The Minimally Invasive Surgical (MIS) Center at RPCI consists of two technologically advanced, fully integrated surgical suites and an adjacent observation/teleconference room. Both suites are fully equipped to accommodate a broad array of MIS procedures, and one suite houses the da Vinci® Surgical Robotics system.
The MIS Center shares a family waiting area, post-anesthesia care unit, and consultation rooms with seven additional operating suites. The number of MIS procedures for thoracic, urological, gastrointestinal, gynecologic, head and neck, and neurological cancers has tripled in the last three years.
Surgeons and nurses have complete control of the surgical environment through touch panels and voice activated command systems. Surgical instruments, equipment and lights are arranged on moveable racks suspended from the ceiling by booms. These booms can be moved easily and quickly into the surgical field. Digital images – both still and moving – can be recorded to DVD or converted to streaming video for education, research and follow-up patient care.
All data collected during a procedure, including radiologic images, video and still images from the surgical endoscopes or the overhead surgical light cameras, can be displayed on any monitor within the OR and/or the observation room. Telecommunication capability allows for long distance sharing of surgical case demonstrations and consultations.
Surgical endoscopes, small telescope-like instruments which feature a miniaturized color camera chip at the tip, illuminate the surgical field inside the patient and transmit images to high definition monitors. The flexible tips on these endoscopes offer four-way deflection that provide surgeons with improved maneuverability and visualization during complex operations.
Flat screen digital monitors bring images of the surgical field in-line with the hands and eyes of the surgeon, and can display different views, including those from the endoscope, CT scans, ultrasound, and the patient’s health information record. A large 42-inch plasma screen allows everyone in the OR to visualize the surgical field, improving preparedness for each upcoming phase of the procedure.
The ergonomically designed desk at the nurse’s station is installed facing the sterile operating field so the nurse is always in eye contact with the procedure. With the touch of a button the nurse can adjust or control surgical imaging, equipment, and the room environment.
The da Vinci® Surgical Robotic system - located in one MIS suite - combines computer technology with the surgeon’s skill to perform MIS for patients diagnosed with several types of cancer. The robot enables surgeons to see vital anatomical structures more clearly and perform surgical procedures more precisely. The technology extends the surgeon’s capabilities by providing a three-dimensional view of the operating field, and improves access to the surgical site through small ports that eliminate the need for large incisions. The system also gives surgeons the ability to rotate instruments 360 degrees.
The Observation/Teleconference Room offers visiting physicians and trainees the same surgical view as that being seen by the surgeon in the operating suite. The facilities will enhance educational opportunities provided to future surgeons with specialty training in surgical oncology, urology, neurology, gynecology and head & neck oncology. This dedicated resource will give RPCI surgeons the opportunity to contribute to clinical research in MIS.
The Minimally Invasive Surgical Center at Roswell Park Cancer Institute was designed by Robson Woese Inc., with input of RPCI physicians, nurses, and facilities planners. Olympus Surgical and Berchtold served as the major corporate partners, providing both equipment and technical expertise.