Prof.Dr. Ahmet GÖÇMEN Ümraniye Eğitim ve Araştırma Hastanesi

... konulu sunumlar: "Prof.Dr. Ahmet GÖÇMEN Ümraniye Eğitim ve Araştırma Hastanesi"— Sunum transkripti:

1 Prof.Dr. Ahmet GÖÇMEN Ümraniye Eğitim ve Araştırma Hastanesi
Robotik Mikrocerrahi Prof.Dr. Ahmet GÖÇMEN Ümraniye Eğitim ve Araştırma Hastanesi

2 Robotik Cerrahinin Tarihçesi HWR Schreuder Robotic surgery BJOG 2009
First robot used for stereotactic brain surgery PROBOT, first robot used for prostatectomies ROBODOC use for hip replacement AESOP, first commercially available robot approved by the FDA ZEUS robotic system commercially available da Vinci robotic system FDA approved

3 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

4 Robotics in Gynecology History
1999 First reported case – tubal anastomosis Falcone, et al. Hyst/bso (n=10) and nodal dissection (n=1) Diaz-Arrastia, et al Ovary transposition (n=1) Molpus, et al. Myomectomy (n=35) Advincula, et al. Sacrocolpopexy (n=5) DiMarco, et al. FDA approval for gynecologic procedures Vesicovaginal fistula repair (n=1) Melamud, et al. Radical hysterectomy (n=1) Sert, et al.

5 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

6

7 Reprodüktif Cerrahide da Vinci
Myomektomi Tubal cerrahi Trakelektomi Endometriozis Sakroservikopeksi Abdominal servikal serkülaj Presakral nörektomi Over transpozisyonları

8

9

10

11

12