Active participation of the Department of General and Digestive Surgery Sanctuary UNIVERSITY OF HM THE WORLD CONGRESS OF ROBOTIC SURGERY
The service has been the only Spanish group present at the meeting, with five communications based on experience with the use of a surgical robot Da Vinci HM hospitals in their specialty
• The papers presented at the meeting were developed as part of the first Chair in Oncology Robotic Surgery Abdominal Spain, created earlier this year by HM Hospitals, San Pablo CEU University and Palex Medical
• A comparative study between open at the treatment of rectal cancer robotic surgery, laparoscopic and shows that in HMS with more robotic surgery preserves the sphincter function in patients with tumors of the lower third straight
• Another study confirms, even in the treatment of tumor processes of remarkable complexity, such as pancreatic tumors, robotic surgery offers a lower consumption of blood, taking patients a shorter hospital stay
• Two studies presented at HMS technique used in robotic assisted surgical resection for rectal tumors path and neck tumors and pancreatic body
• A final work explained the organizational model of HMS is possible to reach a high level of robotic surgery in the treatment of digestive tumors and facilitates the ongoing development of this discipline
• The Department of General Surgery and Digestive HMS shall have completed its first hundred cases with the Da Vinci in early November
• To provide the most comprehensive care possible to their patients, HM Hospital adds to its commitment to the complexity in interventions and surgical techniques strategy extra effort to set different health-edge technologies, including interventions conducted with surgery robotics in abdominal oncology at no extra cost to their patients
Madrid, October 15, 2012. The Department of General Surgery and Digestive HM University Sanchinarro (HMS) is the only Spanish group present at the 4th Congress of the Association of Robotic Surgery Clinic, held in late September in Chicago, and one of the groups with the largest and most active participation in the meeting, having presented five papers based on experience with the use of a surgical robot Da Vinci HM hospitals specializing in General Surgery.
Specifically, the papers presented at the Congress by the Department of General Surgery and Digestive HMS -developed all within the first Chair in Oncology Robotic Surgery Abdominal Spain, created earlier this year by HM Hospitals CEU University Palex Medical-San Pablo and were two separate studies comparing open in the treatment of rectal cancer and pancreatic resections distal robotic surgery, laparoscopic; two on the technique developed in that service in robotic-assisted surgical resection of tumors via rectal tumors and pancreatic body and neck; and a final presentation on the organizational model of the center, sponsored by HM hospitals, is it possible to achieve a high level of robotic surgery in the treatment of digestive tumors.
Thus, the first of these works is one of the few studies conducted for this purpose in the world, and demonstrates that "in HMS with more robotic surgery preserves the sphincter function in patients with tumors of the lower third of rectum" according to explain those responsible for the Department of General and Digestive Surgery of this hospital, doctors Vicente Emilio and Yolanda Quijano.
"With laparoscopic surgery, and of course -they point out- open surgery, especially in males with large tumors, it is very difficult to make radical pelvic dissections to allow the two objectives of this technique: treat tumor disease in an appropriate manner and preserve sphincter function ", while" the robotic system allows dissections in the pelvic area that are difficult to perform laparoscopic or open surgery ", which allows to obtain the results indicated.
On the second comparative study of robotics and laparoscopic surgery versus open distal pancreatic resections, its conclusions -refrendadas even in the treatment of tumor processes show remarkable complexity-that "robotic surgery patients have a lower consumption of blood, besides having a shorter hospital stay, "two positive aspects, together with the clinical consequences for the patient," representing a decrease in the economic cost of the patient in hospital expenses ", experts emphasize.
Extensive experience in robotic surgery pancreatic
Pancreatic surgery continues to be one of the biggest challenges for surgeons that performed due to the anatomical location of the pancreas, and mainly to the proximity of major vascular structures such as the vena cava, the aorta, the superior mesenteric vein, the superior mesenteric artery The celiac artery and hepatic artery. The introduction of robotic surgery for the treatment of this disease has meant therefore a breakthrough in their approach.
However, at present, no more than 25 groups worldwide robotics pancreatic surgery performed with some continuity, compared to the great experience in the art that builds the service led by Quijano Vincent and doctors, which values each year to more than 200 MS patients, of which surgically between 70 and 80 of them involved.
So, according to both experts, since the launch of Robotic Surgery Program of HM hospitals in October 2010, after installation in HMS of a modern surgical robot Da Vinci, they have involved 19 patients with robotic surgery pathology pancreatic, and "has been made with this approach all surgical techniques today are made on this gland, from the more complex (like the cephalic duodenopancraetectomia) to the simplest (enucleation of peripheral lesions)," what constitutes " the largest series of Spain and is among the top 20 in the world ".
An unprecedented model that focuses on robotic surgery
Also, with the technique used in HMS in robotic assisted surgical resection of tumors via rectal and body and neck tumors of the pancreas, the Department of General and Digestive Surgery for early November which will have already made their first hundred Da Vinci cases also presented at the conference a Communication on the organizational model of HMS, in the words of Vincent and Quijano doctors, "is it possible to achieve a high level of robotic surgery in the treatment of digestive tumors and facilitates the constant development of this discipline "
This organization, "unprecedented in our country" model and "represents one of the main reasons for the significant progress of robotic surgery in our country"; is based, according to experts, in such important aspects as the availability of robotic surgical area depending "on the need and nature of preference medical conditions requiring treatment with robotic surgery," not by criteria of expertise, as in other hospitals, constituting a major barrier to the development of this technique in them. Given the muldisciplinar use of that area, the fixed allocations between the different services involved are avoided.
Also the increase in the number of surgeons with skills and training to develop robotic surgery is a differential aspect of this service, as against the small number of professionals from each service (normally one or two) that is usually limited the use of this technique, HMS, five of the eight surgeons performed with some regularity service robotic surgery.
"We must also emphasize the absence of air of 'surgical subspecialty' within the Department of General Surgery and Digestive HMS -continúan their responsible-, which allows surgeons to continuously increase their expertise, making numerous surgical techniques on different organs and pathologies ". HMS "tends to the integral development of their surgical training surgeons to prevent the existence of different areas of specialization robotics and each of them has a very small number of active surgeons," they add.
The priority is the patient
Finally, in the Department of General Surgery and Digestive HMS in the hospital itself and HM Hospitals in general, there is much interest in "innovate, learn new procedures and technologies and develop and consolidate robotic surgery, focussing on medical interest economic ".
In fact, to give the most complete care possible to their patients, a few months ago, and increasingly, HM Hospital adds to its commitment to the complexity in interventions and surgical techniques strategy extra effort to set different health technologies art, including procedures performed with robotic surgery in abdominal oncology at no extra cost to their patients.
The congress of the Association of Robotic Surgery Clinic, surgical robotics largest association in the world that welcomes all surgeons performing this discipline within said specialty, brought together more than 550 surgeons from 33 countries and 87 cities worldwide.