Da Vinci medical robot completes minimally invasive treatment
On March 5th, the Department of General Surgery, Hepatic Surgery and Thoracic Surgery of Zhongshan Hospital affiliated to Fudan University successfully completed the world's first minimally invasive technique using Da Vinci robot, and completed radical resection of rectal cancer and liver metastases in one patient. Resection and lung metastases resection. Mr. Gong, a 57-year-old patient, recovered well after surgery and was discharged yesterday.
According to literature search, such surgery has not been reported at home and abroad. The success of this combined operation indicates that the minimally invasive technical level of surgery in Zhongshan Hospital and the multi-disciplinary comprehensive treatment level of colorectal cancer have ranked among the international advanced level.
Simultaneous implementation of minimally invasive resection of three lesions of intestine, liver and lung
At the same time, the robot minimally invasive resection of the intestine, liver and lung lesions reduced the fear of waiting for the patient and the three surgical strikes, and reduced the liver and lung metastases rapidly after the removal of the primary lesion. risk. The procedure uses the world's most advanced Da Vinci robotic system, requiring only three 1.2 cm holes in the chest, six 1 cm holes in the abdomen, and a 5 cm incision to remove the specimens of the liver and intestine tumors. Completed all surgeries. According to the original traditional method, the chest needs a 20 cm incision, a 20 cm incision in the right upper abdomen, and an 18 cm incision in the left lower abdomen. The entire operation took 9 hours and was basically equivalent to open surgery.
The most important thing is that the patient needs three hospitalizations and three general anesthesias to complete the operation. After one operation is completed, it can be discharged smoothly within 7 days after surgery, which greatly shortens the hospitalization days and is beneficial to the early activities of the patients. Early follow-up comprehensive treatment. According to the traditional surgical method, each operation requires 7 days of hospitalization. After 1-2 weeks of surgery, the next operation can be performed. The 3 operations require at least 2 months. Mr. Gong has increased the frequency of bowel movements, thin stools with abdominal distension, and abdominal pain for half a month. He went to Zhongshan Hospital for treatment. Colonoscopy showed a huge mass of 14 cm in the anal verge, cauliflower-like, surface erosion and necrosis, mass blockage of the intestine, colonoscopy Can't pass. The pathological diagnosis of colonoscopy was adenocarcinoma. Further examination showed rectal cancer combined with right hepatic lobe metastasis and right lung metastases. After staying at Zhongshan Hospital, after the diagnosis and discussion of the treatment plan of the multi-disciplinary diagnosis and treatment team for colorectal cancer, the Deputy Director of General Surgery, Professor Xu Jianmin and Dr. Wei Wei, Chief Physician of Colorectal Cancer Surgery, and Associate Dean of Department of Hepatic Surgery Wang Xiaoying Surgical Fan Hong, Jiang Wei, deputy chief physician, and anesthesia department Li Min and nursing department Wang Ju, Dong Xiaoyan and other collaborations, using today's most sophisticated minimally invasive technology - Da Vinci robot, for the implementation of rectal cancer radical surgery and At the same time, the metastatic lesions of the liver and lungs were removed. The patient got out of bed the next day after surgery and fed fluid food.
Da Vinci robot can magnify 3D stereoscopic field by 15 times
According to reports, the operation relies on the Da Vinci robotic surgery system to magnify the 3D stereoscopic field of view 15 times, as well as the flexible and precise robotic arm (only one chopstick thickness per arm), which is realized in the lungs, liver and pelvic floor. Fine anatomy in a small space, thus achieving the effect of reducing intraoperative bleeding and protecting the pelvic floor autonomic nerve. The operation achieved a perfect combination of complete minimally invasive effect and thorough radical surgery, and at the same time solved the confusion of long-term surgical resection of primary and primary colorectal lesions and metastases.
Professor Qin Xinyu, deputy director of the Chinese Society of Surgery and leader of the Gastrointestinal Surgery Group, director of the Shanghai Society of Surgery, and director of the Institute of General Surgery of Fudan University, said that with the development of medical science, the medical diagnosis and treatment model has undergone major changes. At present, the international multi-disciplinary comprehensive treatment collaboration group advocates a new model of cancer diagnosis and treatment, and changes the original “individual politics†pattern, which can “tailor-made†the most individualized and reasonable comprehensive treatment plan for each patient; Specialization, minimally invasive, genetic and digital has become the four major trends in the diagnosis and treatment of surgery and oncology. In addition to traditional open surgery, endoscopy, endoscopy, and robotic surgery will become "weapons" in the hands of more and more surgeons, providing patients with more treatment options.
It is understood that in September 2010, the surgical team led by Professor Xu Jianmin of Zhongshan Hospital carried out the first Da Vinci robotic surgery system to assist the radical operation of sigmoid colon cancer. As of March 2014, the General Surgery of Zhongshan Hospital has completed nearly 300 cases of colorectal surgery with Da Vinci robot assistance, ranking the most in the country.
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