SERVICE GENERAL SURGERY HM Sanctuary removed with a vascular tumor SUCCESS WITH ROBOTIC SURGERY
Madrid, August 28, 2014. The Department of General Surgery, University Hospital HM Sanchinarro, led by Drs. Vicente Emilio and Yolanda Quijano, with robotic support has removed a malignant tumor of sarcomatous lineage located in the left renal vein in a patient.
This case has two features, explain Drs. Vincent and Quijano: "On one hand, there is no world reference for excision of a vascular tumor with this new technology. The other peculiarity of the case is related to the special characteristics of the tumor process itself. Leiomyosarcoma of vascular origin regardless of location are a rare and aggressive disease. This uniqueness is much more marked when said vascular tumors are located at the level of the renal vein. In the medical literature there are only 29 cases reported worldwide. "
The procedure to remove this tumor varies depending on their size and location, but as is usually diagnosed late, usually choose the complete removal of the kidney. However, when the lesions are small they can be dealt with less radical interventions.
"The nature and size of the tumor (4 centimeters) -señalan Drs. Quijano Vincent and allowed complete resection of the tumor and part of the left renal vein and could avoid the "mutilation" always involves the removal of a kidney. " They add that "the tumor distal vascular control of the inferior vena cava, proximal renal vein was performed with robotic support as before tumor resection and venous partial step, and vascular reconstruction was performed afterwards." The said robotic support was a great help for this given the precision obtained in the intracorporeal sutures are performed surgical step.
And it is that the progress made in recent years with robotic surgery have been spectacular. Procedures that years ago would have seemed impossible to treat surgically robotic holder can now be performed with great safety for the patient. But for this they are necessary two aspects have significant experience in this type of surgery, especially in complex resections and vascular reconstructions and possess likewise extensive experience in robotic surgery.
In this regard, HM Sanchinarro has a surgical unit with expertise in both processes, which have been obtained thanks to the organ transplant surgery and robotic surgery with which they have already performed more than 200 cases of major complexity. This experience is the most important national and one of the most significant in Europe in quantitative and qualitative terms in the specialty of General and Digestive Surgery.
"To carry out this intervention, in addition to the Da Vinci robot diagnosis is very important in the treatment of vascular tumors such aspect. You must make a correct surgical strategy based on the information obtained by different diagnostic tests performed. This information should be based on precise knowledge of the vascular involvement and relations with other structures should be identified, dissected and controlled "say Drs. Vincent and Quijano.
Advantages of Robotic Surgery
Procedures performed with the Da Vinci robot pose great advantages both for professionals who perform the procedure, and patients. In the case of medical, robotic surgery allows a clearer 3D image of the surgical area, and provides more precise movements of the surgeon and the robot removes the natural tremor. It also allows turns impossible for the human hand and favors access to sites not very difficult robotic techniques.
As for the patient, robotic surgery reduces hospital stay, less pain and postoperative pain because there is less risk of infection, less blood is lost, the scar is smaller and the return to normal life faster.
In this case, the operation took place over three months and the postoperative course was satisfactory. The period of hospitalization was only 5 days for an extremely short time characteristics of the procedure. "Currently the patient is asymptomatic and free of disease," conclude Drs. Vincent and Quijano.