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Robot-assisted surgery is irreplaceable

Robot-assisted surgery is irreplaceable

In a number of articles dedicated to robotic surgery, we introduced the essence of the method and its application in general surgery, gynaecology and urology. This article will review the areas where robot-assisted surgery is not only most widely used, but where it has definite advantages to the other surgical treatment methods.


Thoracic surgery

Prof Dr Altan Kır, thoracic surgery specialist at Anadolu Medical Centre

‘The most important reason that makes robot-assisted surgery preferable for lung cancer treatment, is that it allows for the easier and more precise removal of lymph nodes.’

Robot-assisted surgery is a frequently used method especially for lung cancer patients. Whether or not a malignant or a benign tumour, specialists may benefit from the robotic surgery for operations which require removal of a lung segment, lobe or the entire lung. The removal of the lymph nodes around the bronchi and the mediastinum in lung cancer surgeries is a must, because the diagnosing of the cancer stage depends on determining whether or not the removed lymph nodes are metastatic. The most important reason that makes robot-assisted surgery preferable for lung cancer treatment, is that it allows for the easier and more precise removal of the lymph nodes. This gives us information about the subsequent treatment required, i.e. chemotherapy and/or radiotherapy, and about the course of the disease.

The method is also preferred to the other surgical methods for surgeries of the colon, cysts and tumours of the mediastinum, for loose or paralyzed diaphragm.

 

Cardiovascular surgery

Prof Dr Hashim Ustünsoy, cardiovascular surgery specialist at Anadolu Medical Centre.

‘Robot-assisted surgery is safely applied in mitral valve repair and replacement, tricuspid valve repair and replacement, ASD, VSD and PDA closure and in the treatment of heart tumours.’

Robotic surgery provides great comfort for cardiovascular surgeries as well. The option of performing the surgery through very small incisions without opening the chest, is an undisputable advantage to the other methods.

In patients with robot-assisted surgery bypass, the heart is reached through a 3-mm opening, made on the left side of the chest and with a small, approximately 3-4 cm incision. The valve surgeries, the removal of some heart tumours and closures are carried out through four millimetric holes and a small 4 cm incision on the right side of the chest. 

It is possible that all veins are replaced by means of a heart-lung machine. One or two veins may be replaced with no use of a heart-machine and heart arrest, which is achieved while penetrating through small openings on the left side of the chest. Practically,this means less blood loss, lower risk of infections, less pain, more aesthetic appearance and much shorter post-surgery recovery period. Following such a heart surgery, the patient may return to their routine activities in an almost four times shorter term that usually required for recovery.

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