ADVANTAGES OF ROBOTIC SURGERY IN TURKEY SURGERIES

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ADVANTAGES OF ROBOTIC SURGERY IN SURGERIES

With the development of technology, there are now many different applications in the field of medicine, Dr. said that robotic surgery, which was first considered for the treatment of astronauts in space, is the most interesting of these studies.

Dr. said that the system basically consists of three parts. The bridge noted that these are the surgical console, robotic arms and the tower. Dr. who provides information about the system, “The surgical console is located in the same room as the patient, but some distance from the operating table where the patient is lying.
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The operating physician in Turkey sits on this console and handles the robot with console arms and foot pedals, seeing the tissues as three-dimensional and 10-12 times larger in high resolution.

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In addition to the advantage of the surgical console to provide a three-dimensional and enlarged image, the surgeon’s seat allows him to complete the operation without fatigue, loss of concentration, even during long-term operations,” he said.

A Urologist who also talks about robotic arms Dr. “The robotic unit has 4 arms that are completely under the control of the surgeon. The first one handles the three-dimensional camera, while the other three arms are the arms that perform the surgery in the abdomen controlled by the surgeon. Depending on the type of surgery, 3 to 5 pieces are inserted into the body through pipes inserted into the body through holes with a diameter of 0.5 or 1 cm. The surgical instruments attached to the robot’s arms can move at seven angles. That is, it has a much greater mobility than the human wrist.

These instruments are designed for a specific task, such as squeezing, cutting coagulation, dissection, suturing and tissue manipulation, like any other surgical instrument. These surgical instruments are quite small and can easily reach even the most sensitive points. It can easily reach points that are beyond the reach of a surgeon’s hand. The robot’s arms have a rotation angle of 540 degrees. Instruments attached to the ends of robot arms can move like a surgeon’s wrists. The arms work completely as the surgeon wants and do not go out of this request. A condition such as hand tremor is also out of the question,” he said.

Specialist doctor stated that the tower is the part where robotic arms, light and gas source and high-resolution 3-D telescope are located. Dr. “This special telescope has two high-resolution cameras that transmit images to each eye separately. The image is three-dimensional, and the quality of the image is high. The surgeon performs the operation accompanied by a three-dimensional image, and the required depth is also available in the images. With the Da Vinci robotic surgery system, the image is enlarged from 10 to 12 times. Before starting the operation, the surgeon places the robotic arms inside the abdomen according to the shape of the operation and takes over the console. In this process, a second doctor and an operating nurse are in charge of the patient,” he said.

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SURGEONS OF THE FUTURE GAIN EXPERIENCE WITH VIRTUAL SURGERY

“There is no need to make large incisions in this system”

Dr. Who also listed the advantages that led to the preference of robotic surgery. The bridge is the last point reached by surgery and medical technology, which is also defined as space technology today, is the Da Vinci robotic surgery system. If we look at the advantages of this system compared to open surgery and laparoscopic surgery for both the patient and the surgeon performing the operation, there is no need to make large incisions in surgeries performed with a robotic surgical system. Holes are made in the patient’s abdomen of such a size that only the robot’s arms will enter, which are 8 millimeters to 12 millimeters. This situation provides great aesthetic convenience to the patient after surgery. The clear images obtained with the robotic surgery system allow the intervention to be performed effectively in the relevant area. In robotic surgery performed with the possibility of a three-dimensional image, the surgeon works with a sense of depth.

Since the camera is under the control of the surgeon, clear images with a 10-fold magnification of anatomical structures in deep and narrow areas can be obtained. In this way, intact tissue damage that is likely to occur during surgery is minimized. The surgical instruments at the end of the arms of the robotic surgery system have more mobility than the human wrist. These instruments can also be bent far ahead of the mobility of the human wrist, as well as rotated by 540 degrees. In this way, it reaches many points of the body (especially in narrow and small areas) and provides important conveniences such as cutting, holding, suturing in critical surgical interventions,” he said.

It should be noted that the human hand may tremble more or less physiologically, but the precise mobility of the robotic surgery system’s arms eliminates this tremor. “In this way, errors due to human hands are greatly reduced in interventions to be carried out in risky areas. Blood loss is much less in surgeries performed with a robotic surgical system. The fact that the incisions are very small and the imaging of even the smallest vessels with superior image quality reduces blood loss. Surgeons are usually on their feet during surgery, which causes fatigue during long-term surgical interventions. In robotic surgery, because the surgeon is directing the operation from the console opposite him sitting down, the stress due to physical fatigue is reduced and the surgeon does not lose concentration,” he said.

He stated that robotic surgery can be performed with very small incisions,”That is, during the operation, surgical intervention can be performed by entering a long incision through very small holes of a few centimeters instead of a long incision. After robotic surgery operations, patients’ hospital stay and transition to daily life are shortened. A number of treatments, such as chemotherapy and radiotherapy, are applied to patients, especially after cancer surgeries. Because patients recover much faster with the Da Vinci robotic surgery system, it is possible to start these treatments early. Having a lot of adipose tissue in obese patients can make surgeries very difficult. With robotic surgery, this difficulty has been eliminated and the operations of obese patients can be performed much easier,” he said.

Emphasizing that robotic surgery in Turkey can perform all surgical procedures that can be performed with laparoscopy in many different branches.

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A FIRST IN ROBOTIC SURGERY

Branches used in the Da Vinci robotic surgery system

Dr. “In general, urology, obstetrics & gynecology, general surgery, cardiovascular surgery, thoracic surgery are the branches that use the Da Vinci robotic surgery system,” was said.

The technology of the era in medicine refers to the fact that robotic surgery is used in urology, prostate cancer and radical prostatectomy. Dr. “In robotic prostatectomy, urine control is provided earlier than in open radical prostatectomy. A better image, less bleeding, and a longer urethral length are factors that allow early urine control to occur. Protecting the nerve-vascular bundle around the prostate in the appropriate patient can be done better with robotic prostatectomy, and sexual life returns to normal earlier in these patients,” he said.
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Robotic surgery in urology is performed successfully with less complication rates than open or laparoscopic surgery. The robotic surgery operations are performed successfully in Turkey with an experienced robotic hospital surgery team.

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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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