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What is Robotic Surgery: Examples, Benefits & Risks

In the ever-evolving world of medicine, Robotic Surgery stands as a testament to how technology is transforming patient care. This advanced approach offers a new level of precision and control, but what exactly is it, and what does it mean for you? This comprehensive guide will answer all your questions about What is Robotic Surgery, from its advantages to the recovery process, disadvanatges and More.

What is Robotic Surgery?

Robotic surgery, also known as robot-assisted surgery, is a type of minimally invasive surgery (MIS) that uses a computerised surgical system to assist a surgeon. This system typically consists of a surgeon’s console, a patient-side cart with robotic arms, and a high-definition 3D vision system.

The surgeon operates from the console, controlling the robotic arms that hold and manipulate surgical instruments and a camera. The technology translates the surgeon’s hand movements into precise, smaller movements, allowing for incredible accuracy.

Do surgeons need specialised training to perform robot-assisted surgery?

Yes, absolutely. Surgeons who wish to perform robot-assisted surgery must undergo extensive and specialised training. They are certified to use the specific robotic system (e.g., the Da Vinci system) they will be operating. This training includes:

  • Simulated procedures and virtual reality exercises.
  • Hands-on training with expert surgeons.
  • A required number of supervised procedures to become fully certified.

This ensures that the surgeon is highly skilled in both the surgical procedure itself and the use of the robotic platform.

What is Robotic Surgery most used for?

Robotic surgery is widely used across various surgical fields, especially for complex and delicate procedures where precision is paramount. Its minimally invasive nature makes it ideal for working in confined spaces.

Examples of Robotic Surgery

Some common examples of robotic surgery include:

  • Urology: Robotic prostatectomy (removal of the prostate gland for cancer), partial or total nephrectomy (kidney removal). Understand What Urology is?
  • Gynaecology: Robotic hysterectomy (removal of the uterus), myomectomy (removal of uterine fibroids).
  • General Surgery: Hernia repair, gallbladder removal (cholecystectomy), and stomach or colon resection.
  • Cardiothoracic Surgery: Mitral valve repair and coronary artery bypass.
  • Head and Neck Surgery: Removal of tumours in the mouth or throat.

What happens during robot-assisted surgery?

During the procedure, the patient is under a general anaesthetic. The surgeon makes a few small incisions in the patient’s body. The robotic arms, equipped with surgical tools and a high-definition camera, are inserted through these incisions. The surgeon sits at a console in the operating theatre, viewing a magnified, 3D image of the surgical site.

The surgeon’s hand and wrist movements are translated by the robot into highly precise movements of the instruments inside the patient’s body. The surgical team remains at the patient’s side to assist the surgeon and manage the equipment.

What are the advantages of Robotic Surgery?

The key advantages of robotic surgery over traditional open surgery are significant:

  • Smaller Incisions: This leads to less scarring and a better cosmetic result.
  • Reduced Blood Loss: The precise instruments minimise bleeding, often reducing the need for blood transfusions.
  • Less Pain: Smaller incisions and less trauma to surrounding tissue result in less post-operative pain.
  • Shorter Hospital Stay: Patients can often be discharged from the hospital sooner.
  • Faster Recovery Time: The less invasive nature of the procedure allows for a quicker return to normal activities.
  • Enhanced Surgeon Control: The robotic system provides a steady camera and instruments with a greater range of motion and dexterity than the human hand.

How successful is Robotic Surgery?

The success of robotic surgery is generally very high, often with outcomes equal to or better than traditional open surgery. Success depends on the specific procedure being performed and the skill of the surgical team. For many complex operations, studies have shown that robotic surgery can lead to lower complication rates and improved functional outcomes, particularly for procedures like prostatectomies.

What are the disadvantages of Robotic Surgery?

While highly beneficial, robotic surgery does have some drawbacks:

  • High Cost: The robotic systems and their specialised instruments are very expensive, which can increase the cost of the surgery for hospitals and patients.
  • Lengthy Operation Time: The time required to set up the robotic system can sometimes make the overall operation longer, especially for less experienced surgical teams.
  • Lack of Tactile Feedback: The surgeon cannot physically feel the tissue directly, although many systems now provide visual and audio cues to compensate for this.

How long will it take to recover from Robotic Surgery?

Recovery time is one of the biggest benefits of this approach. While it depends on the patient’s overall health and the specific procedure, most people experience a significantly faster recovery compared to traditional open surgery. Patients are often able to get out of bed and walk on the same day as the surgery and may return to work within a few weeks.

When should I call my doctor?

After any surgery, it is crucial to monitor your recovery. You should call your doctor or the hospital immediately if you experience:

  • A fever above 38°C (100.4°F).
  • Severe or increasing pain that is not managed by medication.
  • Excessive bleeding or pus from the incision sites.
  • Signs of a blood clot, such as pain or swelling in your legs.
  • Difficulty breathing or chest pain.

Is Robotic Surgery better?

“Better” depends on the individual case and the surgeon’s recommendation. Robotic surgery is an advanced, minimally invasive approach that offers significant advantages in recovery time and precision. It is often considered the preferred method for many complex procedures due to its ability to minimise blood loss and pain. However, it may not be suitable for every patient or every type of surgery. It is always a good idea to discuss all your options with your surgeon.

Is Robotic Surgery painful?

Patients typically experience less pain after robotic surgery compared to open surgery because of the smaller incisions. While there will be some discomfort, it is generally manageable with standard pain medication. Patients are often able to stop taking prescription pain relievers within a few days of the procedure.

Conclusion

In conclusion, Robotic surgery represents a remarkable leap forward in medical technology, offering patients a less invasive path to recovery. Its precision and clear advantages in post-operative outcomes have made it a standard of care for many complex procedures. As the technology continues to evolve, it promises to further improve surgical outcomes and patient experiences worldwide.

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FAQs

1. Is the robot autonomous during the surgery?

No, the robot is not autonomous. It is entirely controlled by the surgeon at all times. The robotic system is a tool that enhances the surgeon’s skills, not a substitute for them.

2. Will I have a big scar from the surgery?

No, one of the main benefits is smaller scars. Robotic surgery uses only a few small incisions, typically no more than a centimetre in length, as opposed to the large incision required for open surgery.

3. Can a robot be used for emergency surgery?

While possible, robotic surgery is typically reserved for scheduled, non-emergency procedures. The time required to set up the robotic system makes it less practical for time-sensitive, emergency operations.

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