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Robotic Cancer Surgery

The surgical treatment for cancers has traditionally been done by open techniques. An Open surgery is associated with a large wound, greater pain & delayed recovery and return to normal activities.

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Robotic surgery has the following advantages:

  • High definition and magnified 3-dimensional vision with the camera controlled by the surgeon.
  • Endo Wristed instruments with extreme degrees of freedom somewhere between 3600 to 7200 enables the surgeon to use instruments in narrow confined spaces, to access difficult to reach cancers, and at angles that are impossible with open or laparoscopic instruments.
  • Motion scaling which allows the surgeon to reduce the degree of instrument movement as a proportion of movement of the surgeon fingers, enables a greater degree of precision.
  • Precise energy source to cut and coagulate tissues.
Sanjivani Cancer Care

3D Vision

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Endowrist Instrument

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Motion Scaling

All these provide the ultimate flexibility and precision for exceptional surgical techniques in cancer surgery.

In robotic cancer surgery, robotic techniques enable a radical operation to be performed with preservation of nerves and other critical structures, due to better visualisation. This is particularly important in rectal, gynaecologic and prostate cancer surgeries. For example, in robotic prostate cancer surgery, every effort is made to spare the nerves. As the nerves and vessels are all magnified and it is much easier to save them and help retain potency.

Patient benefits include:

  • Precise removal of cancerous tissue
  • Significantly reduced pain
  • Less blood loss
  • Less scarring
  • Shorter hospital stay
  • Faster return to normal daily activities
  • Equivalent cancer cure rates as open surgery

Dr. Manke is one of the few surgeons in India who are trained on both the Intutive surgical's Da Vinci robotic system and the Versius system by Cambridge Medical Robotics.

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Da Vinci Robotic System

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CMR Versius Robotic system

Practically all cancers are amenable to this approach with the exception of locally advanced tumours. Specific cancers where robotic surgery is able to provide excellent outcomes include:

Our Robotic Surgery Centers


Robot-assisted laparoscopic surgery entails the use of a surgical robot to allow surgeons to offer patients the benefits of laparoscopic surgery/minimal invasive surgery. The use of this technology helps the surgeon perform more complex operations without the need for a large incision. By combining robotics and state-of-the-art computer technology, surgeons can operate with greater dexterity and control than with the traditional laparoscopic surgical approach.
The robotic cancer surgeon sits at a surgical console next to the patient. The surgeon performs the procedure from the console while viewing the surgical field through a 3-dimensional (3D) magnified image (up to 10x magnification). At the same time the surgeon's hand movements are seamlessly translated to the robot to complete the surgical procedure. It is important to understand that the robot is controlled solely by the surgeon and is not capable of making decisions on its own. Every step of the surgery is performed through direct input from your surgeon.
This is one of the most frequently asked questions we hear! Your surgeon fully controls the entire procedure - NOT the robotic technology. The technology is a tool and does not replace the role of your surgeon during your procedure.
Robotic surgery is safer and typically results in a number of key benefits for patients, including:
  • Less blood loss
  • Less pain after surgery
  • Shorter hospital stay
  • Quicker recovery
  • Quicker return to work and normal life activities
During a standard laparoscopic procedure, your surgeon stands next to the operating room bed and utilizes hand-held instruments to perform your procedure. This requires a series of small incisions. Using robotic technology, instead, your robotic cancer surgeon is seated at a console, using their own hands to maneuver the arms and instruments of the Versius. Again, this requires just a few small incisions. From that console, your surgeon has 3D vision and the ability to rotate his or hands in angles and to degrees that would otherwise be impossible to achieve.  A robotic surgery has greater flexibility because the robot has greater range of motion than your surgeon's hand.
This would be an extremely rare occurrence. The machine is built to very strict quality standards, and is constantly maintained through a very demanding set of mandated inspections. It is also inspected before every surgery to very strict and mandated criteria of checks. Nevertheless, the surgeon and the operation theatre team are always prepared to (and able to) convert the surgery to a laparoscopic surgery or an open surgery.

By way of analogy, if a pilot's automatic landing systems fail, he or she will land the plane manually and will have been trained to do so. For this reason, it is important for your surgeon to be skilled in open, laparoscopic and robotic surgery.

Dr. Aditya Manke is well trained in both robotics as well as complex laparoscopic surgeries .
While the cost of robotic surgery will be slightly more than a laparoscopic surgery, this cost is offset by the reduced cost of a shorter hospital stay, and an early return to work. There are also intangible 'savings' of minimal or no blood transfusion, the advantage of less pain with superior results and better cosmetic results.
Robotic cancer surgery is categorized as robot-assisted minimally invasive surgery. Any insurance that covers minimally invasive surgery generally covers robotic surgery. It is important, however, to note that your coverage will depend on your plan and benefits package. You should check with your insurance carrier for detailed information prior to your surgery.
Without proper training, any doctor cannot simply walk into an operating room and direct a robotic surgery. Dr. Manke was trained in the UK at the Christie Hospital Manchester on the Da vinci platform in advanced colorectal , urological and gynae oncological procedures. He has also been trained extensively on the latest CMR Versius platform and currently is performing surgeries on the Versius.