In a groundbreaking development for public healthcare, two hospitals in the Western Cape have introduced cutting-edge robotic surgery systems. The da Vinci Xi systems, known for their precision and advanced capabilities, are now operational at Tygerberg Hospital and Groote Schuur Hospital, marking a first for public hospitals in South Africa.
The da Vinci Xi System: A Leap in Surgical Precision
The da Vinci Xi system allows surgeons to perform complex procedures with enhanced precision through a console that controls three robotic arms with tiny surgical instruments and a fourth arm with a video camera (the laparoscope). This technology translates the surgeon’s hand movements into real-time actions, offering superior range and visuals compared to traditional manual surgery.
Dr Tim Forgan, a colorectal specialist and da Vinci robotics coordinator at Tygerberg Hospital, described the experience as “next level,” emphasising the improved visibility and manoeuvrability.
“You can see 10 times better with this robot than with the naked eye; you can see tiny, tiny nerves you wouldn’t normally see. And you can manoeuvre surgical instruments so much better,” he said. This capability allows major surgeries to be performed through small incisions, resulting in less bleeding and faster recovery times.
Expanding the Reach of Robotic Surgery
Since the introduction of the da Vinci robots in 2022, over 600 minimally invasive surgeries have been performed, including colorectal operations, prostatectomies, cystectomies, and gynaecological procedures. The Western Cape department of health and wellness highlighted the system’s significant impact on patient outcomes and the health system. Traditional open cystectomy patients, for example, typically require extended ICU stays and recovery periods, whereas robotic surgery patients experience shorter hospital stays and fewer complications.
Financial Feasibility Amid Budget Constraints
The acquisition of the da Vinci systems, each costing R40 million, was made possible by budget surpluses during the COVID-19 pandemic. Dr Forgan explained that elective surgeries were halted during the pandemic, freeing up funds that would otherwise revert to the central government if unspent.
Training and Expertise
The journey to mastering the da Vinci system involved extensive training, including simulations, emergency protocols, and hands-on experience under the guidance of international experts. Dr Roger Gerjy, a renowned robotic surgeon from Sweden, played a crucial role in training the Tygerberg team.
Looking Ahead
The introduction of robotic surgery is a significant step forward for public healthcare in South Africa, offering advanced surgical options to more patients. Dr Forgan, who is passionate about colorectal surgery, emphasised the importance of skilled professionals in this field, given the rising incidence of colorectal cancer.
Implementing da Vinci robotic systems enhances surgical outcomes and underscores South Africa’s public healthcare sector’s commitment to embracing innovative solutions for better patient care. As the Western Cape continues to pioneer advanced medical technologies, the successful integration of robotic surgery in public hospitals stands as a testament to the potential of healthcare innovation to improve lives and set new standards for patient care.