Robotic Surgery in Lung Cancer and Thoracic Surgery
Robotic surgery orrobot-assisted surgery is a technique used by many surgeons. It allows them to perform complex operations more precisely, more flexible, more controlled and safer than traditional methods. Robotic surgery is in the group of closed surgeries performed through small incisions, called minimally invasive surgery. In thoracic surgery, the superiority of closed surgeries, which we call video-assisted or thoracoscopic, over open surgeries has been proven in suitable patients. Closed surgeries performed with the help of robots, which have become popular recently, have a significant technical superiority over video-assisted surgeries.
Da Vinci Robot After being approved by the FDA in the USA in 2000, it has been widely used in various branches. It has spread rapidly in US and European hospitals for use in the treatment of many diseases. The robotic surgical system includes a camera arm and mechanical arms to which surgical instruments are attached. The surgeon performs the surgery by controlling the arms while sitting at a computer console next to the operating table. The console gives the surgeon a high-resolution, magnified, 3D view of the surgical field. The surgeon manages the other surgical team who assists during the surgery from the console.
Advantages
Surgeons using the robotic system have a higher risk of surgery during the operation compared to traditional methods. They have the advantage of precision, flexibility and control, as well as a better view of the surgical field. The tools used in the robotic system provide the surgeon with the flexibility of movement of the wrist within the chest. Surgeons using the robotic surgery system can perform delicate and complex procedures that may be difficult or impossible with other methods. The benefits of minimally invasive surgery provided by robotic surgery are:
Less complication rate (e.g. wound infection), less pain, less blood loss, quicker recovery, smaller and less noticeable incision scars
Risks
In robotic surgery, complications similar to traditional methods are seen at lower rates. Robot equipment inside the chest cavity It causes minimal damage to the tissues and reduces the complication rate.
- Can it be applied to every patient?
Robotic surgery is suitable for every patient. may not be an option. The surgeon explains to the patient whether robotic surgery is suitable for that patient, its benefits and risks, by comparing it with other methods (open surgery and video-assisted surgery).
- In which diseases. Should it be preferred?
Robotic surgery can be safely applied in many diseases in thoracic surgery.
Especially in early stage "Lung cancers", in the chest cavity. Robotics in thoracic surgical diseases such as tumors and cysts of the area called "mediastinum" located between both lungs, "diaphragmatic diseases", "thymoma", "Myasthenia Gravis" (thymectomy) surgery is performed safely
Since cleaning of the lymph nodes in lung cancers is performed more successfully than video-assisted surgeries, it provides an oncological advantage.
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