Robotic Surgery On the Rise, 2012-08-19

 

 

Robotic surgeries on the rise

Durgesh Nandan Jha, TNN Aug 19, 2012, 02.15PM IST

DELHI: In the last few years, it has emerged as the safest and almost painless method for surgery and doctors are now using robots for gynae procedures, bypass surgery, cancer treatment and even in the case of transplants. Major hospitals in the city including AIIMS, Fortis and Medanta Medicity are creating special set-up for robotic surgery in view of increasing public demand. Surgery performed with the help of robot helps in early recovery of the patient, involves less bleeding or incision and leaves lesser scars, the doctors claim.

Says Dr Sudhir Srivastava, Chairman, Fortis International Center for Robotic surgery, "A typical surgery in a typical operation theatre includes two or three surgeons, an anesthesiologist, and several nurses - all needed for even the simplest of operations. But robotic surgery eliminates the need for so many people - it minimises the risk of error, and in a nearly empty OT, the doctor sits at a computer console (either in or outside the room) accomplishing what it once took a crowd of people to perform."


 

He said that in robotic surgery there is no need to dissect the entire chest as they do in open chest surgeries nor is there a need to break the rib bones or the sternum bone for conducting the operation. "In this robotic operation, only three incursions of one centimetre each need to be done in the left chest, which prevents heavy bleeding and reduces the rehabilitation period by seven times," Srivastava said. The newly opened centre for robotic surgery at Fortis hospital plans to have facilities for kidney transplant, cardiac surgeries, surgery for prostate cancer and a host of gynaecological problems.

According to Dr N P Gupta, chairman of Medanta Kidney and Urology Institute, they have been doing robotic surgeries at the hospital on routine basis and the demand has increased. "In a robotic surgery, one arm of the robot controls the camera and the other three hands manipulate the surgical instruments. The entire process is observed via a high-definition 3D vision system. The robotic arm is designed in such a way that it can reach the interiors of the organ curvature, which is not possible in traditional or microscopic surgery without damaging normal tissues," said Gupta. Dr A S Soin, who chairs the liver transplant and regenerative medicine department at the same hospital said that they are now foraying into using the machine in liver transplants.

At AIIMS, robotic surgeries have picked up and the premier institute is now planning to use the machine for treatment of prostate cancer more.