Single-Site Surgery


Reston Hospital Center is the first in the region – and only the 2nd in Virginia – to successfully perform surgery using the new da Vinci Xi robot, a surgical platform designed to enable complex surgery using a minimally invasive approach. This technology allows our surgeons an unprecedented level of control which will provide less pain & faster healing for our patients. With da Vinci® Single-Site Surgery, our doctors use leading-edge precision instruments to deliver a virtually scarless result. Single-site surgery is performed on small incision in the belly button dramatically limiting visible scarring in addition to:

  • Lower rate of major complications
  • Lower blood loss
  • Shorter hospital stay
  • Virtually scarless results
  • High patient satisfaction
  • Minimal pain

da Vinci® Single-Site Surgery is currently available for the following procedures:

  • Gall bladder removal
  • Hysterectomy
  • Uterine fibroid removal

Firefly Fluorescence Imaging

Reston Hospital Center kidney surgeons use Firefly fluorescence during da Vinci® robotic surgery for partial nephrectomy (kidney removal). This additional imaging system offers:

  • A more detailed picture of kidney blood flow
  • A more clear distinction between cancerous and non-cancerous tissue

With this information, surgeons can spare more healthy kidney tissue, remove larger tumors with less invasion, and ensure proper kidney function.

How Firefly Fluorescence Works

There are three phases to Firefly fluorescence during robotic nephrectomy. Each phase begins with the surgeon injecting a small amount of indocyanine green (ICG), a tracer dye. Next, the green dye is tracked with nearly infrared imaging. The surgeon in control of the da Vinci robotic system can view both a traditional laparoscopic camera view and a view that tracks the Firefly dye movement.

  1. The first injection takes place at the start of the surgery to help visualize the kidney's blood supply. Often smaller renal arteries are not clearly shown on CT or MRI. Firefly helps our surgeons see all of the arteries that feed the kidney, which helps reduce blood loss.
  2. The next injection allows the surgeon to clearly see the difference between cancerous and healthy tissue. This helps the surgeon leave less cancerous tissue behind and spare more healthy tissue.
  3. The final injection takes place after the tumor has been removed and the kidney has been repaired. This injection allows the surgeon to see restored blood flow to the kidney.