Prof.Dr. Ahmet GÖÇMEN Ümraniye Eğitim ve Araştırma Hastanesi Robotik Mikrocerrahi Prof.Dr. Ahmet GÖÇMEN Ümraniye Eğitim ve Araştırma Hastanesi
Robotik Cerrahinin Tarihçesi HWR Schreuder Robotic surgery BJOG 2009 1985 First robot used for stereotactic brain surgery 1989 PROBOT, first robot used for prostatectomies 1992 ROBODOC use for hip replacement 1993 AESOP, first commercially available robot approved by the FDA 1998 ZEUS robotic system commercially available 2000 da Vinci robotic system FDA approved
FDA Onayları Genel laparoskopik cerrahi (2000) Radikal prostatektomi (2001) Thorakoskopik yardımlı kardiotomi işlemleri (2002) Intrakardiyak işlemler (2002) Koroner revaskülarizasyon (2004) Ürolojik cerrahi (2005) Jinekolojik cerrahi (2005) The da Vinci System has multi-specialty procedure clearance. The latest addition is clearance for gynecologic laparoscopic surgery, received in April, 2005. 3
Robotics in Gynecology History 1999 First reported case – tubal anastomosis Falcone, et al. 2002 Hyst/bso (n=10) and nodal dissection (n=1) Diaz-Arrastia, et al 2003 Ovary transposition (n=1) Molpus, et al. 2004 Myomectomy (n=35) Advincula, et al. 2004 Sacrocolpopexy (n=5) DiMarco, et al. 2005 FDA approval for gynecologic procedures 2005 Vesicovaginal fistula repair (n=1) Melamud, et al. 2006 Radical hysterectomy (n=1) Sert, et al.
2002 First attempt (USO) 5/22/07 Endometrial cancer staging 11/6/07 Radical hysterectomy 1/15/08 Cerclage 7/8/08 Sacrocolpopexy 8/5/08 Tumor cytoreduction (debulking) 10/21/08 Radical trachelectomy for cervical stump cancer 10/23/08 Ovarian cancer staging 1/13/09 Sentinel lymph node mapping 3/11/09 Radical trachelectomy for fertility preservation 7/7/09 Combined thoracic and pelvic tumor cytoreduction 8/19/09 Extraperitoneal lymph node dissection 11/10/09 Ventral mesh herniorrhaphy 3/4/10 Radical parametrectomy after simple hyst
Reprodüktif Cerrahide da Vinci Myomektomi Tubal cerrahi Trakelektomi Endometriozis Sakroservikopeksi Abdominal servikal serkülaj Presakral nörektomi Over transpozisyonları