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![Date 25th Feb 2024, Continental Hosptial, Hyderabad
HIGHLIGHTS OF ROBOTIC SURGERY
Dr Pravin H John & Dr John AC Thanakumar.
MS,FALS, FIBC MS, MNAMS, FRCS, FRCS, Dip MIS(fr), FIAGES,
FALS
www.anurag-hospital.com
]](https://image.slidesharecdn.com/roboticsurgeryppt-240301052221-2a833a86/75/Robotic-surgery-advantages-and-disadvantages-1-2048.jpg)
Uploaded byJohn Thanakumar
Robotic surgery - advantages and disadvantages
Robotic surgery offers several advantages over traditional surgery. It allows surgeons to perform complex procedures with more precision, flexibility and control through the use of robotic arms. The surgeon sits at a console to control the robotic arms, which provide 3D vision and small, precise movements. For patients, this translates to less pain, fewer complications, shorter hospital stays and faster recovery times. However, robotic surgery also has some disadvantages like higher costs and a continued need for humans in the operating room.
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Robotic surgery - advantages and disadvantages
- 1. Date 25th Feb2024, Continental Hosptial, Hyderabad HIGHLIGHTS OF ROBOTIC SURGERY Dr Pravin H John & Dr John AC Thanakumar. MS,FALS, FIBC MS, MNAMS, FRCS, FRCS, Dip MIS(fr), FIAGES, FALS www.anurag-hospital.com ]
- 2. WHAT IS AROBOT? Machine that resembles a human and does mechanical, routine tasks on command Any mechanical device that operates automatically with human-like skill “A robot is not a machine….it is an information system with arms”
- 3. Definition Robotic surgery orRobot Assisted Surgery allows many complex procedure with more precision, flexibility and control than standard procedures
- 4. Preamble ✤ Robotic surgeryis usually associated with minimal access surgery with small multiple incision to access the abdomen or chest. It is also used in open surgery. ✤ The common surgical robots involve the use of a camera arm and one or many arms for doing the operation. The surgeon sits at the console by the side and the operating assistant surgeon sits next to the patient to help out with the actual robotic arms which are basically controlled from the console.
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- 6. The ethos behindrobotics in surgery ✤ Better vision with larger flexibility and more control is exercised by the surgeon ✤ Delicate or impossible manoeuvres by the ordinary means can be performed by the surgeon assisted by robots.
- 7. ✤ Robotic surgerymake the MAS very doable. ✤ Advantages of MAS include tiny incisions, less pain, easy recovery and early return to normal activity. There is less hospital stay and hence less costs
- 8. IS IT FOREVERYONE? ✤ Robotic surgery is not for everyone. ✤ It is available only in some centres in the country. ✤ Some surgeries do not require robotics and hence a choice has to be made in conjunction with a robotic surgeon
- 9. ROBOTIC UROLOGY ✤ Urologistsled the way in robotics. ✤ Robotics Radical Prostatectomy preferable over conventional lap surgery ✤ Robotic pyeloplasty ✤ Robotic kindney operations are becoming more popular - transplants ✤ Robotic removal of cancerous lesions from single kidney patient.
- 10. ROBOTIC GYNECOLOGY ✤ RoboticWetheim’s hysterectomies ✤ Robotic sutured myomectomies ✤ Robotic tuboplastics ✤ Robotic retroperitoneal lymphadenectomy
- 11. ROBOTIC GENERAL SURGERY ✤Robotic cholecystectomy ✤ Robotic groin hernia repair ✤ Robotic fundo-location ✤ Robotic spleen preserving - pancreatectomy
- 12. [email protected] Caval Dissection Right Left Video3 Video 4 • Caudal-to-Cranial Dissection • Stable Anterior Liver Retraction by the 4° arm • Low CVP (< 5 cmH2O)
- 13. [email protected] Kelly Clamp CrushingTechnique • Endowristed Instruments • Trocars Not Strictly Positioned • Curved and Linear Resection Margins • Inflow Occlusion Sometimes Necessary • Easy Recognition of Vascular Structures Intra-Hepatic Vascular Control Video 7
- 14. ROBOTIC COLORECTAL SURGERY ✤Robotic colectomies with intracorporeal anastomosis ✤ Robotic pouch surgery for Ulcerative Colitis
- 15. ADVANTAGES OF ROBOTICSURGERY ✤ Vision is better with 3D depth perception ✤ Suturing at anastomosis is far better ✤ Collateral damage to surround organs is less ✤ So recovery is faster ✤ Bleeding is less ✤ Less sepsis due to minimal incisions or Single incision robotic surgery
- 16. ROBOTIC WRIST WITH6 DEGREES OF FREEDOM
- 17. Advantages of RoboticSurgery ✤ Less pain as incisions are small ✤ Blood loss is minimal ✤ Surgeon vision and access are better with good ergonomics
- 18. Advantages of RoboticSurgery (conted.) ✤ Less stay in hospital ✤ Complications are less ✤ Early return to normal activity
- 19. ADVANTAGES FOR THEPATIENT ✤ More precise surgical work ✤ Less pain ✤ Fewer complications ✤ Less hospital stay ✤ Shorter recovery
- 20. ADVANTAGES FOR THESURGEON ✤ 3D Vision gives surgeon the depth and better vision ✤ No tremors ✤ Better ergonomics with better sitting comforts ✤ Hence better dexterity of movements with augmented instruments ✤ Better access to the interior ✤ Can do complicated operations using robot
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- 22. SUMMARY ✤ Robotic SurgeryAKA Robot assisted surgery allows for more precision, better control by the surgeon where the patient has less pain, minimal scar, early return to normal work. ✤ Win win opportunity to everyone
- 23. FUTURE There is alwaysa future of new technology in the developing world