Measurement of Radiation and Dosimetric Procedure.pptx
Robotic Surgery - Dr. Meenakshi Sundaram
1. ROBOTIC SURGERY
DR.MEENAKSHI SUNDARAM
CONSULTANT LAPAROSCOPIC AND ROBOTIC SURGEON
DEPARTMENT OF OBSTETRICS & GYNECOLOGY
INSTITUTE OF ROBOTIC SURGERY
APOLLO HOSPITALS, CHENNAI
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3. BREAKTHROUGH TECHNOLOGY
Surgeons must progress beyond the
traditional techniques of cutting and sewing
……. ,to a future in which minimal access to
the abdominal cavity is only the beginning.”
Pappas, Jacob, NEJM 2004
How can we overcome surgeon and
equipment limitation?
4. HISTORY OF ROBOTICS
LEONARDO DA VINCI ROBOT
IN 1495
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Term Robot was coined in
1920 from Czech word
“ Rabota” meaning
laborer
Medical Robotics in 1985-
PUMA 650
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EVOLUTION OF ROBOTS Outline
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Da-Vinci Robot Da-Vinci Robotic text
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Da Vinci Standard
(1999)
Da Vinci S system
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Da Vinci Si system
(2009)
7. Da Vinci Si system at Apollo Chennai
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8. HIGHLIGHTS OF ROBOTICS-CORE TECHNOLOGY
Surgeon controls the robotic arms
3-D HD vision
Endowrist instrumentation
Intuitive motion
Motion scaling-Filtration of tremors
Replicates high standard of surgery every single
time
9. Open Surgery Laparoscopy Robotic surgery
INCISION 10-20 CM KEYHOLE KEYHOLE
PAIN ++++ ++ +
BLOOD LOSS 700 ML 300 ML 100 ML
SCARS + TINY TINY
SURGICAL - - +
AUTONOMY
POST OP 5-6 DAYS 2-3 DAYS 36 HRS OR MORE
HOSPITAL STAY
RECOVERY LONG SHORT SWIFT
12. SURGICAL DEXTERITY
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14. ADVANTAGES TO THE SURGEON
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Immersive view through tiny 1-2cm incisions
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Overcome limitations of human wrist
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Reach inaccessible areas with ease
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Work in limited space
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No risk of transmission of diseases
15. ADVANTAGES TO THE SURGEON
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Only system that allows surgeons to operate while
seated
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Better ergonomics than traditional open
and laparoscopic surgery
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Reduced surgeon fatigue
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Minimal invasive approach possible even for Obese
patients
16. ADVANTAGES TO THE PATIENT
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Keyhole surgery
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Less pain
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Lesser trauma
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Less blood loss
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Faster recovery
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Shorter hospital stay
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Less need for medication
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Safe, accurate and precise
17. APPLICATIONS IN CLINICAL PRACTICE
Urology
Gynecology
General Surgery
Cardiothoracic
Head and Neck surgery
Bariatrics
20. Facilitate successful completion of
complex laparoscopic procedures
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Advanced endometriosis
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Complex layered suturing like in myomectomy
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Extensive clearance in malignancy
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Precise dissection in Sacrocolpopexy
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Accuracy in Tubo-tubal anastomosis
21. Gynecological Oncology
Radical hysterectomy for cervical and endometrial
cancers
Para-aortic and Pelvic lymph node dissection
Trachelectomy
Oophorectomy
22. DR.MEENAKSHI SUNDARAM
CONSULTANT LAPAROSCOPIC AND ROBOTIC SURGEON,
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
Apollo Hospitals (Main)
21, Greams Lane
Off Greams Road
Chennai - 600006
Phone: +91-44-28290200/28293333
Notas do Editor
----- Meeting Notes (5/8/12 11:47) ----- Re
Photo Courtesy of ISI P/N 870273 Speaker Notes: There are numerous pediatric procedures being performed using the da Vinci system. While Pyeloplasty’s are the most frequently performed, surgeons are realizing the benefits of da Vinci especially in reconstructive procedures, and expanding their pediatric robotic surgery offering to include many additional procedures. Listed here are ten of the common da Vinci pediatric procedures performed.
Photo Courtesy of ISI P/N 870273 Speaker Notes: There are numerous pediatric procedures being performed using the da Vinci system. While Pyeloplasty’s are the most frequently performed, surgeons are realizing the benefits of da Vinci especially in reconstructive procedures, and expanding their pediatric robotic surgery offering to include many additional procedures. Listed here are ten of the common da Vinci pediatric procedures performed.