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Texas Institute for Robotic Surgery at St. David's North Austin Medical Center Performs Advanced Procedure Using da Vinci Xi Surgical System

November 17, 2016

AUSTIN, Texas-The Texas Institute for Robotic Surgery at St. David's North Austin Medical Center recently performed a breakthrough prostatectomy and partial nephrectomy on a patient using the new da Vinci Xi Surgical System, which was first unveiled at St. David's North Austin Medical Center in April. This procedure marks the latest surgical advancement in robotic-assisted surgery in Austin, as it allowed Koushik K. Shaw, M.D., a urologist with the Texas Institute for Robotic Surgery, to successfully treat a patient's aggressive prostate and kidney cancers in one surgical procedure using the new technology. The da Vinci Xi Surgical System is an expandable technology platform that is designed to accommodate and seamlessly integrate a range of current technologies in areas such as imaging, advanced instruments and anatomical access. Optimized for multi-quadrant surgeries, the system can be used across a wide spectrum of minimally invasive surgical procedures.

"During this procedure, we were able to successfully address two major urological cancers at once in a first-of-its-kind surgery, using one of the newest robotic surgery platforms in the world," Dr. Shaw said. "The success of the da Vinci Xi Surgical System marks a significant advancement in the types of services we can offer to patients who are suffering from colorectal, gynecologic and urologic cancers. This specific procedure truly benefited the patient and improved his prognosis."

The complex surgery was successfully performed in less than four hours, with Dr. Shaw first tackling the prostate cancer and lymph node dissection, then reconfiguring the da Vinci Xi Surgical System to remove a small portion of the patient's kidney. In total, just six tiny incisions were made during the procedure, and Dr. Shaw was able to successfully preserve most of the patient's kidney, allowing maximum kidney function for the patient in the future. "Using the da Vinci Xi Surgical System, we were able to manage both cancers at once, resulting in a shorter recovery time and less stress for the patient," Thomas N. Payne, M.D., medical director of the Texas Institute for Robotic Surgery, said. "This procedure underscores our continued efforts to offer significant surgical advancements to our patients."

The Texas Institute for Robotic Surgery-an international treatment, training and research center that combines excellence in robotic-assisted surgery and outcomes with education and training-was launched in March 2011. It houses the world's largest collective intelligence on robotic surgery, bringing together information on quality, performance and cost from nearly 100 hospitals across the United States. It also features an educational epicenter designed to teach best practices to hospital leadership, surgeons and surgical teams involved in the delivery of robotic-assisted da Vinci surgery.

St. David’s North Austin Medical Center

St. David’s North Austin Medical Center, located at 12221 North Mopac Expressway, is part of St. David’s HealthCare, one of the largest health systems in Texas, which was recognized with a Malcolm Baldrige National Quality Award—the nation’s highest presidential honor for performance excellence through innovation, improvement and visionary leadership—in 2014 and recognized as one of the top 15 health systems in the U.S. by Truven Health Analytics in 2012. The 378-bed multi-specialty, acute care facility is dedicated to the highest level of women’s health services, including maternity and newborn care with Level I, II and III nurseries at the adjacent St. David’s Women’s Center of Texas, as well as a 24-hour emergency department, the Texas Institute for Robotic Surgery, the Bariatric Center, heart and vascular center, neurology and neurosurgery, a kidney transplant program, inpatient and outpatient surgery, and acute inpatient and outpatient rehabilitation, among many others. St. David’s North Austin Medical Center is also home to St. David’s Children’s Hospital, which opened in December 2014. In 2012, 2013 and 2015, the hospital earned a national distinction for patient safety from The Leapfrog Group, an independent national nonprofit run by employers and other large purchasers of health benefits. St. David's North Austin Medical Center was named among the nation's 100 Top Hospitals by Truven Health Analytics for three consecutive years, from 2012 to 2014. For more information, please visit

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