로봇 비뇨기과 수술의 시대

마지막 업데이트: 2026년 8월 15일

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Robotic urology surgery has earned its reputation, and for several operations — robotic prostatectomy above all — it is now considered the gold standard. This article covers the whole story: where the technology came from, what it is used for, what it does well, where it falls short, and where it is heading.

• 비뇨기과 센터 태국 방콕 병원 온라인 예약 02-310-3009 bhquro@bdms.co.th
• 사미티브 스리라차 병원 촌부리 088-022-1445

The story begins in the 1980s, and not in an operating theatre. Research into human spaceflight and battlefield medicine produced the first of two key components: a three-dimensional head-mounted display. The second, a telemanipulation instrument allowing a surgeon to operate at a distance, came out of work at Stanford aimed at military use. At the same time laparoscopic surgery was developing rapidly, and the idea of combining these technologies into what we now call robotic surgery became plausible.

History of robotic urology surgery

In the early 1990s two US companies were competing to build it.

• Computer Motion Inc.
• Intuitive Surgical

Intuitive Surgical’s “da Vinci” system succeeded so decisively that the company went on to acquire Computer Motion, and it has effectively held the field ever since.

Five generations of the da Vinci system have followed.

1. da Vinci 2000
   • Early 2000s, designed for coronary surgery but usable for urological procedures
2. da Vinci S
   • Mid-2000s, improved instrument arms and setup
3. da Vinci Si
   • 2009
   • High-definition visualisation
   • 손가락 기반 클러치 메커니즘
4. da Vinci Xi
   • 2014
   • 3D vision through a smaller-calibre camera port
   • Slimmer robotic arms
   • Multi-quadrant surgery becomes possible

5. da Vinci SP
   • 2018
   • Single-port surgery — every instrument passes through one incision

Advantages of robotic urology surgery

• Much smaller wounds than open surgery, with considerably less blood loss and less pain afterwards.
• Smaller wounds mean faster recovery.
• The robotic arm has a far greater range of motion than the human wrist and than laparoscopic instruments, which allows more precise work and makes more complex operations feasible.
• Magnified three-dimensional vision, which matters most when operating deep in a small space — exactly the situation in most urological surgery.

Limitations of robotic urology surgery

• Operating time can be longer than open or laparoscopic surgery because of the time spent docking the robotic arms, although this narrows considerably with an experienced robotic surgeon.
• It costs more.
• It requires a properly trained robotic surgeon.
• If an emergency arises during the operation, the surgeon may need to convert to open or laparoscopic surgery.
• It is not the right choice for every operation.
• It is not available in every hospital, so patients need to seek out a centre that offers it.

What the robot does not change

It is worth being clear about one thing that gets lost in the enthusiasm. Robotic surgery is a route into the body, not a different operation. A robotic prostatectomy removes the same prostate as an open prostatectomy, and the risks that belong to the operation itself remain: bleeding, infection, injury to nearby structures, blood clots in the legs or lungs, and the functional consequences specific to the procedure — for prostatectomy, that means erectile dysfunction and a period of urinary incontinence, neither of which the robot abolishes.

The other honest point is that outcomes track the surgeon more closely than the machine. A well-trained robotic surgeon with volume in the particular operation is what makes the difference; the presence of a da Vinci system in a hospital brochure is not, on its own, a quality measure. It is a fair question to ask any surgeon how many of your particular operation they perform.

After any robotic or laparoscopic urological operation, some symptoms need to be reported rather than waited out: fever or shaking chills, increasing rather than settling abdominal pain, a wound that becomes red, swollen or starts discharging, calf pain or swelling, sudden breathlessness or chest pain, and inability to pass urine once the catheter has been removed. Sudden breathlessness or chest pain means an emergency department, not a phone call.

Bangkok Hospital Headquarters is fully equipped with the da Vinci Xi system and has a qualified team covering all robotic urological operations. If you are weighing up whether robotic surgery is right for your condition, that is a conversation to have with a robotic surgeon who can assess your particular case.

소아라위 박사는 대만 장궁기념병원에서 첨단 로봇 비뇨기과 수술 과정을 마쳤습니다. international surgical training.

The most established application of this technology is in prostate cancer surgery. Read more about robotic prostatectomy at Bangkok Hospital, including nerve-sparing technique and functional recovery.

자주 묻는 질문 (FAQ)

Q1: 로봇 수술이란 무엇이며 일반 수술과 어떻게 다른가요?

Robotic urology surgery uses the da Vinci surgical system to perform minimally invasive operations with robotic arms controlled by the surgeon. Compared to open surgery, it offers smaller wounds, less blood loss, less postoperative pain, and faster recovery. The 3D magnified visualization and greater range of motion of robotic arms also allow for greater surgical precision, especially in deep and confined anatomical spaces typical in urology. The robot is the route of access; the operation performed inside is the same one.

로봇 수술로 치료할 수 있는 비뇨기과 질환은 무엇인가요?

로봇 수술은 전립선암의 로봇 전립선 절제술, 신장 종양의 로봇 신장 절제술, 신우 요관 협착의 로봇 신우 성형술, 방광암의 로봇 방광 절제술을 포함한 여러 비뇨기과 수술에 있어 표준 치료법입니다. Soarawee 박사는 다빈치 Xi 시스템을 사용하여 이 수술들을 방콕 병원 본원에서 시행하고 있습니다.

Q3: 로봇 수술은 안전한가요?

Yes. Robotic urology surgery has an established safety profile supported by extensive clinical evidence. However, it is still major surgery: bleeding, infection, injury to nearby structures, blood clots and the functional consequences specific to each operation remain possible, and the robotic approach does not remove them. Outcomes depend more on the surgeon’s training and case volume than on the machine itself, and in an emergency the surgeon can convert to open or laparoscopic surgery.

Q4: 로봇 비뇨기과 수술 후 회복 기간은 얼마나 됩니까?

로봇 비뇨의학과 수술 후 회복은 일반적으로 절개 부위가 작고 조직 손상이 적기 때문에 개복 수술보다 빠릅니다. 대부분의 환자들은 1-2주 안에 가벼운 활동으로 복귀할 수 있지만, 완전한 회복은 시행된 특정 시술에 따라 달라집니다. 담당 외과 의사가 수술 및 전반적인 건강 상태에 따라 개인 맞춤 회복 계획을 제공할 것입니다.

Q5: What symptoms after robotic surgery should I report?

Contact your surgical team promptly for fever or shaking chills, abdominal pain that increases rather than settles, a wound that becomes red, swollen or starts discharging, calf pain or swelling, or inability to pass urine after the catheter is removed. Sudden breathlessness or chest pain requires an emergency department immediately, as it can indicate a clot in the lung.

Q6: Is robotic surgery available at Bangkok Hospital Headquarters?

Yes. Bangkok Hospital Headquarters is equipped with the da Vinci Xi robotic surgical system, one of the most advanced generations available. Dr. Soarawee Weerasopone, who completed robotic surgery fellowship training at Chang Gung Memorial Hospital in Taiwan, performs robotic urological procedures at the hospital.

로봇 비뇨기과 수술에 대해 더 자세히 알아보고 싶으시거나 상담 예약을 원하시면, Soarawee Weerasopone 박사에게 방콕 병원 본원에서 전문 상담을 받으실 수 있습니다. 진료 예약. 사미즈 시라차 병원 예약은 비뇨기과로 전화하여 하실 수 있습니다. 088-022-1445.

Bangkok Hospital also runs a Telemedicine service, which is often the practical first step for patients travelling from abroad to discuss whether a robotic operation is the right route in their case — arrange it in advance by email to the Urology department at bhquro@bdms.co.th. Imaging, examination and the pre-operative assessment are done in person. Samitivej Sriracha is in-person only.

고지 사항: This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Robotic surgery is an approach to an operation and does not remove the risks of the operation itself; whether it suits your case can only be decided after assessment. No medical advice, diagnosis or prescription is provided through personal messaging channels. Always consult a qualified healthcare professional before starting any medical treatment.