Stepping into one of Makati Medical Center’s (MakatiMed) state-of-the-art operating suites feels like entering the future of surgery. The hospital has introduced the Da Vinci Xi Robotic Surgical System, a fourth-generation robotic platform that merges cutting-edge technology with surgical precision, setting a new standard in Philippine healthcare.
Named after Leonardo da Vinci, the Renaissance polymath renowned for his anatomical mastery, the Da Vinci Xi mirrors the harmony between human skill and robotic innovation. With four articulated arms and high-definition 3D vision, the system enhances a surgeon’s capabilities, enabling minimally invasive procedures with unparalleled accuracy.
“This is a transformative chapter for Philippine healthcare,” said Dr. Saturnino P. Javier, CEO and Medical Director of MakatiMed. Since its acquisition in May 2024, the robot has been deployed across specialties, including urology, gynecology, hepatobiliary surgery, colorectal procedures, and ENT (ear, nose, and throat) surgeries.
Doctors at MakatiMed describe the Da Vinci Xi as a “gentle giant”—its size belies its ability to operate with minimal tissue disruption.
In prostate surgery, where millimeter-level precision is critical, the robot helps preserve nerves essential for bladder control and sexual function. Dr. Jaime SD Songco, a urologic oncologist, noted, “With robotics, what was once the size of a ‘castañas’ becomes as clear as a ‘chico.’ Patients experience less blood loss, faster recovery, and better outcomes.”
For gynecological procedures, such as hysterectomies and endometriosis resection, Dr. Jennifer Marie M. Jose, an international proctor for the Da Vinci system, emphasized its benefits across all age groups.
“Women in reproductive, perimenopausal, and postmenopausal stages all gain from this technology,” she said.
In liver surgery, robotic assistance has slashed hospital stays. Dr. Catherine Teh, a hepatobiliary surgeon, shared, “A laparoscopic liver resection may require three to seven days of recovery; with robotics, it’s just one to five.”
For complex cases, the Da Vinci Xi excels where traditional methods fall short.
Colorectal surgeon Dr. Mark Augustine S. Onglao compared laparoscopy to “operating with chopsticks,” while robotic surgery “feels like your hands are inside the patient.” This precision is crucial in rectal cancer operations, where maneuverability is key.
ENT specialist Dr. Arsenio Cabungcal highlighted how transoral robotic surgery eliminates the need for invasive neck incisions.
“We can now remove throat tumors through natural openings, reducing pain and speeding up recovery,” he explained.
Despite its advanced capabilities, MakatiMed’s doctors stress that the robot is a tool—not a replacement—for skilled surgeons.
“You must be an excellent open surgeon before becoming a proficient robotic surgeon,” said Dr. Songco.
Dr. Javier added that while robotic surgery may involve higher upfront costs, the long-term benefits—quicker recovery, fewer complications, and faster return to daily life—make it a worthwhile investment.
