The technology offers a number of
other advantages over both open and laparoscopic surgery. It is a much less
invasive form of surgery than open surgery, resulting in a shorter hospital
stay and quicker recovery time, while patients experience reduced blood loss
during surgery and reduced post-operative pain as smaller incisions are
required. In addition there is much less need for blood transfusion and there
is a lower risk of wound infection.
It provides the specialist with far superior
three-dimensional, high definition visualisation of the prostate, surrounding
tissue and neurovascular bundles than is possible with open or laparoscopic
surgery. It allows the surgeon improved dexterity and a steadier ‘hand’ when
performing the procedure.
The technology translates the
surgeon’s hand movements on the instruments on the console into corresponding
movements of the robotic arm instruments inside the patient, which gives the
surgeon excellent control in performing a wide range of motions.The robotic
technology is a much-needed addition to the armoury in the fight against
prostate cancer as it offers patients who require a radical prostatectomy a
treatment option that delivers better outcomes.
Worldwide increase in robotic
surgery
Worldwide,
the da Vinci system is being used in an ever increasing number of different
procedures. To date it has mainly been used in the field of urology to perform
prostatectomies to treat prostate cancer, a procedure that requires great
surgical precision.
Some
80% of prostatectomies in US are now being performed robotically, and the
number of procedures completed with such technology is increasing significantly
year-on-year throughout the world.
A boon for Prostate
Cancer patients – Advanced Robotic Prostate Surgery is now preferred choice for
Prostate Cancer patients due to following unmatched advantages
- Minimal Bleeding
- Much quicker recovery
- Reduced hospital stay
- Lesser pain killer requirements
- Lower blood transfusion rates
- Improved preservation of physical
appearance
- Three (3) D vision enables surgeon
to perform Prostate excision with Cancer
- Control without risk of Post
Surgery Continence (control over urinary and
- fecal discharge) and causing
Impotency
What
is Da Vinci master slave Robotic System?
The surgical
application of robotic systems is one of the most exciting and significant
technological developments of this century; its future implications are incalculable.Huge
strides have been made in the field of closed operations in the past 10 years
and the use of robotic systems has emerged as the principle solution to
technical limitations|
The use of robotic surgical systems has numerous advantages.
Whereas modern laparoscopic systems give only a two-dimensional vision, robotic
systems give the surgeon a three-dimensional field of vision and depth, provide
arms that, unlike the human hand, never tire and permit an unprecedented
continuityin operations. Since robotic systemsexceed even the human hand’s
freedom and facility of movement, far greater delicacy and dexterity is
achieved. Modern robotic systems fall into three categories; active,
semi-active and master-slave.But the most commonly used are master-slave
systems distinguished by the surgeon’s absolute control of the robot via a
remote control console.
The Da Vinci is a sophisticated master-slave robot that
incorporates 3-D high definition visualization, scaling of movement, and
wristed instrumentation. The operations with the Da Vinci System are performed
with no direct mechanical connection between the surgeon and the patient. The
surgeon is working a few feet away from the operating table, while seated at a
computer console with a three-dimensional view of the operating field.
1) Usually in
conventional approach, surgeons make decisions using tactile and visual cues to
identify a phenomenon, which is actually microscopic which is likely to damage
nerves or to leave cancer behind. In the Advanced Robotic Technique (ART)
surgeons uses a sophisticated mastr slave robot that incorporates 3-D high
definition vision, scaling of movement and wristed instrumentation that gives
him the ability to perform Prostate excision with minimal risk of leaving the
cancer behind and also minimal bleeding and post operative risk of incontinence
and impotence.
2) Neither clinical
nor imaging tests are sensitive enough to capture a tumour at T3 stage where it
has become locally advanced and a risk for spreading to other body parts.
Sometimes it is difficult for surgeons to find a precise plane between the
cancer and urinary sphincter or the nerves and err on the side of cancer safety
leading to incontinence or Impotence Da vinci robot system minimizes side
effects thereby greater control for the patient over urinary discharge i.e.
continence and return to normal sexual function after the surgery.
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