robotic surgery - dr. meenakshi sundaram
Post on 20-Aug-2015
3.336 Views
Preview:
TRANSCRIPT
ROBOTIC SURGERYDR.MEENAKSHI SUNDARAM
CONSULTANT LAPAROSCOPIC AND ROBOTIC SURGEON
DEPARTMENT OF OBSTETRICS & GYNECOLOGY
INSTITUTE OF ROBOTIC SURGERY
APOLLO HOSPITALS, CHENNAI
Click to edit the outline text format Second
Outline Level Third
Outline Level
Fourth Outline Level
Fifth Outline Level
Sixth Outline Level
Seventh Outline Level
Eighth Outline Level
Ninth Outline LevelClick to edit Master text styles
Second level Third level
Fourth level Fifth level
Robotic surgery is the future
Robot-Advanced computer integrated interphase
BREAKTHROUGH TECHNOLOGY
Surgeons must progress beyond the traditional techniques of cutting and sewing ……. ,to a future in which minimal access to the abdominal cavity is only the beginning.”
Pappas, Jacob, NEJM 2004
How can we overcome surgeon and equipment limitation?
Image goes here
HISTORY OF ROBOTICS
LEONARDO DA VINCI ROBOT IN 1495
Term Robot was coined in
1920 from Czech word “ Rabota” meaning laborer
Medical Robotics in 1985-
PUMA 650
Click to edit the outline text format
Second Outline Level Third Outline
Level Fourth Outline
Level Fifth
Outline Level
Sixth Outline Level
Seventh Outline Level
Eighth Outline Level
Ninth Outline LevelClick to edit Master text styles
Second level Third level
Fourth level Fifth level
Click to edit the outline text format
Second Outline Level Third Outline
Level Fourth Outline
Level Fifth
Outline Level
Sixth Outline Level
Seventh Outline Level
Eighth Outline Level
Ninth Outline LevelClick to edit Master text styles
Click to edit the outline text format
Second Outline Level Third Outline
Level Fourth Outline
Level Fifth
Outline Level
Sixth Outline Level
Seventh Outline Level
Eighth Outline Level
Ninth Outline LevelClick to edit Master text styles
Second level Third level
Fourth level Fifth level
EVOLUTION OF ROBOTS
Da-Vinci Robot
Click to edit Master text stylesSecond level
Third level Fourth level
Fifth level
Da-Vinci Robotic arms
Click to edit Master text stylesSecond level
Third level Fourth level
Fifth level
Da Vinci Si system at Apollo Chennai
Click to edit Master text stylesSecond level
Third level Fourth level
Fifth level
HIGHLIGHTS OF ROBOTICS-CORE TECHNOLOGY
Surgeon controls the robotic arms
3-D HD vision
Endowrist instrumentation
Intuitive motion
Motion scaling-Filtration of tremors
Replicates high standard of surgery every single time
Open Surgery Laparoscopy Robotic surgery
INCISION 10-20 CM KEYHOLE KEYHOLE
PAIN ++++ ++ +
BLOOD LOSS 700 ML 300 ML 100 ML
SCARS + TINY TINY
SURGICAL AUTONOMY
- - +
POST OP HOSPITAL STAY
5-6 DAYS 2-3 DAYS 36 HRS OR MORE
RECOVERY LONG SHORT SWIFT
MASTERS
Finger “masters” controls which convert human movements into electrical signals that direct the robot instruments
SURGICAL DEXTERITY
Click to edit Master text stylesSecond level
Third level Fourth level
Fifth level
ADVANTAGES TO THE SURGEON
• Immersive view through tiny 1-2cm incisions
• Overcome limitations of human wrist
• Reach inaccessible areas with ease
• Work in limited space
• No risk of transmission of diseases
ADVANTAGES TO THE SURGEON
• Only system that allows surgeons to operate while seated
• Better ergonomics than traditional open and laparoscopic surgery
• Reduced surgeon fatigue
• Minimal invasive approach possible even for Obese patients
ADVANTAGES TO THE PATIENT
• Keyhole surgery• Less pain• Lesser trauma• Less blood loss• Faster recovery• Shorter hospital stay• Less need for medication• Safe, accurate and precise
APPLICATIONS IN CLINICAL PRACTICE
Urology
Gynecology
General Surgery
Cardiothoracic
Head and Neck surgery
Bariatrics
Robotic Urology Procedures Performed
Radical Prostatectomy
Radical Cystectomy
Partial Nephrectomy / Radical Nephrectomy
Adrenalectomy
Pyeloplasty
Ureteral Reimplantation
Urinary Fistula Repair
Robotic Urology Procedures Performed
Radical Prostatectomy
Radical Cystectomy
Partial Nephrectomy / Radical Nephrectomy
Adrenalectomy
Pyeloplasty
Ureteral Reimplantation
Urinary Fistula Repair
Facilitate successful completion of complex laparoscopic procedures
•Advanced endometriosis•Complex layered suturing like in myomectomy•Extensive clearance in malignancy•Precise dissection in Sacrocolpopexy•Accuracy in Tubo-tubal anastomosis
Gynecological Oncology
Radical hysterectomy for cervical and endometrial cancers
Para-aortic and Pelvic lymph node dissection
Trachelectomy
Oophorectomy
top related