ROBOTIC SURGERY

Areas of Specialization

©drcoronaurologia.com

Dr. Victor Enrique Corona Montes is using the latest in surgical robotics technology da Vinci robotic system to treat prostate cancer, bladder cancer, kidney cancer, urinary obstruction or other urological diseases. He was first to perform robotic-assisted prostatectomy in Mexico City in 2013. Prior to this he has performed over 800 robotic surgeries with his Professor – Richard Gaston, Head of the Department of Urology at Saint Augustin Hospital, Bordeaux, France. Professor Gaston developed the technique and in 1997 performed the first radical prostatectomy in Europe. Dr Corona with gratitude and proud can state that he has learned from the best

in his surgical practice top priorities are:

complete removal of the prostate gland to cure the disease (negative surgical margins)
preservation of sexual function
urinary continence – patients postoperative ability to control urinary sphincter

How the robotic system supports expert surgeon?

It’s Dr Corona, who is in the total control of the robotic instruments through the entire procedure. The enhanced magnified 3Dimentional high-definition vision allows the most precise possible view of the operated place (surgical field). Hand tremor control, tiny instruments that bend and rotate far greater than the human hand as well, as laparoscopic instruments enable this experienced surgeon precise approach to the narrow pelvic spaces and great control of the anatomy

Does using a robot guarantee a good outcomes?

Robot is only a highly sophisticated instrument in the hands of surgeon. That is why choice of the surgeonis very important. Dr Corona is an expert in robotic, but also laparoscopic urological surgeries. Hence, he promotes the minimally invasive approach, experience allows him perform full procedure using both – laparoscopic and robotic technology. The outcomes of the surgery also depend of the disease stage and patient conditions. That is why an open and detailed discussion with the surgeon about possible outcomes, risks and quality of life after the surgery is crucial prior to operation decision

How long is recovery time?

In Dr Corona practice patients are usually returning home in less than 3 days after the procedure. Recovery and return to regular activities takes about 10 days. Regaining sexual functions within about 3 month. Catheter is usually removed within 7 days after the procedure

Outcomes

In the practice of Dr Corona patient, whose prostatectomy was performed with the assistance of the robot enjoy the full return to the sexual activity 83 percent of the patients, which is 17 percent higher than in case of laparoscopic technique. Urinary continence is fully preserved for 96 percent of the patients. In Dr Corona practice conversion rate from robotic-assisted to open surgery is “0” percent. His expert skills allow him to lead the procedure from the beginning to the successful final using only the minimally invasive approach

What does enhanced vision, greater angle of instruments means for the patient?

less blood loss

no transfusion needed

superior visual control

preservation of the neurovascular bundles surrounding prostate to ensure erectile function and urinary continence

shorter operational time

and anaesthesia

smaller incisions

almost no pain

small scars