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Surgery of Bladder Cancer: Cystectomy RoboticsBY: Ritu Choudhary | Category: Cancer Surgery | Submitted: 2011-02-20 10:42:27
The robotic surgical systems have prompted a new era of minimally invasive surgery options. For years, surgeons and oncologists who specialize in urology have been entrusted to the minimally invasive nature and the virtues of preservation of the nerves of the procedure known as laparoscopic cystectomy to offer patients the most effective treatment for bladder cancer. Not long ago, cystectomy was performed using the traditional surgical procedure in the open mode. This usually results in significant injury to tissue and nerve, has significant loss of blood, and an increased risk of post-operative infections and complications. In comparison, the robotic-assisted laparoscopic surgery (also known as the Da Vinci robotic cystectomy) may seem a bit 'as a miracle of precision'.
In reality, the robot is simply a new and more effective method of minimally invasive surgery for cancer of the bladder. The Da Vinci robotic surgical system executes the movements of the surgeon, amplifies their precision, and in so doing offers patients suffering from bladder cancer at the prospect of a more effective and less troublesome post-operative outcome. This method is quickly becoming the most common response in surgical treatment of bladder cancer. A minimally invasive surgical procedure allows the surgeon, oncologist or urologist to operate without making large incisions; the result preserves vital nerves and soft tissues and muscles, and promotes a rapid recovery time, reduces complications, and allows a short hospital stay. Just like a standard laparoscopy, the robotic version of assisted cystectomy may require urinary diversion followed by reconstruction when you remove the bladder.
For men as for women, this reconstruction includes the application of a container of urine into the abdomen of the patient until fitted with a catheter - to evacuate the urine or replace the bladder and urinary tract - a detour that will collect urine in a bag outside. In particular, using the da Vinci robotic system, the surgeon may use a wider field of vision and greater dexterity during the removal of the bladder, as well as during any necessary reconstructive procedure.
Allowing the surgeon, urologist or oncologist high definition three-dimensional visual, the Da Vinci surgical robot facilitates a broader view of the muscles and sensitive nerve tissue surrounding the operative area without touching them. The only rotating your wrist (EndoWrist) of the robot provides surgeons with a dexterity that would not be possible using conventional laparoscopic instruments. Using the da Vinci robot, surgeons are able to export and to reconstruct the bladder with relative ease.
Summary of robot assisted cystectomy:
• the benefits of a procedure to save delicate nerves and muscle tissue.
• recordings of a minimum size distributed on the abdomen.
• a short hospital stay ranging from 4 to 7 days.
• less risk of blood loss and a low probability of blood transfusion.
• reduced scarring, minimal discomfort and less need for pain medication.
• only one to three months of recovery time before regaining control of the normal level of urine.
* The benefits of a Robotic Da Vinci prostatactomia are not guaranteed since the surgery depends on the specific characteristics of both patient and procedure.
Benefits of robot assisted cystectomy:
• minimal damage to the muscles and sensitive nerve tissues.
• a shorter duration of hospital stay and faster return to normal activities.
• scars less visible.
• minimal risk of blood loss.
• any chance of post-operative infections.
• slightest possibility of incontinence or impotence after surgery.
• any chance of other complications commonly associated with cistitectomie.
• minimal post-operative pain and discomfort.
• the innovative performance of the robotic da Vinci Surgical System offers the surgeon, oncologist and urologist high definition, a three-dimensional view of the procedure, and a seam and stitching robot assisted.
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