DR. VINCENT AND DR. QUIJANO: "Robotic surgery has changed the concept SURGICAL"
The lectures focused on robotic surgery and the advantages of laparoscopy versus
• Laparoscopic surgery has several limitations, such as two-dimensional vision and reduced maneuverability. This results in the increase of robotic surgical procedures, which last year accounted for 50 percent of the interventions of rectal cancer, compared to 35 percent who were held by laparoscopy and 15 percent open approach.
• Robotic surgery has been growing and has gone from one used in urology to be used in other areas, changing the concept of surgery
• In October 2010, HM Hospital incorporates the Da Vinci robot. Since then they have performed 126 surgeries, with a progressive increase of the same in recent years
• With or without advanced technology, never forget that the complete training of the surgeon is the one to get the minimally invasive technique for
Madrid, March 25, 2013. HM hospitals has been present in the lecture series "Da Vinci Robotic System: applications in different surgical specialties" held at the Royal Academy of Medicine. In the last decade, minimally invasive surgery has brought a revolution in modern surgical practice, in fact, for many years the laparoscopic surgery has been considered as a paradigm of this concept of surgery, but has some limitations compared to robotics.
On this subject discussed three surgeons of General Surgery and Digestive HM University Sanchinarro. Dr. Hipólito Duran, Dr. Yolanda Quijano, co-director of the service and Dr. Emilio Vicente, director of the same and both directors Chair of Robotic Surgery Abdominal Oncology, created in collaboration with Palex Medical and San Pablo CEU University.
During his presentation "Robotic surgery in rectal cancer," Dr. Duran emphasized the advantages of the Da Vinci robot, such as "excellent ergonomic adaptation and a large degree of freedom equal to the human wrist movements." However, laparoscopic surgery has several limitations, such as two-dimensional vision and reduced maneuverability. This results in the increase of robotic surgical procedures, which last year accounted for 50 percent of the interventions of rectal cancer, compared to 35 percent who were held by laparoscopy and 15 percent open approach.
. For his part, Dr. Quijano in his paper on "Robotic surgery in pancreatic cancer," he said that surgical treatment remains the therapeutic procedure indicated for this type of tumor, "Early diagnosis of pancreatic cancer remains difficult usually is discovered when it is already advanced. Being able to achieve complete tumor resection is the only guarantee of survival. " The problem is that the pancreas has very specific anatomical features, as it is closely linked to major abdominal vascular axes that may be affected by the growth of some injuries.
"For patients with pancreatic cancer, laparoscopic surgery is a surgical feat that requires great skill of the surgeon," said Dr.. Quijano. "But robotic surgery has been growing and it has gone from one used in urology to be used in other areas, changing the concept of surgery," he added. And it is that the three arms of the Da Vinci work and optics provide a three-dimensional view that let you see what the real size of tumors and its relationship with vascular axes.
The future of robotic surgery
The director of the Department of General Surgery and Digestive HM University Sanchinarro, Dr. Emilio Vicente, spoke on "New perspectives of robotic surgery." "With the Da Vinci surgical procedures are simplified and makes complex procedures become routine surgical procedures," said the specialist.
Currently, robotic surgery is used in areas colorectal, gastroesophageal, hepato-biliary-pancreatic, etc. "In October 2010, HM Hospital incorporates robotic surgery. Since then we performed 126 surgeries, with a progressive increase of the same in recent years, "said Dr. Vincent.
According to the specialist, robotic surgery will entail a change in the training of future surgeons. The advantage of this procedure is that it allows a simulation system that enables acquiring adequate training without test on the patient. "Now the Da Vinci robot comes with two consoles, one for the surgeon and one for the assistant," said Dr. Vincent. In addition, the learning curve is much smaller than that required to perform the same operations with a laparoscopic procedure. But in the words of specialist "with or without technology must never forget that the complete training of the surgeon is the one to get for minimally invasive technique."
Dr. Vicente stressed that if hospitals want to maintain their health excellence must adapt to this new era of robotic surgery. "In HM hospitals have a flexible and dynamic system of the robotic procedure and all service members are joining this system," said Dr. Vincent, and concluded by thanking the group the agreement was reached between HM hospitals, insurers and professionals who have allowed this type of procedure. "
HM hospitals consists of various companies that manage different private medical-surgical hospitals, among which include HM University Madrid, HM University Montepríncipe, HM University Torrelodones, HM University Sanchinarro, HM new Bethlehem and the Comprehensive Cancer Center Clara Campal (CIOCC) ; all of great technical and human skills.
Based on a Decalogue and the Hippocratic oath directed by doctors and with the aim of offering quality medicine, different centers of HM hospitals have been equipped with latest technology and with better and more qualified human personnel.
All centers of HM hospitals operate in an integrated manner. To do this, there is a corporate structure with centralized services and various comprehensive management tools. This allows a complementary and synergistic action of structures, services and facilities, with the maximum utilization of technological and human resources.
More information: www.hmhospitales.com