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Robotic-Assisted Thoracic Surgery
Robotic-Assisted Thoracic Surgery (RATS) has emerged as a revolutionary approach for performing complex thoracic procedures with enhanced precision and control. This evolution in surgical techniques offers a less invasive alternative to traditional methods, significantly improving patient outcomes.
Minimally invasive thoracic surgery can be categorised into two main types: Video-Assisted Thoracic Surgery (VATS) and Robotic-Assisted Thoracic Surgery (RATS). The latest advancement in robotic systems, the fourth-generation Da Vinci Xi surgical system, has effectively addressed VATS's limitations, providing surgeons with superior capabilities and patients with better results.
The Evolution of Robotic-Assisted Thoracic Surgery
Open Surgery
Open surgery was the traditional method for thoracic procedures, involving large incisions and longer recovery times. It provided surgeons with direct access but often resulted in more pain and higher risks of complications for patients.
Video-Assisted Thoracic Surgery (VATS)
VATS was a significant advancement, using small incisions, long instruments and a camera to guide the surgery. This minimally invasive approach reduced pain and recovery time, but it had limitations in terms of precision, accuracy and the surgeon's range of motion. Biggest drawback is counter intuitive movements and 2-D images. Length of stay in hospital ranges from 5-7 days.
Robotic-Assisted Thoracic Surgery (RATS)
RATS overcame the above mentioned drawbacks and improved surgery outcomes by providing enhanced precision and control through robotic technology. The Da Vinci Xi system allows for smaller incisions, less pain, and quicker recovery, making it the preferred method for many complex thoracic procedures. There is no rib spreading hence minimal to almost no pain . Only 3, incisions maximum upto 8-10 mm in size. Hence faster recovery and early return to normal life. Length of stay in Hospital is 2-3 days.
Technology Used in Robotic-Assisted Thoracic Surgery
Robotic-Assisted Thoracic Surgery primarily employs the Da Vinci Xi Surgical System. This state-of-the-art technology enhances surgical precision and control, making complex procedures more manageable. Its robotic arms offer a range of motion beyond human capabilities, allowing for precise operations in tight spaces within the chest cavity with minimal invasiveness.
3D High-Definition Vision System and Articulated Instruments
The system features a 3D high-definition vision system that provides a magnified, detailed view of the surgical site, aiding in accurate identification and navigation of vital structures. The articulated instruments are also designed to replicate the surgeon's hand movements with exceptional precision and stability. These instruments can bend and rotate in ways traditional tools cannot, enabling more refined and accurate surgical manoeuvres.
Enhancing Surgeon Capabilities
The Da Vinci Xi system significantly enhances a surgeon's capabilities in several ways:
Greater Precision
The robotic arms of the Da Vinci Xi system offer unmatched precision. They translate the surgeon's hand movements into smaller, more precise actions within the surgical site. This level of control is particularly beneficial for intricate procedures in delicate areas of the thoracic cavity.
Enhanced Dexterity
The robotic instruments have a greater range of motion than the human hand. They can bend and rotate more freely, allowing surgeons to perform complex tasks that would be challenging with traditional surgical tools. This enhanced dexterity is crucial for navigating tight spaces and accessing hard-to-reach areas.
Improved Ergonomics
The system's design allows surgeons to operate seated at a console, reducing physical strain and fatigue. This ergonomic advantage enables surgeons to perform lengthy procedures with sustained precision and focus.
Common Procedures in Robotic-Assisted Thoracic Surgery
Robotic-Assisted Thoracic Surgery is utilised for various complex procedures, offering enhanced precision and reduced recovery times. The following are some common procedures performed using this advanced technology:
Who Can Benefit from Robotic-Assisted Thoracic Surgery?
Robotic-Assisted Thoracic Surgery offers significant benefits to a wide range of patients. This advanced surgical approach is particularly advantageous for individuals who require complex thoracic procedures but are looking for a less invasive option. Here are some groups that can benefit the most:
Cancer
Patients
Those with lung cancer, esophageal cancer, or thymoma can benefit from the precise removal of tumours and affected tissues with minimal impact on surrounding healthy structures.
Patients with Mediastinal Masses
Individuals with masses or tumours in the mediastinum can undergo safe and effective resection with reduced risk and faster recovery.
Individuals with Myasthenia Gravis
Patients suffering from this neuromuscular disorder can experience relief through thymectomy, with the advantages of smaller incisions and less postoperative discomfort.
People with
Hyperhidrosis
Those seeking treatment for excessive sweating can benefit from sympathectomy, performed with high precision and minimal invasiveness.
Benefits of Robotic-Assisted Thoracic Surgery
For Patients
Robotic-Assisted Thoracic Surgery offers numerous benefits for patients, including:
For Surgeons
Surgeons also benefit from the advanced technology used in Robotic-Assisted Thoracic Surgery:
What to Expect Before During and After The Robotic-Assisted Thoracic Surgery
Undergoing Robotic-Assisted Thoracic Surgery can sound like a daunting process. But, properly preparing for the surgery and knowing what can come next is imperative.
Before The Surgery: Preoperative Preparations and Consultations
Before undergoing Robotic-Assisted Thoracic Surgery, patients will have several consultations with their surgical team, including a thorough medical evaluation, imaging tests such as CT scans or X-rays, and a medical history review. Patients will receive specific instructions on preparing for surgery, including fasting guidelines and any necessary medication adjustments.
On The Day of the Surgery
Patients will arrive at the hospital or surgical centre on the day of surgery, check-in, and complete any necessary paperwork. After changing into a surgical gown, they will be taken to the preoperative area, where vital signs are monitored and an IV line is started. The anesthesiologist will discuss the anaesthesia plan, and the surgical team will prepare the patient for surgery by placing monitoring equipment and administering anaesthesia.
During The Surgery: The Surgical Procedure
The procedure begins with making small incisions in the chest through which the robotic instruments and camera are inserted. The surgeon then operates the robotic system from a console, controlling the robotic arms and instruments with precision, guided by high-definition, 3D images from the camera. Once the surgery is complete, the instruments are removed, and the incisions are closed with sutures or staples.
After The Surgery: Postoperative Care and Follow-Up
After surgery, patients are taken to the recovery room to be monitored as they wake up from anaesthesia. Pain will be managed with medications, and patients will be encouraged to move and breathe deeply to aid recovery. The hospital stay is typically shorter than traditional surgery, often just a few days. Follow-up appointments will monitor recovery, remove sutures or staples, and address concerns. Patients will receive detailed instructions for home care, including wound care, activity restrictions, and signs of potential complications to watch for.
Why Choose DPU Superspecialty Hospital for Robotic Assisted Thoracic Surgery?
At DPU Superspecialty Hospital, Pimpri, Pune the best hospital for heart surgery in Pune, our skilled team of surgeons, supported by the state-of-the-art 4th Gen Da Vinci Xi Robotic System, is dedicated to delivering superior outcomes and exceptional patient care. Our dedicated healthcare professionals, including surgeons, anesthesiologists, and nurses, undergo extensive training to integrate robotic-assisted techniques seamlessly into patient care. This ensures that our patients receive the most advanced and effective treatments available.
Our hospital's infrastructure is designed to optimise the robotic surgical experience, featuring advanced operating theatres equipped with the latest robotic technology. Patient safety is our top priority, with robotic surgeries performed to the highest safety standards and adhering to stringent infection control protocols. We prioritise patient comfort and well-being, ensuring minimal scarring, reduced analgesia requirements, decreased blood loss, shorter hospital stays, and a faster return to normal activities.
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