Why does robotic surgery have many advantages over classical open and laparoscopic surgery?

This is an automatically translated article.

The article was written by TS. BS. Nguyen Ngoc Khanh - Head of Department of Gastroenterology - Urology - Robotic Surgery & Pediatric Surgery, Vinmec Times City International General Hospital.

1. Applying Robotic surgery in treatment

Currently, Robotic Surgery has been applied to treat the following diseases:
Pediatrics: Over 50 types of pediatric surgery in the abdomen and thoracic cavity have been applied surgical robots for perfect results, especially useful. Used in choledochal cyst surgery, Kasai-cho biliary atrophy, intrathoracic tumor resection and reconstructive surgery. The biggest limitation of robotic surgery in pediatrics is the size of the instrument. Gynecology : Useful in hysterectomy to treat both benign and malignant tumors; Fallopian tube anastomosis, fibroid removal, pelvic floor restoration. In abdominal surgery: Robotic surgery is very suitable for surgery limited to 1⁄4 of the abdomen, requiring precise dissection, small, delicate sutures, small anastomosis. Reports have found that with simple surgery such as cholecystectomy, appendectomy that compares robotic versus conventional laparoscopic surgery, robotic surgery does not give better results, is not safer, other than being easier but more expensive. .

For difficult surgeries, requiring precise dissection, delicate small sutures, robotic surgery excels as: esophageal sphincter-Heller surgery; surgical treatment of paraesophageal hernia; gastrectomy, colon cancer lymph node dissection; esophagectomy through the diaphragmatic hole; Spleen-preserving tail pancreatectomy, pancreaticoduodenectomy.
Urological surgery: Robotic surgery shows outstanding results in prostatectomy with a spectacular number of 0%/year 2000 to 83%/2011. Robot surgery is also particularly suitable in kidney transplantation, creating renal pelvis, ureter-bladder re-insertion.
Thoracic surgery: Predominance with solid tumors of the apex of the lung, esophageal tumors.
Ear, nose and throat surgery: A scarless thyroidectomy through the mouth.

2. Benefits of Robotic Surgery

Robotic surgery has many advantages over classical open and laparoscopic surgery methods thanks to the following benefits:
Provides accurate, less invasive surgical diagnosis and treatment. Therefore, it is safe, less painful, reduces trauma, shortens hospital stay and increases aesthetics to bring comfort to patients.

The ability to operate remotely, patients can be operated by the world's leading experts without moving or the condition cannot be moved. Surgery can be performed in hazardous environments with little or no risk exposure (simultaneous surgery with X-rays, radiation, battlefields, etc.) Shorter and easier time to learn surgery: Short because the surgeon has been trained in surgery, even has mastered laparoscopic surgery. Easier due to the 3D, high resolution and 10x magnified surgical images, and the robotic instrument manipulation accurately and directionally mimics the surgeon's hand movements. Expanding capabilities: With conventional laparoscopic surgery, the surgeon can only control 2 instruments or one instrument and camera. Therefore, at least 1 assistant is always needed to hold the camera and/or instrument and has There may be disagreement between the surgeon and the assistant. With Robot Surgery, the surgeon can control 4 robotic arms with 1 camera and 3 tools, which can meet most types of surgery without the need for an assistant. . Reduce future workers. Returning flexibility and dexterity to the surgeon's hands: With conventional laparoscopic surgery, the flexibility of the surgeon's hands is limited when operating from the outside through a rigid straight instrument or curved when passing through a point on the patient's abdominal wall.

Comfort: The control chamber is designed to be adjustable to suit the surgeon's stature, the ratio of the operating amplitude of the surgeon's arm and the robot's arm. It is possible to "reposition" to suit the spatial position so that the surgeon never has to stretch or twist to operate for many hours like conventional laparoscopic surgery when manipulating in depth and left hand. Thus reducing unnecessary stress and fatigue. Hospital branding. In Vietnam, there is only one hospital with surgical robots. As remote robotic surgery evolved (2001, Jacques Marescaux and Michel Gagner, in New York, performed remote cholecystectomy on a patient in Strasbourg, France) surgical robots were the means of communication between patients. and surgeons; between hospitals around the world, there is no longer a geographical distance. Competition: Robotic surgery is the development trend of surgery: Over the past 10 years, the da Vinci robot system alone has performed over 1.5 million surgeries, with numbers growing dramatically.. Trend: When operating Open surgery has been "outdated" and has been overtaken and replaced by laparoscopic surgery. When laparoscopic surgery has become "saturated" in terms of quantity, distribution as well as technical development, Robotic surgery is a new approach with promising development. Domestic and regional training centers: It is possible with on-the-job training and distance training links. Serving the needs of on-site training, self-training human resources when the pioneer group of trained surgeons returns. Robot Surgery Center - Vinmec Times City International Hospital is the first private robotic surgery center in Vietnam, mastering robotic surgery techniques to treat cancer, digestive, urological diseases - genitourinary, gynecological, ... with success rate up to 95%. Vinmec has equipped the American-made Da Vinci Robot with a sophisticated and modern structure, with 4 arms that almost perfectly simulate human hand movements, meeting the surgical needs with the highest requirements. .

Not only opening the opportunity for patients in Vietnam to be operated directly by the world's leading experts, Vinmec Robotic Surgery Center also contributes to affirming the international standard expertise of the system, gradually developing realize the goal of reaching the international level that Vinmec is aiming for.

Cost of robotic surgery at Vinmec Times City International Hospital So that patients can have access to robotic surgery - one of the leading modern laparoscopic surgery techniques today, International General Hospital Vinmec Times City applies special preferential policies sponsored by Thien Tam Fund (Vingroup).
Accordingly, robotic surgery techniques are discounted 50% from now until the end of December 31, 2019. After applying the preferential policy, the cost of robotic surgery at Vinmec Times City International Hospital is as follows:
Subjects of patients eligible for the subsidy policy for robotic surgery: Customers who do not belong to the following groups:
Poor patients with difficult circumstances, meritorious services to the revolution... according to the policy support from the Charity Fund for the Poor. Customers are foreigners. Note: The price policy for robotic surgery at Vinmec Times City lasts until December 31, 2019 and may end earlier than the above deadline without prior notice if the number of registered guests is full.To learn more information For information about robotic surgery techniques as well as the policy content of the Charity Fund program at Vinmec Times City International Hospital, you can go directly to the hospital or make an appointment via the call center for support.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.