Page 18 - MedicaWell No3

/ /
18 medica welll

Nerves are spared in rectal cancer surgery
Superior of the robotic surgery is somewhat more
remarkable in two ends of the digestive system, namely
pharynx and rectum.

Since surgery is carried out strictly in line with cancer
surgery principles of the organ that is located in a
narrow bone structure in rectum cancer, more remark-
ably in male patients, robotic surgery offers some
advantages. When robotic system is used for surgical
treatment of those locations, intraoperative bleeding is
lesser than other alternatives and necessity to switch to
open surgery is less common.

Moreover, robotic surgery is associated with far lower
risk of urinary incontinence and sexual dysfunction that
are very common after open surgical management of
rectal cancer in male patients. Research show that onco-
logic survival rate in robotic surgery is equal to that or
open surgery and other surgical methods.

Robotic surgery offers many advantages
In comparison to open surgery, small incision can be
made for major surgeries, resulting in lesser pain.

ADVANCED TECHNOLOGY IN SURGERY; ROBOTIC SURGERY Bleeding is less commonly observed and more easily
controlled thanks to detailed imaging and sensitive
tools. Minimal loss of blood is faced.
Da Vinci Robotic Surgery is one of most important is superior to conventional laparoscopy as even minor
surgical methods that gained popularity worldwide in tremors of the surgeon are filtered and eliminated. Postoperative recovery is faster and hospital stay is
approximately 15 years especially in the field of cancer Surgeon can manage very long-lasting surgeries eve shortened.
surgery. Recently, it is used in almost all surgical proce- without getting tired thanks to the console, where the
dures that may come to mind, ranging from cardiovas- surgeon carries out and manages the surgery, sees three Surgical site can be seen and understood in better detail
cular surgery and urology to digestive system surgery dimensional image of the surgical site and uses hands thanks to imaging advantages. Surgeon carries out the
and gynecologic surgery. Saying that in comparison to and feet easily. Since surgeons get less tired, they can surgery based on an in-depth insight.
conventional surgery, robotic surgery offers many focus on the surgery better.
advantages and facilities for both patients and doctors, Developed movement capability offers better depth and
Prof. Fatih Ağalar, M.D., General Surgeon of Liv Hospi- sensitivity in comparison to movements of human’s
tal, explains intended use of robotic surgery and its hand. The system eliminates involuntary tremors of the
superiorities. human’s hand.

Long-lasting surgeries can be managed without getting Since surgeon sits throughout the surgery, patient feels
tired more comfortable and physical stress is eliminated in
Robotic surgery is used as a novel third surgical method long-lasting surgeries.
in addition to open and laparoscopic surgery and its
intended use is ever increasingly enlarging. The method Nerve-sparing surgery is enabled in rectal cancer. Thus,
is boosting its superiority by developing its technologi- sexual functions and voiding function are spared.
cal infrastructure. Robot is not an independent system
that carries out surgery on its master. In robotic surgery, Smaller incision means lesser pain; if the pain is milder,
the surgeon sits in front of a console and uses arms of use of narcotic agents is minimized in the postoperative
robot that are loaded on the patient and a camera period. Ability to minimize use of narcotic agents means
system to perform the surgery using sensitive systems. quicker recovery of bowel functions. In robotic surgery,
The three dimensional high-resolution camera offers oral nutrition is allowed earlier in comparison to open
high-resolution 3D image of an area, or in other words, surgery. Briefly, smaller incision and lesser surgical
depth is intraoperatively perceived by the surgeon, trauma translate into lesser pain and quicker recovery.
while surgery is facilitated as images can be magnified Quicker recovery enables earlier engagement in work
up to 10x. This capability of detailed imaging helps the and daily life. In summary, robotic surgery offers the
surgeon to understand anatomic planes more easily. opportunity of “doing the correct thing in a correct
Surgical tools can freely move at 7 ranges and they can manner” in most aspect in modern treatment of surgery
turn by 540 degrees around their own axis. Thus, devel- Prof. Fatih Ağalar M.D. patients in the modern medicine.
oped microprocessors of robotic system enable access General Surgery
to locations, where human hand can hardly reach, and it Liv Hospital