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  Sanford Downtown Walk-in Clinic
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  Sanford Health Walk-in Clinic
Serving all ages
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  Sanford Health Walk-in Clinic
Serving all ages
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Sanford Robotic-Assisted Surgery

Related services

da Vinci Surgical System

Sanford Health now offers the da Vinci® Surgical System, which allows our skilled surgeons to perform complex procedures in a minimally invasive fashion, which means tiny incisions, minimal scarring and a quicker return to your normal activities. Sanford Health is the first and only healthcare provider in the Bismarck-Mandan area to offer this innovative technology, which is the most-advanced available for minimally invasive surgery.

For the patient, benefits may include:
  • Significantly less pain
  • Less blood loss
  • Less scarring
  • Shorter recovery time
  • A faster return to everyday activities

Traditional open surgery requires large incisions, left, whereas
da Vinci uses tiny incisions, right. This example compares a traditional hysterectomy with the da Vinci procedure.

How it works

Though it is called a robot, the da Vinci® Surgical System cannot act on its own. Our skilled surgeons control every movement. Robotic-assisted surgery provides surgeons with enhanced capabilities, including high-definition 3-D vision and a magnified view thanks to a small camera inserted into the body through a minor incision. The surgeon has control over the robotic system, which translates his or her hand movements into smaller, more precise movements of tiny instruments that enter the body through other minor incisions. The instruments mimic—and, at times, exceed—the complex movements of the human hand and wrist.


Sanford Health uses robotic-assisted surgery for the following procedures:

Gynecologic procedures

Heart and lung procedures

Urologic/nephrologic procedures

Sanford Health surgeons can use robotic-assisted surgery for the following urologic/nephrologic procedures:

Close prostatectomy information Prostatectomy using the da Vinci:

In prostate cancer treatment, millimeters matter. Nerve fibers and blood vessels are attached to the prostate gland. To spare these nerves, they must be delicately and precisely separated from the prostate before its removal. Sanford Health surgeons use the precision, vision and control provided by da Vinci to assist them in removal of the cancerous prostate while preserving important nerves and blood vessels.

Other concerns for prostate cancer patients are urinary continence and sexual function after treatment. Studies show patients who undergo a robotic-assisted prostatectomy may experience a faster return of urinary continence following surgery and lower rates of urinary pain than radiation (brachytherapy) patients.

  Prostatectomy incision comparison
This example compares a traditional prostatectomy removal incision with the da Vinci procedure.

Several studies also show that patients who are potent prior to surgery have experienced a high level of recovery of sexual function within a year following da Vinci surgery. Talk to your surgeon about reasonable expectations for recovery of sexual function and a rehabilitation program that may include exercises and drug therapy.

Sanford Health is the first and only healthcare provider in the Bismarck-Mandan area to offer robotic-assisted surgery using da Vinci. For more information about robotic-assisted surgery, click here.


Bree Dewing, MD
General surgery
Andrew Horowitz, MD
Dr. Christie Iverson Christie Iverson, MD
Obstetrics & Gynecology
Dr. Peter Klemin Peter Klemin, MD
Obstetrics & Gynecology
Dr. Nadim Koleilat Nadim Koleilat, MD
Dr. Timothy Pansegrau Timothy Pansegrau, MD
Thoracic surgery
Dr. Kathleen Perkerewicz Kathleen Perkerewicz, MD
Obstetrics & Gynecology
Dr. Sean Russell Sean Russell, MD
Thoracic surgery

More information

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