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TECHNOLOGIES IN ROBOTIC SURGERY


 Introduction:

Robotic surgery also know as robotic-assisted surgery, is a type of minimal invasive surgery that uses a robotic system to assist the surgeon in performing complex surgical procedures. The robotic system, which is controlled by the surgeon, allows for precise and delicate movements, enabling surgeons to perform complex operations with greater accuracy and dexterity. Robotic surgery involves the use of a surgical robot, which is typically a multi-armed robot that is controlled by the surgeon using console. The robot is equipped with high-definition cameras and specialized instruments that allow for precise and delicate movements.


The process of robotic surgery:

1. Preparation:

The patient is prepared for surgery, and the surgical site is cleansed and sterilized.

2. Robot placement:

The robotic system is placed in the operating room, and the surgical instruments are attached to the robot’s arms.

3. Surgical planning:

The surgeon plans the surgical procedure, using pre-operative imaging studies to identify the location of key structures and organs.

4. Surgery:

The surgeon sits at a console and controls the robot’s arms using a joystick or other control device. The robot’s cameras provide real-time video feedback to the surgeon, allowing them to visualize the surgical site.

5. Closure:

The surgical procedure is completed,and the incisions are closed.

Robotic-assisted surgical specialties:

  • Cardiothoracic robotic surgery.
  • Colorectal Robotic Surgery.
  • Gastrointestinal robotic surgery.
  • Gynecologic robotic surgery.
  • Neurological robotic surgery.
  • Otolaryngologic robotic surgery.
  • Urologic robotic surgery.

Types of Robotic Surgery:

1. Laparoscopic-Assisted Robot-Assisted Surgery (LARAS): This type of surgery uses a combination of traditional laparoscopic instruments and robotic instruments to perform procedures such as gallbladder removal, hysterectomy, and prostate surgery.

2. Completely Robotic Surgery (CRS): In this type of surgery, the entire procedure is performed using a robotic system, without any need for manual instruments. Examples of CRS include robotic prostatectomy and robotic hysterectomy.

3. Telepresence Surgery: This type of surgery uses a robotic system to remotely perform procedures in real-time, allowing for remote monitoring and control of the procedure. Examples of telepresence surgery include remote surgery for emergencies and surgeries in remote or underserved areas.

4. Telepresence Surgery: This type of surgery uses a robotic system to remotely perform procedures in real-time, allowing for remote monitoring and control of the procedure. Examples of telepresence surgery include remote surgery for emergencies and surgeries in remote or underserved areas.

5. Robot-Assisted Minimally Invasive Surgery (RAMIS): This type of surgery uses a robotic system to assist in minimally invasive procedures, such as laparoscopic cholecystectomy and appendectomy.

6. Single-Site Robotic Surgery: This type of surgery uses a single incision to perform procedures such as gallbladder removal, hysterectomy, and prostate surgery.

7. Robotic-Assisted Thoracic Surgery (RATS): This type of surgery uses a robotic system to assist in thoracic procedures, such as lung cancer resection and esophageal surgery.

8. Robotic-Assisted Neurosurgery: This type of surgery uses a robotic system to assist in neurosurgical procedures, such as brain tumor resection and aneurysm clipping.

9. Robotic-Assisted Orthopedic Surgery: This type of surgery uses a robotic system to assist in orthopedic procedures, such as joint replacement and spine surgery.

10. Robotic-Assisted Urologic Surgery: This type of surgery uses a robotic system to assist in urologic procedures, such as prostatectomy and nephrectomy.

Benefits of Robotic Surgery:

1. Precise and minimally invasive: Robotic surgery allows for precise and delicate movements, reducing the risk of injury to surrounding tissues and organs.

2. Improved visualization: Robotic surgery provides high-definition, 3D visualization of the surgical site, allowing for better visualization of anatomy and improved surgical technique.

3. Enhanced dexterity: Robotic arms are designed to mimic the movement of human hands, allowing for precise and delicate movements.

4. Reduced blood loss: Robotic surgery is associated with less bleeding, which reduces the risk of transfusions and complications.

5. Shorter hospital stay: Robotic surgery typically requires a shorter hospital stay, as the procedure is less invasive and patients recover faster.

6. Faster recovery time: Patients who undergo robotic surgery typically recover faster and return to their normal activities sooner.

7. Reduced risk of infection: Robotic surgery is associated with a lower risk of infection due to the small incisions and reduced risk of bacterial contamination.

8. Improved surgical outcomes: Robotic surgery has been shown to improve surgical outcomes, such as reduced morbidity, mortality, and recurrence rates.

9. Reduced risk of complications: Robotic surgery is associated with a lower risk of complications, such as adhesions, hernias, and infections.

10. Improved patient satisfaction: Robotic surgery is often associated with improved patient satisfaction due to less pain, faster recovery, and reduced scarring.

11. Reduced healthcare costs: Robotic surgery can reduce healthcare costs by reducing hospital stay, reducing complications, and improving outcomes.

12. Increased surgical options: Robotic surgery offers a range of surgical options, including procedures that would be difficult or impossible to perform using traditional methods.

13. Improved surgeon training: Robotic surgery allows for advanced training opportunities, improving surgeon skills and confidence.

14. Reduced risk of organ damage: Robotic surgery is associated with a lower risk of organ damage due to the precise movement and control of the robotic arms.

15. Improved accuracy: Robotic surgery allows for more accurate dissection and removal of tissue, reducing the risk of positive margins and recurrence.

16. Reduced risk of nerve damage: Robotic surgery is associated with a lower risk of nerve damage due to the precise movement and control of the robotic arms.

17. Improved visibility in complex anatomy: Robotic surgery provides improved visibility in complex anatomical areas, such as the brain, spine, and pelvis.

18. Increased precision in delicate procedures: Robotic surgery allows for increased precision in delicate procedures, such as ophthalmic and neurosurgical procedures.

19. Reduced risk of bleeding in vascular procedures: Robotic surgery is associated with reduced bleeding in vascular procedures, reducing the risk of complications.

20. Improved patient comfort: Robotic surgery is often associated with improved patient comfort due to reduced pain, faster recovery, and reduced scarring.

Conclusion:

Technology is changing fast, and the world is changing with it. Robotic surgery is a rapidly evolving field that offers numerous benefits over traditional open surgery. With its precision, minimally invasive nature, and improved visualization, robotic surgery has revolutionized the way surgeons perform complex surgical procedures. As technology continues to advance, we can expect to see even more innovative applications of robotic surgery in the future.

Author Bios:

1. Mr.Ashok T, HOD / BME

2. Mr.Aravindhan P, AP / BME

3. Devika S, IV - Year / BME

4. Geetharakchana R, IV - Year / BME





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