Robotic and Minimally Invasive Surgery

Both Manchester Memorial Hospital and Rockville General Hospital have a comprehensive Robotic and Minimally Invasive Surgery Program. As leaders in Robotic and Minimally Invasive procedures, our physicians use special techniques that enhance precision and allow them to operate through these tiny incisions, or sometimes, without incisions. 

We have the very latest in surgical technology and talented specialists/surgeons practicing the most advanced techniques. In addition, dedicated, professionally certified staff and teams take excellent care of our patients, all contributing to an excellent patient experience and positive outcomes.

We offer to our patient all of this combined with the personal touch of a community-based hospital.
Our specialists/surgeons and teams work collaboratively to provide a multidisciplinary team focused on the patient. This approach and expertise allows us to offer a range of Robotic and Minimally Invasive Surgery specialties.
Our Robotic and Minimally Invasive Specialties Include:
  • Colon and Rectal Surgery
  • General Surgery
  • Gynecological Surgery
  • Orthopaedic Surgery
  • Otorhinolaryngology (ENT) Surgery
  • Spine Surgery
  • Urology
  • Vascular Surgery
What is Minimally Invasive Surgery?
Minimally Invasive Surgery (MIS) usually involves making tiny incisions, sometimes no more than a quarter-inch in length. This results in less trauma to the body versus an open incision. Robotic Surgery is a form of MIS.
Sometimes, ports are inserted through these incisions allowing the surgeon to introduce instrumentation into the body cavity. One of these incisions is used for a tiny camera so the surgeon and staff can view the operation from a flat panel monitor.
For other MIS surgeries, techniques and tools are used that disrupt the body integrity as little as possible.
Minimally Invasive techniques reduce the trauma associated with surgical procedures so patients recover faster. There are many benefits to choosing Minimally Invasive Surgery over traditional surgery:
  • Better outcomes related to surgery precision
  • Less pain after surgery
  • Less scarring or no scarring
  • Lower risk of infection
  • Shorter hospital stays
  • Shorter recovery
  • Quicker return to normal activities
  • Reduced costs for patients
Because Minimally Invasive Surgery usually requires only tiny incisions, patients are generally able to return to work and get back to their normal daily activities much faster after having a Minimally Invasive operation versus an open, or traditional surgery.
About Robotic Surgery:
Manchester Memorial Hospital is proud to have been the first hospital in Eastern Connecticut to offer Robotic Surgery with an Intuitive S™ High Definition Robot. Recently an Intuitive Si™ Robot has been acquired for surgeries requiring extensive up-to-date technology. An Si Robot is the world’s best surgical technology and this allows for excellent surgical outcomes.
The new technology includes:
  • EndoWrist® One™ Vessel Sealer & EndoWrist® Suction Irrigator
  • Firefly™ Fluorescence Imaging
  • Single Site Robotic Surgery
  • Skills Simulator
EndoWrist® One™ Vessel Sealer & EndoWrist® Suction Irrigator– allows for unparalleled precision in intraoperative techniques.
Firefly Fluorescence Imaging – offers the ability to have enhanced vessel and tissue visualization.

Single Site – offers all the advantages of Robotic Surgery through the patients naval for no scarring. Currently, Single Site Robotic Surgery can be used for Cholecystectomies (Gallbladder removal).
Skills Simulator – allows for surgeons to learn and practice robotic surgery skills.
What is a da Vinci® Robot?
Robotic surgery is a type of Minimally Invasive Surgery. “Minimally Invasive” means that instead of operating on patients through large incisions, we use miniaturized surgical instruments that fit through a series of quarter-inch incisions. When performing surgery with the da Vinci® Si™- the world’s most advanced surgical robot- these miniaturized instruments are mounted on three separate robotic arms, allowing the surgeon maximum range of motion and precision. The da Vinci®’s fourth arm contains a magnified high-definition 3-D camera that guides the surgeon during the procedure.
The surgeon controls these instruments and the camera from a console located in the operating room. Placing their fingers into the master controls, they are able to operate all four arms of the da Vinci simultaneously while looking through a stereoscopic high-definition monitor that literally places them inside the patient, giving them a better, more detailed 3-D view of the operating site than the human eye can provide. 

Every movement they make with the master controls is replicated precisely by the robot. When necessary, the surgeon can even change the scale of the robot’s movements: If they selects a three-to-one scale, the tip of the robot’s arm will move just one inch for every three inches the surgeon’s hand moves. And because of the console’s design, the surgeon’s eyes and hand are always perfectly aligned with the view of the surgical site, minimizing surgeon fatigue.
The ultimate effect is to give the surgeon unprecedented control in a minimally invasive environment. Utilizing this advanced technology, our surgeons are able to perform a growing number of complex urological, gynecological and general surgical procedures.
We invite you to explore our website to learn more about our robotic surgery team and the procedures we offer. If you are facing surgery, you couldn’t be in better hands. Learn more about da Vinci® Surgery here.
Our Robotic Surgery Institute Surgeons are very experienced, teaching these techniques to others. We are able to be a multi-specialty robotic program that includes:
  • Robotic Colon Surgery
  • Robotic General Surgery 
  • Robotic Gynecological Surgery
  • Robotic Urology Surgery
Our Robotic Surgeons:

Lawrence Arky, MD (OB/GYN)
Amanda Ayers, MD (Colon & Rectal Sugeon) 
Anthony DiStefano, MD (Urologist)
Matthew Dukehart, MD (General Surgeon)
Sarah Graceffa, MD (OB/GYN)
Danielle Grieco, MD (OB/GYN)
William Guinan, MD (OB/GYN)
Carla Rae Gunn, MD (OB/GYN)
Martin Hancock, MD (OB/GYN)
Paul Joyner, MD (Colon & Rectal Surgeon)
Robert Taylor Lewis, MD (Colon & Rectal Surgeon)
Lon Manfredi, MD (OB/GYN)
Alan Mayer, MD (OB/GYN, Oncology)
Raul Mendelovici, MD (OB/GYN)
Katerina Michaels-Bogdan, MD (OB/GYN)
Beth Nelson, MD (OB/GYN, Oncology)
Aziza Omrani, MDA (OB/GYN)
Philip Roland, MD (OG/GYN)
David Rosenberg, MD (Urologist)
Laureen Rubino, MD (General Surgeon)
Thomas Rutherford, MD (OB/GYN)
Thomas Staley, MD (Urologist)
Maher Suede, MD (General Surgeon)
Sreedhar Tallapureddy (OB/GYN)
Daniel Welling, MD (OB/GYN)


Find A Doctor  

Health Information  


ECHN ECHN's Center for Spine Care 6/11/2014
Laureen F Rubino on Robotic Surgery Laureen F Rubino on Robotic Su... 2/24/2014

See Video Library