The da Vinci Xi: Transforming Urological Surgery at Bumrungrad Robotic Surgery Center

A diagnosis of prostate, kidney, or bladder disease can be life-changing. At Bumrungrad Robotic Surgery Center, the da Vinci Xi robotic surgical system offers new hope, helping patients face treatment with greater confidence, less pain, and faster recovery.

 

The Importance of Urological Health

The urinary system is essential for maintaining the body’s balance, filtering blood, removing waste, and regulating fluids. It includes the kidneys, ureters, bladder, prostate gland, and urethra.
When affected by conditions such as prostate cancer, kidney tumors, bladder cancer, or severe urinary obstruction, the impact goes beyond physical discomfort. Patients often face emotional stress, uncertainty about the future, and disruption to daily life.
 
While lifestyle changes and medications may help in early stages, advanced or cancerous conditions often require surgical intervention. Once associated with large scars and long hospital stays, surgery has entered a new era with robotic-assisted technology like the da Vinci Xi.

 

What Is the da Vinci Xi Surgical System?

The da Vinci Xi is one of the most advanced robotic-assisted surgical platform. It does not replace the surgeon but empowers them, enhancing every movement with greater precision, stability, and control.
It consists of:

• Surgeon Console – where the surgeon operates with a magnified, 3D high-definition view of the anatomy. Every hand movement is seamlessly translated into robotic precision.
• Patient Cart – placed beside the patient, the robotic arms perform the surgery in real time, following the surgeon’s movements with tremor-free accuracy.
• Vision Cart – integrates imaging and communication, allowing the surgical team to monitor the procedure in detail.

With wristed instruments that bend and rotate beyond the natural range of the human hand, the da Vinci Xi enables surgeons to operate in confined spaces once thought inaccessible.

 

Comparing Surgical Approaches

 

Feature	Open Surgery	Laparoscopic Surgery	Robotic Surgery (da Vinci Xi)
Incision size	Large (10–20 cm)	Small (0.5–1 cm)	Small (0.5–1 cm)
Surgeon’s view	Direct, limited	2D camera	3D HD, magnified up to 10x
Instrument movement	Hand-held, limited precision	Long rigid instruments	Robotic arms with 360° wrist-like motion
Blood loss	Higher	Moderate	Minimal
Pain after surgery	Significant	Reduced	Significantly reduced
Hospital stay	Longer (7–10 days)	Shorter (3–5 days)	Shortest (1–3 days)
Recovery time	Weeks to months	Several weeks	Faster return to daily life
Complication risk	Higher	Moderate	Lower
Functional outcomes (e.g., continence in prostate surgery)	Lower	Improved	Best outcomes with nerve-sparing precision

 

When to Consider Robotic-Assisted Urological Surgery

Your doctor may recommend robotic-assisted surgery if you are diagnosed with:

• Prostate cancer
• Kidney cancer or tumors
• Bladder cancer
• Severe urinary obstruction
• Complex urinary tract conditions requiring repair or reconstruction

Advanced Urological Procedures at Bumrungrad

At Bumrungrad Robotic Surgery Center, the da Vinci Xi is applied across a wide spectrum of urological surgeries:

• Radical Prostatectomy – Removal of the prostate gland for prostate cancer. The da Vinci Xi’s enhanced visualization and precise instruments allow nerve-sparing techniques, helping preserve urinary control and sexual function.
• Partial or Total Nephrectomy – Removal of part or all of a kidney for kidney cancer. Robotic precision reduces clamping time, protects healthy kidney tissue, and preserves long-term renal function.
• Cystectomy – Removal of the bladder for bladder cancer. Robotic technology improves access to deep pelvic areas, reducing blood loss and recovery time.
• Pyeloplasty – Reconstruction to correct kidney blockage (often due to ureteropelvic junction obstruction). The da Vinci Xi enables delicate suturing, restoring normal urine flow.
• Cyst Removal – Removal of kidney cysts that cause pain, infection, or reduced kidney function. Robotic arms allow safe excision while protecting surrounding tissue.
• Ureteral Reimplantation – Repair or repositioning of the ureters, treating reflux, obstruction, or injury. Robotic precision ensures accurate reconnection and reduced risk of complications.

 

Benefits That Go Beyond Surgery

Robotic-assisted urological surgery is not only about precision, it’s about changing the patient experience:

• Unmatched precision – robotic arms move with 360° flexibility, minimizing damage to surrounding tissues.
• Superior visualization – magnified 3D HD imaging allows surgeons to see even the smallest vessels and nerves.
• Less pain and blood loss – small incisions mean reduced trauma and bleeding.
• Faster recovery – patients often leave the hospital sooner and resume normal activities earlier.
• Better quality of life – especially in prostate surgery, nerve-sparing techniques help preserve urinary continence and sexual function.
• Lower complication risks – fewer infections and surgical errors compared to traditional open surgery.

 

Why Choose Bumrungrad Robotic Surgery Center?

Bumrungrad Robotic Surgery Center has been at the forefront of robotic surgery since 2016, with one of the largest robotic surgery programs in Thailand and Asia.
 
At the Robotic Surgery Center, patients benefit from:

• A multidisciplinary team of expert urologists, anesthesiologists, and surgical nurses.
• State-of-the-art da Vinci Xi technology for the most complex procedures.
• Personalized treatment plans tailored to each patient’s condition and health goals.
• A proven record of excellent surgical outcomes, reduced hospital stays, and improved long-term survival rates.

Here, advanced technology is combined with compassionate, patient-centered care, ensuring each individual feels supported at every step.
At Bumrungrad, robotic-assisted surgery with the da Vinci Xi is more than an operation - it is a pathway back to health, dignity, and hope.



FAQ
1. What is the da Vinci Xi used for in urology?
The da Vinci Xi robotic system is used for minimally invasive urological surgeries such as prostatectomy, nephrectomy, cystectomy, pyeloplasty, and ureteral repair. It provides greater precision, smaller incisions, and faster recovery.
 
2. Why choose Bumrungrad for robotic-assisted surgery?
Bumrungrad Robotic Surgery Center combines expert surgeons, advanced da Vinci Xi technology, and individualized care to deliver safer surgery, quicker recovery, and better quality of life.