Robotic Surgery

Robotically Assisted Bariatric Surgery

Robotically assisted bariatric surgery is the latest technology to transform minimally invasive surgery. Dr. Bilton and the team at the Bariatric Surgical Center of Tuscaloosa are highly experienced in this cutting edge technology, using it for straightforward and complex surgeries alike.

Contrary to what it may seem, the robotic surgical system does not perform any part of the procedure autonomously. Instead, the robot receives inputs from Dr. Bilton who is seated in a control pod next to the operating room. The instruments Dr. Bilton uses to control the robot are similar in form to traditional laparoscopic tools. The robot receives Dr. Bilton’s inputs and translates them into scaled, perfectly smooth motions.

Benefits to the Patient and Surgeon

The daVinci Surgical System allows Dr. Bilton to perform more complex surgeries laparoscopically. In the past, these surgeries would have been performed in an open manner, requiring a single large incision and a greater chance of postoperative complications. The robotic arms have “wristed” instruments, which allow for a far greater range of motion than traditional laparoscopic devices and even the human wrist. These wrists essentially offer the surgeon the dexterity found in an open procedure, with far lower risk of complications. In complex cases, Dr. Bilton may be able to perform a primary bariatric procedure and also secondary procedures such as hiatal hernias or gallbladder removals that may have otherwise necessitated a second procedure or open surgery.

The visualization technology of the robotic surgical system is also far more advanced than traditional minimally invasive surgical tools. The camera system offers a magnified three-dimensional field of vision versus the two-dimensional visualization of older laparoscopes. This allows Dr. Bilton to immerse himself in the procedure as if he were looking inside the abdomen directly.

Surgeon fatigue is also minimized as Dr. Bilton is seated comfortably versus having to stand next to the operating table for long periods of time. Further, Dr. Bilton is looking directly at the screen in front of him rather than having to crane his neck to view a television monitor above the operating table.

Risks and Considerations of Robotic Surgery

The risks of robotically assisted bariatric surgery are not appreciably greater than those of traditional laparoscopic surgery. They include all the risks of major abdominal surgery including blood loss, pain, infection and in rare cases, death. It is important to note, however, that the assistance of the robot does not substitute for surgeon skill and experience. Therefore, patients must ensure that the surgeon they choose is well-trained and highly experienced in this form surgery.

Patient should know that robotic surgery can be more expensive than traditional bariatric surgery and insurance coverage varies between companies and individual plans. Our office staff can help you learn more about the financial considerations of robotically assisted bariatric surgery.

Robotics represents one of the greatest leaps in surgical technology since the advent of minimally invasive techniques decades ago. We believe that in some cases, robotic surgery can offer the patients better outcomes without the need for large incisions. As with any bariatric procedure, a consultation with Dr. Bilton is required to learn more about your options and whether or not robotic surgery is right for you.

Laparoscopic Surgery

Laparoscopic surgery is an expanding and exciting area of general surgery. First developed and used by gynecologists for the diagnosis of pelvic issues and for use during tubal ligations, laparoscopic surgery is now used across all fields of medicine.

This technique allows for much smaller incision sites as surgeons work via camera rather than fully opening the patient to reach the surgery site. As the technology and cameras advance, the field continues to grow as it pushes the cutting edge of medical science.

The basic technique calls for the patient to undergo general anesthesia. Then, the patient’s abdomen is insufflated with carbon dioxide to enhance visibility. Multiple small punctures are made and small ports are placed through the abdominal wall. These ports allow instruments to be placed into the abdominal cavity, allowing the insertion of various instruments, including the camera.

At University Surgical Associates PC we currently us laparoscopic techniques to:

• Remove the Gallbladder
• Relux Surgeries
• Colon Surgery
• Appendectomies
• Hernia Repairs

Additionally, Dr. Bradley Bilton uses the laparoscope to perform bariatric surgery.

Dr. Bradley Bilton acquired a fellowship in laparoscopic surgeries and perform many of these procedures, however all four of our surgeons use the laparoscope for abdominal surgeries.

Most laparoscopic procedures are done on an out-patient basis. Using this technique has greatly improved our ability to treat patients in a manner that is comfortable, expedient and effective. With this approach, patients can recover faster as they seek to return to their normal routine. As the field continues to grow we sincerely hope more uses will be found for laparoscopic surgery.

Colon and Rectal Surgery

Colon and Rectal Surgery involves the colon, rectum and anus. This branch of surgery typically calls for the removal of portions of the colon due to the presence of tumors.

All four surgeons at University Surgical Associates deal with proctology, that branch of surgery dealing with the rectum and anus. Rectal surgeries for common problems such as

• Hemorrhoids
• Fissures
• Fistulas
• Abscesses

These procedures can usually be performed comfortably in the office or at outpatient centers under light sedation with supplemental local anesthesia. Return to full activity is swift.

Please note, we also specialize in painless, non-operative treatments for bothersome or bleeding hemorrhoids.

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