2 Robotik cerrahi nasıl doğdu? NASA Araştırma Merkezi’nde çalışan araştırmacılar, sanal gerçeklik sistemini inceleyen mekanik mühendisleri ve ABD Kaliforniya’daki Stanford Üniversitesi Araştırma Merkezi’nde çalışan robot teknolojisi uzmanları tarafından gerçekleştirildi.Prototipi 1997 yılında ortaya çıkarılan da Vinci Sistemi, ilk olarak robotik kolesisektomi (safra kesesi ameliyatı) ile denendi.2000 yılında Amerika Gıda ve İlaç Dairesi – FDA onayını alarak ilk olarak kardiyovasküler cerrahide, sonra da yaygın olarak üroloji, genel cerrahi ve jinekolojide kullanılmaya başlandı.
5 Tekniğin limitasyonları … Ameliyatı yapan robot değildir. Cerrahınızın uygulama alanında birçok cerrahi teknik gibi (açık teknikler, laparoskopi, endoskopi, vs.) robotik cerrahi de yer almakta ve bazı teknik avantajlar sağlamaktadır. Karın içi yapışıklıklar, hastalığın durumu, anatomik farklılıklar, vs. gibi nedenlerle robotik cerrahi sizin için uygun olmayabilir. Bazen ameliyat esnasında bunlar saptanabilir ve cerrahinin klasik yöntemlerle yapılmasına ya da değiştirilmesine karar verilebilir. Safety unguarenteed … Robotik cerrahinin uygulanması, sonuç ve komplikasyonlar açısından herhangi bir garanti vermez/sağlamaz.
7 Colon CancerThe wall of the colon is made up of layers of tissue. Colon cancer occurs when abnormal cells form in the inner layer of this tissue (adenocarcinomas). The cancer can grow through some or all of the other layers. The stage (extent) of the cancer depends to a great degree on how deep the cancer goes into these layers.
8 Rectal CancerRectal cancer is the development of cancerous cells in the lining of the rectum (the last several inches of the large intestine closest to the anus). The stage (extent) of the cancer depends to a great degree on how deep the cancer goes into and beyond the wall of the rectum. Most rectal cancers are called adenocarcinomas
9 Because the majority of colon cancers begin as precancerous polyps, colon cancer is a potentially preventable disease. Screening and early detection can catch colon cancer at an early stage or before polyps turn into cancer.1Cancer of the colon is rare in developing countries, but is the second most frequent cancer in affluent societies. Worldwide, there are more than 940,000 cases (colorectal) and nearly 500,000 deaths each year.2 Colonoscopy is the most reliable means for early detection. Improved diagnosis and treatment have resulted in a five-year survival rate of 50 percent.2
10 ROBOTİK CERRAHİ da Vinci® Surgery for Rectal Cancer If your doctor recommends surgery to treat rectal cancer, you may be a candidate for minimally invasive da Vinci Surgery. Using the most advanced technology available, the da Vinci Surgical System enables your doctor to perform this delicate operation through a few tiny incisions with breakthrough vision, precision, dexterity and control.
11 ROBOTİK CERRAHİda Vinci offers patients facing rectal cancer surgery (low anterior resection and APR) such potential benefits as:Excellent clinical outcomes for cancer control5Quick return of bowel function5Fast return to diet5Less blood loss6Shorter hospital stay6Fast recovery time5The da Vinci System is a state-of-the-art surgical platform with 3D, high-definition vision and patented surgical instruments that takes surgery beyond the limits of the human hand. By overcoming the challenges of traditional open and laparoscopic surgery, da Vinci is changing the experience of surgery for people around the world.
12 ROBOTİK CERRAHİIf your doctor recommends surgery to treat a colorectal condition, you may be a candidate for minimally invasive da Vinci Surgery. Using state-of-the-art technology, the da Vinci System enables doctors to perform delicate and complex operations through a few tiny incisions with breakthrough vision, precision, dexterity and control.da Vinci Surgery is used to treat such colorectal conditions as: colon cancer, rectal cancer, diverticulitis, and inflammatory bowel disease (ulcerative colitis and Crohn’s disease). Surgery to remove all or part of the colon is known as a colectomy. Rectal cancer surgery is known as a low anterior resection.
13 da Vinci offers patients facing colon surgery (right, left or sigmoid colectomy) such potential benefits as:Low blood loss1Quicker return to bowel function1Quicker return to diet1Short hospital stay1da Vinci offers patients facing rectal cancer surgery (low anterior resection and APR) such potential benefits as:Excellent clinical outcomes for cancer control3Quick return of bowel function3Fast return to diet3Less blood loss4Shorter hospital stay4Fast recovery time3
14 Luca F, Cenciarelli S, Valvo M, Pozzi S, Faso FL, Ravizza D, Zampino G, Sonzogni A, Biffi R. Full robotic left colon and rectal cancer resection: technique and early outcome. Ann Surg Oncol 2009;16;274-8.Choi DJ, Kim SH, Lee PJ, Kim J, Woo SU. Single-stage totally robotic dissection for rectal cancer surgery: technique and short-term outcome in 50 consecutive patients. Dis Colon Rectum 2009;52:D'Annibale A, Morpurgo E, Fiscon V, Trevisan P, Sovernigo G, Orsini C, Guidolin D. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum 2004;47:Baik SH, Kwon HY, Kim JS, Hur H, Sohn SK, Cho CH, Kim H. Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study. Ann Surg Oncol Jun;16(6):Hellan M, Anderson C, Ellenhorn JD, Paz B, Pigazzi A; Short-Term Outcomes After Robotic- Assisted Total Mesorectal Excision for Rectal Cancer; Annals of Surgical Oncology (_ 2007) DOI: /s z.Park JS, Choi GS, Lim KH, Jang YS, Jun SH. S052: a comparison of robot-assisted, laparoscopic, and open surgery in the treatment of rectal cancer. Surg Endosc 2010 Jun 15. [Epub ahead of print].Zimmern A, Prasad L, deSouza A, Marecik S, Park J, Abcarian H. Robotic Colon and Rectal Surgery: A Series of 131 Cases; World J Surg DOI /s