Moscow physicians relieve patient of rare pathology using Da Vinci robotic surgical system

March 13

Surgeons from City Clinical Hospital No. 31 successfully removed a large cyst using the Da Vinci robotic surgical system. The neoplasm was located in the patient’s seminal vesicle. Such surgeries are rare for medical practice, and it was the first-ever surgery of this kind for Hospital No. 31 physicians.

The 19-year-old man was hospitalized for strong acute pain in his lower abdomen this January. Following several examinations, physicians detected a 10x5cm neoplasm filled with liquid in the patient’s inguinal area. Besides, one of patient’s kidneys was removed, and he claimed having experienced lower abdominal pains for many years. Having analyzed all symptoms and based on examination findings, physicians made the Zinner syndrome diagnosis to the young person.

It is an extremely rare men’s congenital anomaly that might lead to infertility. As a rule, the disease has no symptoms, although some patients experience lower abdominal pains. About 100 disease cases have been described in medical literature up to date, and the disease incidence rate is less than 0.01%.

Following a medical board, urologists and surgeons decided to perform a surgery using the Da Vinci robotic surgical system. It was performed by physicians from City Clinical Hospital No. 31 Eldari Nakashidze and Igor Andreytsev. The surgery was performed on a free-of-charge basis.

“A decision to operate using the Da Vinci robotic surgical system was taken because of the dangerous cyst location – right on the external iliac vein. During the surgery, we had to separate the neoplasm very precisely from the vein without damaging it. Robotic arms are most suitable for this goal. They allowed performing all necessary actions very accurately, on a step-by-step basis,” Igor Andreytsev, the Head of the First Department of Surgery at City Clinical Hospital No. 31 said.

He noted that the robotic surgical system performs surgical interventions with a minimum blood loss and patient’s tissue damage. It allows reducing a postoperative rehabilitation period. The young man was discharged home in good condition on the sixth day for further medical observation.

The Da Vinci robotic surgical system is used to perform highly accurate surgical interventions without making large external cuts. Besides Hospital No. 31, three more clinics use this system in the capital city: Botkin Hospital, A.S. Loginov Moscow Clinical Research Centre and S.I. Spasokukotsky City Clinical Hospital.

The system consists of three units: a surgical console, a patient-side console table with tools and a camera, and a stand with a monitor. A surgeon operates the first unit using special joysticks to control tolls installed on the patient-side console table. He/she looks at an operation site via a 3D viewfinder. An enlarged image is also demonstrated on a separate monito allowing other physicians to observe the surgery.

City Clinical Hospital No. 31 is a multi-field treatment complex equipped with the most advanced medical devices. It was one of the first hospitals in the country to receive the Da Vinci robotic surgical system in 2012. The system was installed under the healthcare modernization program.

The hospital provides both emergency and elective medical care. In 2020, it was received by over 57 thousand patients. The hospital is included into the hi-tech medical care system in such medical fields as gynecology, surgery, oncology, cardiovascular surgery, urology, trauma medicine and orthopedics.



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