Da Vinci Robotic System (Da Vinci Robotic System) combines minimally invasive surgery, computer technology, and new medical developments to provide a more efficient operating space for difficult surgeries, and to allow the surgeon to comfortably carry out the surgery to avoid injuries caused by surgical fatigue to the surgeon (e.g., back pain, neck pain), and it is a high-tech medical procedure that belongs to the current generation. In 2005, the U.S. Food and Drug Administration (FDA) adopted the Da Vinci robotic arm for minimally invasive gynecological surgery, which opened up a new pattern of minimally invasive surgery. 2004, the Tri-Service General Hospital introduced the first standard Da Vinci robotic arm system, and with the improvement of the third-generation Si system and the fourth-generation Xi system, our country imported a large number of Da Vinci robotic arms, and there are 30 robotic arm machines in Taiwan at present. Currently, Taiwan has 30 robotic arms, and in 2016, Keelung Chang Gung and Linkou Chang Gung each purchased one Xi system, completing more than 10,000 da Vinci robotic arm surgeries. The fact that a small island nation is covered with the latest surgical systems shows how competitive and advanced Taiwan's healthcare market is.
The da Vinci robotic arm is divided into two parts. The first part is placed on the patient and contains three to four robotic arms that house the lenses and the instruments that operate them, and these arms provide seven moving surfaces and 540 rotational angles, which are more flexible than the human arm. The other part of the robot is the surgeon's console, where the surgeon sees the surgery in 3D and uses his hands and feet to control all the arms. So the surgeon can be very flexible and perform very delicate surgeries.
The number of minimally invasive gynecologic robotic arm surgeries using da Vinci is second only to urology, and growing rapidly. Domestic gynecological robotic arm minimally invasive surgery is mainly benign hysterectomy, malignant hysterectomy and myomectomy. In addition, in severe endometriosis, uterine prolapse, tubal reconnection and other minimally invasive surgery, mechanical arm can make the operation more perfect. Personally, I believe that robotic arm minimally invasive surgery is especially suitable for application in gynecological cancer surgery, such as in endometrial cancer can remove the lymph glands very thoroughly, cervical cancer surgery can be effective in preserving the nerves, and the patient's postoperative recovery is more favorable. Mechanical arm minimally invasive surgery for complex myomectomy can effectively reduce bleeding and achieve excellent uterine wound closure, which is particularly effective when there is a need for fertility preservation.
However, minimally invasive robotic surgery is expensive, so the main surgical cases are concentrated in metropolitan areas. Some patients also mistakenly believe that the more? The more expensive the surgery, the better it is, and they misuse the robotic arm minimally invasive surgery. In fact, for simple myoma or ovarian surgeries, or ectopic pregnancy surgeries, traditional endoscopic surgery can be chosen and the results are just as good. As for the more difficult endoscopic surgery, it depends on the personal skills of the surgeon!
Topics: Gynecology, Endometrial Cancer, Healthcare