Minimally Invasive Robotic Surgery in Urology

What is Robotic Surgery?

Robotic Surgery at Danbury HospitalRobotic surgery is a specialized form of minimally invasive surgery. The robotic system used at Danbury Hospital is called the da Vinci® Surgical System, which consists of three mechanical arms, a camera, a 3D image processing system and a remote control unit.

A Higher Level of Precision

The da Vinci Surgical System does not place a robot or computer in control of your surgery—your surgeon is controlling every aspect of your surgery at all times.

The precision of the robotic system gives surgeons better vision, maneuverability and control. There are many benefits of laparoscopic and other minimally invasive surgeries to surgical procedures that were once performed only with open surgery. Your doctor will determine whether minimally invasive surgery is right for you.

Laparoscopic Surgery

Laparoscopy is defined as a minimally invasive technique to look inside the abdomen or pelvis with specialized camera or scopes. The scopes and instruments are placed through the abdominal wall via several small incisions. Laparoscopic surgery inflates the abdomen with gas to create a working space in order to remove or repair the affected organ.

Robotic Surgery

When medication and other non-surgical treatments are unavailable or cannot relieve symptoms, surgery is the recommended treatment for many conditions that affect the male reproductive organs and urinary tract organs. These conditions include, among other things, prostate cancer, ureteropelvic junction (UPJ) obstruction, bladder and kidney cancer and vesicoureteral reflux.

Fortunately, less invasive surgical options are available to many people facing urologic surgery. The most common is laparoscopy, which uses small incisions. Laparoscopy can be very effective for many routine procedures, but limitations of this technology prevent its use for more complex urologic surgeries.

The da Vinci Surgical System, is being used by an increasing number of surgeons worldwide for prostatectomy and other urologic procedures. It is a minimally invasive approach, using the latest in surgical and robotics technologies and is ideal for delicate urologic surgery. This includes prostatectomy, where the target site is not only tightly confined but also surrounded by nerves affecting urinary control and sexual function.

Using da Vinci, your surgeon has a better tool to spare those delicate and critical surrounding nerves. This may improve your recovery experience and clinical outcomes with such benefits as:

  • Significantly less pain
  • Less blood loss
  • Fewer complications
  • Less scarring
  • A shorter hospital stay
  • And a faster return to normal daily activities


Robotic Surgery at Danbury Hospitalda Vinci surgery is the number one treatment for prostate cancer in the United States. da Vinci prostatectomy is a minimally invasive, robotic assisted surgical procedure that removes a cancerous prostate gland and related structures.

Compared to open surgery, the potential benefits of the da Vinci prostatectomy are:

Effective Cancer Control

  • Studies have shown that experienced surgeons have achieved excellent results in removing prostate cancer without leaving cancer cells behind.

Improved and Early Return of Sexual Function

  • Studies have shown that many patients have a return of sexual function.

Improved and Early Return of Continence

  • Studies have shown that most patients have a return of urinary continence.

Improved Results Over Traditional Treatments

  • Patients may benefit from surgical treatment of localized prostate cancer.

Minimally Invasive Surgery

  • The da Vinci System enables surgeons to perform even the most complex and delicate procedures through very small incisions with unmatched precision.

Additional patient benefits may include:

  • Significantly less pain
  • Less blood loss
  • Less scarring
  • Shorter recovery time
  • A faster return to normal daily activities

As with any surgery, these benefits cannot be guaranteed, as surgery is specific to each patient and each procedure.

Partial Nephrectomy and Pyeloplasty

Robotic Surgery at Danbury HospitalIf your doctor recommends surgery for a kidney condition such as blockage of the ureters or kidney cancer, you may be a candidate for da Vinci surgery.

da Vinci surgery uses state-of-the-art technology to help your doctor perform a more precise operation than conventional surgery allows. It offers several potential benefits over a conventional open surgery, including:

  • Significantly less pain
  • Less blood loss
  • Fewer transfusions
  • Less risk of infection
  • Less scarring
  • Shorter hospital stay
  • Shorter recovery time

da Vinci surgery for kidney conditions uses the best techniques of open surgery and applies them to a robotic-assisted, minimally invasive approach. With da Vinci Surgery, doctors may perform what's called a partial nephrectomy – removal of part of the kidney.

The precision and dexterity of the da Vinci Surgical System's advanced instrumentation provides for a minimally invasive approach to treating kidney disorders and kidney cancer.

As with any surgery, these benefits cannot be guaranteed, as surgery is patient and procedure specific.

For More Information

Need a doctor? Search our Find a Doctor online tool to find a urologist in your area. You can also call us at 1-800-516-3658 for a physician referral, or talk to your doctor about Danbury Hospital.

Additional resources to learn more about Danbury Hospital can be found in our comprehensive patient and visitor information section.

Director, Robotic Surgery

J. James Bruno II, M.D., F.A.C.S.

Director of Robotic Surgery
J. James Bruno II, M.D., F.A.C.S.

Dr. Bruno is a highly credentialed, board certified urologist. He is the Director of Robotic Surgery at Danbury Hospital.

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Dr. Bruno provides the latest treatments and surgical options to combat the full array of urologic disorders. He has a track record of excellent outcomes in minimally invasive urologic surgery, offering his patients the benefit of short stays and quicker recovery.

Procedures and Specialties

  • Oncological physiology and pathology of renal cell and prostate carcinoma
  • Percutaneous/laparoscopic cryotherapy of kidney tumors
  • Endourological management of stone disease
  • Urethral reconstructive surgery

Laparoscopic and Robotic (DaVinci) Surgery

  • Radical Robotic Prostatectomy
  • Laparoscopic Kidney surgery
  • Robotic Pyeloplasty

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