On December 28th, the Panasonic robotic pancreaticoduodenectomy for the first time was broadcast globally at the 2017 World Robotic Pancreas Surgery Live Conference held at Beijing Hejia Hospital. It is worth noting that the meeting was chaired by Professor Liu Rong, director of the Hepatobiliary Surgery Institute of the Chinese People's Liberation Army and director of the Department of Hepatobiliary Surgery, and the chief expert of Hepatobiliary and Pancreatic Surgery of Beijing Hejia Hospital.
At the same time, some of the most prestigious surgical experts in the field of robotic surgery in the world, such as Professor David A. Kooby, director of surgery at Emory University in the United States, Professor JiangJin-Young, director of hepatobiliary and pancreatic surgery at Seoul National University, and Professor Kyoichi Takaori, director of pancreatic cancer at Kyoto University in Japan, etc. Invited to China to observe the operation live and conduct academic exchanges. Experts from around the world, including Europe, America, Japan, South Korea, India, Hong Kong and other places, will watch the operation live and communicate online through seminars on remote video conferences.
Da Vinci robots have unbalanced hepatobiliary and pancreatic surgery
The reporter learned that Beijing and Eaka Hospital have successively performed such surgeries in urology, pediatric surgery, gastrointestinal surgery, gynecology, thoracic surgery, thyroid surgery, and other fields, striving to help patients obtain the most with minimal trauma and the most delicate operation. Best surgical results.
The Department of Hepatobiliary Surgery of PLA General Hospital is the most accumulating team in the world for robotic hepatobiliary and pancreatic surgery. From November 2011 to date, nearly 1800 robotic hepatobiliary and pancreatic operations have been completed, accounting for about 1/4 of the total number of similar surgeries in the country. In 2017, the same category accounted for about 1/3 of the total.
At present, Da Vinci's robotic hepatobiliary and pancreatic surgery is unbalanced at home and abroad and can only be routinely performed in a few large medical centers. Thanks to the publicity of the news media and the support of national policies, the recognition and acceptance of robotic surgery by domestic patients has gradually increased, and the number of domestic robotic hepatobiliary and pancreatic operations has been increasing month by month.
Professor Liu Rong also emphasized that the lack of medical expertise and one-sided knowledge has also brought about some misunderstandings in understanding. Some patients have even robotized surgery too intelligently. “In fact, the robotic surgical system is only a smart operating platform, controlled by the surgeon doctor. The station's hand movements are transmitted to the end of the robotic arm's instrument for intraoperative dissection, removal, reconstruction, etc. The surgical operation is still performed by the main knife, and the robot is just an advanced medical tool."
The incidence of pancreatic cancer is increasing year by year. The difficulty of surgery is very high.
The 2017 “Status and Trends of Cancer in China†report shows that tumors are still the main cause of death for Chinese residents, among which pancreatic cancer mortality ranks sixth in male tumors and ranks seventh in female tumors, and its incidence rate is increasing year by year. .
Prof. Liu Rong introduced that after the peritoneum is deeply immersed in the pancreas, its surrounding adjacent to the peritoneum is complex and adjacent to important blood vessels. Therefore, the technique of pancreas surgery is difficult, and the special pathophysiological characteristics make the postoperative risk of pancreatic surgery high, and there are higher perioperative complications and mortality rate. Conventional open pancreatic surgery methods, surgical trauma, and high complications. Unlike surgery for pancreatic benign diseases, pancreatic cancer surgery must ensure adequate surgical margins, lymphatic dissection criteria and thoroughness, which further increases the difficulty of surgical operations.
The Da Vinci robot has a 3D HD stable field of view and a 7-DOF robotic arm, which has significant advantages in applications that require fine surgery and complex reconstructive surgery. It can cure tumors and reduce trauma on the premise of ensuring the safety of surgery and the efficiency of surgery. Its special microscopic view facilitates the thorough cleaning of lymph nodes. Literature analysis shows that robotic surgery can achieve the same surgical outcomes as open surgery. It is equivalent to the radical-related indicators such as the number of lymph node dissections and positive margins, and even better than open surgery. The rapid physical recovery of patients after robotic surgery can enable follow-up chemotherapy and other adjuvant therapies to be implemented as soon as possible, and has inherent advantages in improving long-term prognosis.
Robot Surgery Becomes Trend of Abdominal Surgery
Taking Liu Rong's team experience as an example, pancreatoduodenectomy, one of the most complex surgical procedures in the abdominal surgery, the team currently employs robotic surgery with a proportion of more than 75%. It has become the first choice in the international community. In relatively simple hepatobiliary and pancreatic operations such as partial hepatectomy, hepatic left lobectomy, distal pancreatectomy and enucleation, the proportion of robotic surgery is closer to 100%, and the proportion of robotic surgery in biliary surgery is also nearly 70%. about.
Liu Rong said that Leonardo da Vinci robot surgery is the main direction of the future development of abdominal surgery, I believe that with the increase in the amount of surgery, cost-effectiveness ratio, in the near future, Da Vinci robot surgery is bound to become the trend of many surgical development.
Hejia Sets Up Robotic Surgery International Exchange Platform
It is worth noting that as early as May 2016, the first Da Vinci Minimally Invasive Surgery Symposium hosted by Beijing Hejia Hospital invited a founding chairman of the World Association of Clinical Robotic Surgery and renowned expert Pier C. Giulianotti to complete a complex. Pancreatoduodenectomy and live webcasting, this is the first time in the country.
For the live broadcast of the surgery on December 28, Liu Rong said that he hopes to exchange mature clinical experience and methods with his colleagues and promote the advanced technology while demonstrating the strength of our robotic surgery technology, shorten the learning curve for beginners, and reduce early concurrency. The incidence of the disease benefits more patients.
He also stated that as the most prestigious foreign-funded hospital in China, Beijing Hejia Hospital has comprehensive technical support, advanced management models, and significant advantages in technological innovation and international integration, and can provide advanced and high-quality medical services to patients.
Pan Zhongying, dean of Beijing Hejia Hospital, said that as the advantages of Da Vinci's surgical robots are widely recognized by patients, now and in the family's surgery has entered the era of minimally invasive surgery. By taking advantage of Da Vinci robots, doctors can perform surgery more. It is safer and easier to expand more and more complex and minimally invasive surgical applications. It also enables patients to achieve greater improvement in surgical outcomes while being less traumatic and recovering faster.
Source: Legal Evening News - News
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