ADVANCED ROBOTIC SURGERY CENTRE

ADVANCED
ROBOTIC
SURGERY
CENTRE
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TURKEY

SURGICAL TREATMENTS
The patients are evaluated with multidisciplinary
approach at Liv Hospital Cancer Center. Patientbased
treatment approach is adopted with
individualized cancer treatment for the patients
who are examined by physicians from various
disciplines.
Colorectal Cancers
Preserving life quality of the patient during the therapy
is highly important for our physicians. Minimal invasive
surgical procedures (Laparoscopic and Robotic Surgery),
radiation therapy techniques with high rate of certainty
and chemotherapy designed for providing you high cancer
control and healing opportunity allow you to maintain
your daily life healthy and comfortable as far as possible.
Treatment of colorectal cancer may show variation related
to whether tumor is localized in colon or rectum, or it is
result of a genetic inheritance.

Pancreas Cancer
Most of the pancreas cancers emerge from exocrine
cells present in pancreatic ducts that carry digestive
enzymes to intestines. Majority of these cancers are
called adenocarcinomas that occur in tissues covering
inner surface of pancreas. Early diagnosis of pancreas
cancers with aggressive morphology is crucial. Most
proper treatment method is known as surgery in pancreas
cancer; and multidisciplinary approach increases change of
success at Liv Hospital Cancer Center that provides service
with individualized treatment methods and advanced
technology in pre-operative and post-operative period.
Surgical treatments of the patients can be performed
by laparoscopic and robotic methods. For this reasons,
patients get advantages of less pain, quicker recovery, less
hospitalization and better cosmetic results.
Gall Bladder and Bile Duct Cancers
Bile duct cancer which is more common at old ages
and males is seen mainly in the patients with familial
inflammatory diseases, bile duct stone and bile duct cyst.
Still most effective treatment method is surgery in gall
bladder and bile duct cancers and they can be treated
successfully by using individualized treatment methods
at Liv Hospital Cancer Center that provides service with
advanced technology. Change of success increases with
early diagnosis in this disease concerning a critical region.
Every kind of intervention can be performed for treatment
of hepatitic diseases at Radiology and Gastroenterology
Departments where advanced technological devices are
used. Multidisciplinary approach increases change of
success at Liv Hospital Cancer Center that provides service
with individualized treatment methods and advanced
technology in pre-operative and post-operative period.

Esophageal Cancer
Most of the esophageal tumor is adenocarcinoma of
squamous cell carcinoma. Esophageal cancer that is
generally indicated with swallowing difficulty is diagnosed
with endoscopy. Most effective treatment method is
surgical intervention in esophageal cancers. Procedure
called esophagectomy aims complete removal of the
tumor in order to prevent its re-increment and spread.
Esophagectomy (complete removal of esophagus) is
performed by using open surgical methods or minimal
invasive methods (laparoscopic-robotic). Stomach is
used to form a new tube or new esophagus is form by
using patient’s large intestine. Most proper treatment
method is known as surgery in esophageal cancers; and
multidisciplinary approach increases change of success
at Liv Hospital Cancer Center that provides service with
individualized treatment methods and advanced technology
in pre-operative and post-operative period.
Stomach Cancer
Stomach is a digestive organ where foods are digested and
that is located between esophagus and small intestine.
Stomach cancer emerges from inner surface of the
stomach and can spread through lymph nodes. Endoscopy
is performed to the patients with swallowing difficulty,
anemia, weight loss, abdominal pain complaints and biopsy
is taken from the mass localized inside of stomach. Vascular
structures must be preserved carefully during the surgery,
and lymph nodes must be removed broadly. Disease-free
survival time significantly increases with quality of the
surgery. For this reason, stomach cancer surgery requires
high surgical experience and talent. Most proper treatment
method is known as surgery in stomach cancer cancers;
and multidisciplinary approach increases change of success
at Liv Hospital Cancer Center that provides service with
advanced technology.

Robotic Surgery for Liv Hospital
International Patients
The surgical application of robotic systems is one of the
most exciting and significant technological developments
of this century; its future implications are incalculable. Huge
strides have been made in the field of closed operations
in the past 10 years and the use of robotic systems has
emerged as the principle solution to technical limitations.
With our CyberKnife, Da Vinci and Acrobat Navigator
technology, and a dedicated team of trained and
experienced physicians and specialists, LiV Hospital is
proud to be a regional leader in the field of robotic surgery.
This information has been prepared for our International
Patients in order to provide more detailed knowledge and
perspective about the techniques available to them through
the LiV Hospital International Office. All our international
patients are served by a support structure delivered by a
personal Recovery Specialist; international patients should
contact our International Office with any questions or
comments concerning Robotic Surgery at Liv Hospital.
What is Robotic Surgery?
In the first part of the 21st century, the introduction of the
use of robotic systems in the surgical field is an exciting
and highly significant development. The development of
this kind of system was initially lead by NASA in the 1970’s,
with a view to facilitating the treatment of astronauts in
space by remote control. Based on this concept, a prototype
of the Da Vinci robotic system was first introduced in 1997
and received FDA approval in the year 2000. Since then,
the field of application of robotic systems has expanded
considerably; they are now used in numerous medical
centers in heart surgery, urology, general surgery, thoracic
surgery, child birth and pediatric operations.

What are the advantages of
Robotic Surgery?
In addition to the classic advantages of laparoscopic
surgery, the most significant benefits of robotic surgery are
as follows:
• LESS PAIN: Minimal trauma to the skin and muscle
means much less post-operation pain and discomfort.
• LOWER RISK OF INFECTION: Minimum contact
between the abdominal organs and the air in the
operating theater leads to a significantly lower risk of
infection compared to open surgery.
• SAFER SURGERY: 3-D and magnified images provide
better vision and protection of the blood vessels and
nerves. For example, blood loss during surgery is greatly
reduced.
• LESS SCARRING: With 1 – 1.5 cm incisions compared
to 20-25 cm incisions in open surgery, scarring is
minimized.
• FAST RECOVERY: Earlier post-operation mobilization
and oral nutrition leads to the patient’s speedier
recovery.
• REDUCTION OF HOSPITALIZATION PERIODS: Most
patients are discharged 3 or 4 days after surgery.
• A FAST RETURN TO WORK AND DAILY LIFE: Patients
return to normal life more rapidly due to more rapid
recovery and healing.

Which Operations Can Be
Done with Robots?
Although the increasingly widespread use of robotic surgery
over the past decade has been concentrated on urologic
surgery, it is now being ever more widely used in general,
gynecological and heart surgery.
Robotic Urology
The prostate is a gland in the male system that plays a
role in bladder output and semen viscosity. It is composed
of secretive cells and peripheral tissue. Prostate cancer
occurs with the abnormal development of these secretive
cells. Unless diagnosed early, prostate cancer spreads to
peripheral tissues via lymph and blood vessels. The areas
to which it most commonly spreads (metastasis) are the
peripheral lymph nodes and bones. It can also spread to the
lungs, liver and other organs.
There are various methods to treat prostate cancer. The
most effective of these methods is radical prostatectomy.
The 10-year disease-specific survival rate for patients
with well differentiated tumors who have undergone
radical prostatectomy is over 90%. For this reason, radical
prostatectomy is the most preferred of all available
treatment methods. Traditional open radical prostatectomy
surgery is carried out with a large surgical incision. This
means the patient experiences longer hospitalization time,
a prolonged period of post-operation recovery and healing,
exposure to a higher risk of infection and greater scarring.
Robotic prostatectomy procedures that have become more
widespread in recent years are performed with a small
incision and offer the patient a less traumatic
and minimally invasive alternative.

Advantages of Robotic Radical
Prostatectomy
• Less Loss of Blood: In robotic radical prostatectomy
surgery, the abdomen is inflated with gas. This gas
pressure leads to a significant reduction in bleeding.
The gas is discharged from the abdomen at the end of
the operation. Moreover, bleeding can be more clearly
detected and stopped earlier with the use of 3-D high
definition cameras that can magnify the operation area.
There is generally no need for blood transfusions.
• Shorter Hospitalization Periods: Since robotic surgery
involves smaller incisions and much less loss of blood,
patients are discharged from hospital earlier than when
compared with open surgery operations.
• Shorter Catheter Period: Since robotic prostatectomy
surgery enables waterproof stitching together of the
urinary bladder and urinary tract (anastomosis), the
catheter can be removed within 6-7 days.
• Less Pain: Because of the smaller surgical incisions,
patients experience less pain and discomfort compared
to open surgery procedures.
• Better Cancer Control: With the aid of 3-D high
definition images and instruments that can move
in 7 degrees, the prostate tissue can be more clearly
observed during the robotic prostatectomy procedure.
In robotic surgery the prostate apical region can be
seen much more clearly and operated on much more
precisely. As a result, surgical margin positivities are
significantly reduced.
• Better Bladder Control: Bladder control is regained
earlier in robotic prostatectomy patients when
compared to those who have undergone traditional
surgery. Factors that help to achieve earlier bladder
control include better imagery, less bleeding and the
retention of a longer urethra.
• An Earlier Return to Normal Sex Life: Robotic
prostatectomy facilitates the protection of the
neurovascular bundle around the prostate and allows
patients to return to a normal sex life earlier than is the
case with traditional surgery.

Robotic Gynecology
Liv Hospital is at the forefront of remarkable advances in
gynecological oncology, high-risk pregnancy and IVF / PGD
treatments, and expert in all areas of women’s health for
women of all ages, from adolescence on. For some patients,
minimally invasive surgery and Da Vinci robotic surgery may
be an option.
Robotic Oncology
The Liv Hospital Medical Oncology Department aims to
provide patients with the maximum protection while
slowing or preventing the spread of the cancer, leading
to eradication of the cancer with subsequent surgical or
radiation treatment, if required.
In cases of early detection, surgical treatment may be
sufficient. In more advanced cases, (especially if it has
spread to other organs), the treatment protocol may vary.
The treatment will depend on the type of cancer, its
extent and location and also on the individual
requirements of the patient.
Combining the specialty fields of Endocrine
Surgery, Breast Surgery, Surgical
Gastroenterology, Liver and Bile Duct
Surgery, Peripheral Vascular Surgery,
Varicose Vein Disease and Obesity
Surgery in a multidisciplinary
approach that embraces joint
efforts with the department of
Oncology.

Da Vinci Robotic Surgical Systems
As shown in image 1, the Da Vinci system consists of a
robotic tower (comprising binoculars, optic camera and 3
robotic arms), and surgeon’s console giving high definition
3D vision of the operation area and the control area for the
three robotic arms.
As shown in image 2, the binoculars offer 3D vision with
actual field of depth for the control hands (left) through the
binocular optics (right)

Robotic Technology at Liv Hospital
• DA VINCI S SURGICAL SYSTEM
The Da Vinci’s Robotic Surgical System integrates
groundbreaking robotic technology with 3D, high
definition endoscopy. Using this equipment, our
surgeons can perform more complex, minimally
invasive keyhole surgery, including prostatectomies,
gynecological and maxillofacial procedures. For the
majority of patients, this means less pain and blood loss
and a faster recovery period compared to conventional,
open surgery.
• ACROBAT NAVIGATOR
This robotic system enables surgeons to perform
complex hip and knee operations with unique
precision using Global Positioning System (GPS) type
technology. Similar to GPS for mapping travel routes,
the system enables the surgeon to navigate surgical
cuts via wireless trackers and cameras. A model of the
individual’s joint is produced on a computer as guidance
for the surgeon to perform procedures with a fraction of
a degree – improving accuracy with pinpoint precision.

The Age of Robotic Surgery and
MAKOplasty at Liv Hospital
Liv Hospital offers international patients a comprehensive
range of robotic surgery procedures, including an end to
painful knee and hip replacements with state-of-the-art
MAKOplasty
With our CyberKnife, Da Vinci, Acrobat Navigator and now
MAKOplasty surgery carried out by our dedicated team of
experienced physicians and specialists, Liv Hospital is a
regional leader in robotic surgery in a wide range of cases
from cancer to knee replacements.
ROBOTIC SURGERY - A WORLD OF DIFFERENCE AT
LIV HOSPITAL
• Less Pain
• Lower Risk of Infection
• Safer Surgery and Precision Non-Invasive Cancer
Treatment
• Precision Knee And Hip Replacements With Rapid, Full
Recovery
• Less Scarring
• Fast Recovery
• Reduction of Hospitalization Periods
• A Fast Return to Work And Daily Life Robotic
Technology at Liv Hospital

Robotic technology at Liv Hospital
MAKOPLASTY KNEE AND HIP REPLACEMENT SURGERY
Liv Hospital surgeons plan partial knee or total hip
replacement using 3D computer imaging. The MAKOplasty
robotic arm system provides visual, auditory, and tactile
control so surgeons cut away only the exact bone planned,
for accurate, less painful, more rapid and successful
outcomes.
DA VINCI’S SURGICAL SYSTEM
Using this equipment, Liv Hospital surgeons can perform
more complex keyhole surgery, including prostatectomies,
gynecological and maxillofacial procedures with less pain
and blood loss, and a faster recovery period.

A Groundbreaking Method of Gastric Bypass
Surgery and the Gold Standard in Obesity Treatment:
The occurrence of obesity is on a continuous upward trend
and has become a very significant public health issue. With
high success rates, obesity and metabolic surgery has
gained in importance and is being used more frequently to
treat diseases associated with obesity such as diabetes and
high blood pressure.
Robotic surgery is regarded as the gold standard in obesity
surgery. Its weight loss credentials are superior to other
techniques. Under this technique, patients lose 80% of
their excess weight and continue to lose weight for a
period of 18-24 months. It also enjoys greater success rates
than conventional methods in terms of its effectiveness
in correcting obesity-related conditions such as diabetes,
high blood pressure and lipid disorders (cholesterol etc.).
Patients’ food intake and absorption levels are effectively
reduced.
PLK-YRD-153/00

Life is Beautiful
TURKEY
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