Robots help humans or work for humans
Nothing is new
Because the work efficiency is much higher than that of labor
Robots are already making a difference in various fields
But
If by a surgical robot
your surgery
Will you still be so calm?
The data shows that since the introduction of the first Da Vinci surgical robot in China in 2006, the mainland has carried out tens of thousands of robot surgeries. It is no exaggeration to say that surgery is gradually entering the age of robots.
In recent years, the incidence of malignant tumors in China's urinary system has been rising, and the annual number of patients has exceeded 200,000, especially prostate cancer, bladder cancer and kidney cancer have ranked in the forefront of the incidence of common malignant tumors, which seriously threatens the health of the public.
Although open surgery and laparoscopic surgery have been widely used in the treatment of urinary system diseases and have accumulated rich experience, there is still a certain gap with the expectations of patients. As a representative of smart medical treatment, da Vinci robot enters the operating room, which not only makes the minimally invasive surgery of many difficult and complicated diseases change from "impossible" to "possible", but also solves the patient's worries to the greatest extent.
The era of robotic surgery has arrived!
At 9:00 a.m. on December 10, 2021, in a hospital in Beijing, a patient was undergoing a "special" partial renal resection operation in the operating room: Professor Du Peng, a surgical robot controlled by Professor Du Peng of the Department of Urology of Peking University Cancer Hospital, operated the entire operation.
In the past, even a senior doctor had to stand in front of the operating table for 2 to 3 hours to complete the operation, but today's surgeon is much more relaxed, he only needs to sit in front of the robot console, through the 3D eyepiece, with the help of remote control handle, he can perform various delicate operations. And the operation time is also greatly shortened, only about 1 and a half hours.
Traditional partial renal resection surgery requires a 20-centimeter-long incision in the patient, and now, with the help of 'Da Vinci', only a few small holes need to be punched in the patient's body to complete cutting, suturing and other operations. This means not only that intraoperative bleeding can be reduced, but also that the wound is greatly reduced, which helps the patient's postoperative recovery.
In surgery, a large incision means large injury, heavy bleeding, and a high risk of infection. Narrowing the surgical incision and reducing the risk of surgery is the goal that surgeons have always pursued. Surgical robots with extremely high precision have a natural advantage in controlling incisions.
Why is the robotic surgical incision small?
Take "Leonardo da Vinci," which resembles an octopus and consists of a surgeon's console, a three-dimensional high-definition imaging system, and a surgical system with four robotic arms.
Like human arms, the arm of "Leonardo da Vinci" also has three joints of shoulders, elbows and wrists, which can complete a total of 7 kinds of movements, such as up and down, front and back, free movement and simulated wrist left and right, rotation, opening and closing, and end joint bending.
Its forearm can be removed, can be installed as needed scissors, pliers, needle holders and other different functions of the "hand"; and its wrist joint is more flexible than the human wrist, not only can be freely rotated 540 degrees, but also after the wrist is bent down 90 degrees, and then freely rotated 540 degrees, therefore, the "Da Vinci" mechanical arm is much more flexible than the human hand, as long as the command is received, it can achieve precise operation in a small space.
Prostate surgery, which requires extreme precision, is a typical example. The prostate gland is located at the interface of the urethra and the bladder, the site is very deep, the traditional open surgery requires a large incision, but the use of robotic surgery only needs to open a few small holes of about 1 cm, and the amount of bleeding can be done by a piece of gauze.
According to statistics in the United States, more than 90% of radical prostate cancer resection is currently done by robots. Because the trauma is small, the operation is precise, and the operation is performed by surgical robots, the vast majority of patients do not need blood transfusions, and they can better protect the surrounding organs, and the hospital stay time is relatively shortened, and it can even be discharged 1-2 days after surgery.
In addition, doctors with a high level in surgery will be tired after working for a long time, which will inevitably produce hand tremors, affecting the accuracy and quality of surgery. Surgical robots, on the other hand, have no mood changes and are not fatigued. Therefore, it can achieve minimally invasive surgery to the extreme, which further improves the accuracy and success rate of its surgery.
Will robots replace doctors?
Seeing this, some people may ask: the advantages of surgical robots are so large, can they replace doctors?
In fact, medical robots have a certain degree of intelligence and can assist in completing surgical operations, but lack subjective initiative. The human body's organs are too complex, the anatomy and disease conditions are ever-changing, and it is still necessary to give full play to the on-the-spot judgment ability of the operator, the chief surgeon. No matter how the surgical robot progresses, what has changed is only the technical aspect of the operation, the surgical robot will not have human intuition and emotion, and these are exactly what patients need, even if the robot evolves, at least in recent decades, it will not replace the doctor.
As one of the urological tumor diagnosis and treatment hospitals with strong comprehensive strength in China, the Department of Urological Oncology of Peking University Cancer Hospital has been committed to promoting the dissemination and discussion of new methods, new technologies and new concepts for tumor diagnosis and treatment, constantly striving for excellence in the field of robotic surgery, breaking the technical bottleneck of traditional laparoscopic surgery, allowing many complex surgeries to be solved, relieving the pain of the majority of tumor patients, and allowing patients a healthy and disease-free future!
Author: Tang Xiaohu, Deputy Chief Physician, Department of Urology, Beijing West Cancer Hospital
The image comes from the Internet