Frightening Number in Obesity Surgery
Stating that the number of surgeries due to this disease has increased with the increasing obesity in the world, Prof. Dr. Abdulkadir...
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What is Robotic Surgery?
What is Robotic Surgery?
Robots are devices that perform specific tasks preprogrammed by humans. The surgical robot is a medical device that is completely controlled by the surgeon and is used to increase the performance of the surgical procedure to be performed. The first computer-aided surgical instruments were laparoscopic camera systems that could be controlled by head, foot or voice. However, the real progress in robotic surgery has been achieved thanks to wrist-controlled, ergonomic and tremor-reducing hand tools and camera systems that provide 3-dimensional vision. The robot's double-headed camera technology provides the opportunity to adapt more easily to the differences in the sense of depth with a three-dimensional stereoscopic view. Thus, video-hand-eye coordination develops better. Today, robotic surgery is the highest point of technology that enables the development of laparoscopic surgery.
How is Robotic Surgery Performed?
How is Robotic Surgery Performed?
Robotic surgery operations are performed under general anesthesia. After the robotic arms are covered with sterile drapes, the patient's abdomen is inflated with CO2 gas. A 3-dimensional robotic camera and robotic ports are placed in the abdomen. After the docking process, that is, the positioning of the part carrying the robotic arms on the operating table, different robotic instruments are advanced into the abdomen according to the surgical procedure to be applied. After all the stages, the surgeon goes to the console, operates the robotic arms with computer aid, accompanied by a 3-dimensional image, and carries out all the stages of the surgery from there. Upon completion of the surgery, the robotic arms are separated and the device is removed.
What are the Advantages of Robotic Surgery?
What are the Advantages of Robotic Surgery?
The camera used in robotic surgery is three-dimensional and has high image quality. Since the camera is under the control of the surgeon, clear images of the anatomical structures in deep and narrow areas, magnified up to 12 times, are obtained. The instruments used in robotic surgery can be bent far beyond the range of motion of the human wrist and can rotate up to 540 degrees. In this way, it reaches many parts of the body (especially in narrow and small areas) and provides important conveniences such as cutting, holding and suturing in critical surgical interventions.
The surgeon's hand may tremble more or less physiologically, which can manifest itself especially in the advanced stages of the surgery. However, the sensitive movement ability of the arms used in robotic surgery eliminates this vibration. In robotic surgery, the surgeon manages the operation from the console in a sitting position. Meanwhile, the stress due to physical fatigue decreases, while the concentration of the surgeon remains high throughout the entire operation.
As a result, while the robotic system enables surgeons to perform more effective and safer surgery, the blood loss due to the operation decreases, and the return to normal life after the procedure is faster.
Is Robotic Surgery as Safe as Open Surgery?
Is Robotic Surgery as Safe as Open Surgery?
To date, more than 4 million people all over the world have been successfully operated with robotic method. The indicators presented by the numerical data are that this method has been increasing rapidly over the years. Robotic surgery is no longer an industrial marketing method, but a method whose medical advantages are based on scientific evidence. In terms of safety for robotic surgery, the user, namely the robotic surgeon, is more important than the medical device used. While the high-tech opportunities offered by robotic surgery to the surgeon ensure the comfort of the surgeon, it also obliges the surgeon to use many robotic equipment in a harmonious manner. As a result, the operation is not performed by a robot, but by a robotic surgeon, who adopts and successfully implements robotic surgery in the light of his experience in open and laparoscopic surgery.
Robotic Surgery for Obesity
Obesity Surgery
In 1997, for the first time in Brussels, Dr. After the first gallbladder surgery performed by Cadiere et al., the da Vinci Robotic Surgery System broke new ground in the field of surgery. After the implementation of the first robotic bariatric surgery by the same team in 1999, standard laparoscopic bariatric surgery such as sleeve gastrectomy, gastric bypass, duodenal switch started to be performed all over the world with robotic methods.
Among these surgeries, especially the robotic gastric bypass method is the more intense field of robotic surgery. In addition, the second corrective bariatric surgeries, which we call revisional, are performed with robotic methods in patients whose first bariatric surgery was performed incorrectly or was insufficient.
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