xi robotic surgical system, which assists the surgeon during operations. The system provides a highly magnified 3D HD view of the surgical field, while its fully articulated instruments allow the surgeon to perform procedures with exceptional precision. As a result, patients benefit from reduced tissue damage and blood loss, contributing to shorter hospital stays and faster recovery.

For this reason, Dr. Shaojian Ji, Head of Obstetrics and Gynecology, and his surgical team decided to organize a High Volume Day at Helios Hospital Pforzheim for the first time. Six medically indicated hysterectomies were scheduled for a single day to treat conditions such as tumors or abnormal uterine bleeding. This approach allows patients to receive the necessary surgical treatment sooner, without long waiting times, while benefiting from the advantages of minimally invasive robot-assisted surgery.

Successfully organizing such a day requires more than just the surgeon and the da Vinci Xi system — it depends on the coordinated efforts of the entire team. The patient admissions department started its consultations earlier than usual. The operating room coordinator ensured efficient surgical scheduling and arranged for the necessary operating room. While one patient was recovering from anesthesia and the operating room was being cleaned, the anesthesiology team was already preparing the next patient for surgery. Meanwhile, the surgical team prepared the robotic system and operating room before each procedure, ensuring a smooth and efficient workflow.

"All scheduled hysterectomies follow a standardized workflow, with each procedure typically taking up to 90 minutes. Thanks to our well-coordinated surgical team, we can reduce the time required to dock the surgical robot to the patient by five to seven minutes. The shorter the procedure, the less anesthesia is needed. This means patients recover more quickly after surgery and experience fewer complications," – Dr. Shaojian Ji.

The team therefore meets the essential requirements for a successful High Volume Day. The tightly scheduled sequence of procedures helps improve surgical routines and accelerates the learning curve. This level of improvement is much harder to achieve on regular operating days, when a wide variety of procedures are performed consecutively.

"During our High Volume Day, we performed a total of six hysterectomies in seven and a half hours, averaging 75 minutes per procedure, including anesthesia induction and operating room cleaning. The actual surgical time, from the first incision to the final suture, was approximately 45 minutes per procedure. We received a corresponding certificate from the manufacturer of the surgical robot in recognition of this achievement. I would like to thank our experienced Head of Anesthesiology, Prof. Dr. Clemens Bauer, our operating room coordinator, Markus Kettig, our lead surgical technologist, and their teams for making this accomplishment possible. We succeeded only because everyone worked together and each individual made a dedicated contribution. This kind of close collaboration is the foundation for providing our patients with the best possible care in accordance with established clinical guidelines," emphasizes Dr. Ji.

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