Monday, June 26, 2017

Greater Surgical Precision using Robotic Surgery #Science #Medicine

Rectal cancer is one of Life's Scariest Things and the topic is abhorrent to many simply due to the nature of rectal process.  The latest version shows how robo surgery is less-invasive for removal of a rectal tumor than if a human surgeon had performed the same procedure.

Note:  the robo is NOT working autonomously and this isn't "Star Trek."

Up until now, the removal of bowel tumors in the lesser pelvis (rectal cancers) involved a major, generally invasive operation. This operation can now be done in a much gentler way using an innovative procedure, robotic surgery. Thanks to a better three-dimensional view of the operating area and robotic instruments that allow highly accurate surgery to be performed in the anatomically constricted space of the lesser pelvis, surgical trauma and incisions for the operation can be kept to a minimum, while, at the same time, achieving excellent surgical results. The robotic colorectal surgery programme at the Comprehensive Cancer Center (CCC) of MedUni Vienna and Vienna General Hospital has been certified by the European Academy of Robotic Colorectal Surgery (EARCS) since the beginning of the year. This makes the CCC in Vienna General Hospital the first centre for robotic colorectal surgery in Austria.

Science Daily:  Colon cancer: Greater surgical precision using robotic surgery

Less trauma should always mean the recovery is more gentle which is consequently better for the patient.  More than likely, there will be chemo / radiation to wipe out any remaining live cancer but set that aside for the moment and take things in their course.  Chemo is the worst but you CAN get through it but first get through this surgery.

My interest is not personal but highly-empathic relative to events in my life.

- Infer the obligatory rant to get that damn colonoscopy to head off the problem as early as you possibly can -

An additional consideration regarding surgery by a human surgeon is the level of surgeon fatigue which rises during the procedure.  To the extent that's reduced through exploitation of robotic aids, outcomes must inevitably improve.

CCC will continue to monitor and evaluate the procedure. It therefore plans to conduct a study (fatigue study) to evaluate the benefits of robotic surgery over the two conventional procedures in terms of surgeon fatigue. Certain parameters will be used to compare physical fitness and the ability to concentrate before and after the different operating procedures. Says Bergmann: "As an academic institution, comprehensive scientific validation of the new method is important to us. Our impression is that the fatigue factor is significantly less for the surgeon when he/she uses the robot. This is presumably due to the better ergonomics of the robotic method. We also want to establish this scientifically. It has already been demonstrated on many occasions that adequately rested doctors contribute to increased patient safety. That would then be an added advantage of this technique."

- SD

We don't need to flog the idea The Robos Are Coming but it is novel to note the level at which this new variation enters the field.  It's one thing when we consider robos taking assembly-line jobs but it's quite another when we see them doing complex surgery and apparently better than a human surgeon can manage.

There's much more to the source article and you will probably need to be a medico to fully benefit but the interested student is invited to review.

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