Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,

Robotic Surgery

Amazing Facts about Robotic Surgery for Cancer treatment

  • The birth of robotic surgery: The concept of robotic surgery dates back to the 1980s, with the development of the first robotic arm by the Stanford Research Institute for use in delicate surgeries.
Source https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261744/ 
  • The first robotic surgery: The first The first robotic-assisted surgery was performed in 1985 when the PUMA 560 robotic arm was used for neurosurgical biopsies.
Source https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1356187/ 
  • Most popular robotic surgical platform: The da Vinci Surgical System, one of the most well-known robotic surgical platform, was approved by the FDA in 2000 for use in general laparoscopic procedures.
Source https://en.wikipedia.org/wiki/Da_Vinci_Surgical_System 
  • 3D Visualization: Robotic systems provide surgeons with a high-definition, 3D view of the surgical site, enhancing visualization and aiding in precise tumor removal.
Source https://timesofindia.indiatimes.com/blogs/voices/robotic-aided-cancer-surgeries-ensuring-better-clinical-outcomes-in-comparison-to-traditional-surgeries/ 

4 Reasons for Regular Cancer Screening 

  1. Early Detection: Regular screening allows for the identification of cancer at an early stage when it’s more treatable and has a higher chance of successful outcomes.
  2. Improved Survival Rates: Early detection through screening can lead to better treatment options, resulting in improved survival rates and increased chances of a cure.
  3. Risk Assessment: Cancer screening helps identify individuals at higher risk for developing cancer, allowing for targeted preventive measures and lifestyle modifications to reduce their risk.
  4. Peace of Mind: Regular screening offers peace of mind to individuals, knowing that they are taking proactive steps to monitor their health and detect cancer at its earliest stages, if present.

Complications of Untreated Cancer

  1. Disease Progression: If left untreated, cancer can continue to grow and spread to other parts of the body, making it more challenging to treat effectively.
  2. Reduced Treatment Options: Delayed treatment may limit the available treatment options, as some therapies may no longer be effective in advanced stages of cancer.
  3. Decreased Quality of Life: As cancer progresses, it can cause pain, discomfort, and other symptoms that significantly impact the individual’s quality of life.
  4. Risk of Complications: Untreated cancer can lead to serious complications, such as organ failure or life-threatening infections, which can further worsen the person’s health condition.

Celebrities who have fought cancer and won

Sonali Bendre

Bollywood actress Sonali Bendre was diagnosed with metastatic cancer in 2018. The actress had cancer treatment in the United States and returned cancer-free. She starred in several Bollywood blockbusters, including ‘Kal Ho Naa Ho’ and ‘Sarfarosh.’Source https://www.outlookindia.com/art-entertainment/bollywood-stars-who-bravely-battled-with-cancer-news-82492 

Mumtaz

This evergreen Bollywood actress won many hearts with her beauty and charismatic performances in movies such as Do Raaste, Chor Machaye Shor, Aag, Khilona, Aadmi aur Insaan, Upaasna and so on. At the age of 54 she was diagnosed with breast cancer. She fought the disease for 11 years and made sure it did not get the better of her. She was also featured in the UniGlobe Entertainments documentary on cancer survival called ‘1 Minute’.Source https://www.obesitydoctor.in/health-tips/Indian-Celebrities-Diagnosed-with-Cancer

Robert De Niro

Thanks to regular medical checkups, the actor’s prostate cancer was diagnosed at an early stage in 2003. In December of that year, De Niro had surgery, a typical treatment option when the cancer has not spread beyond the prostate gland.Source https://www.aarp.org/health/conditions-treatments/info-2014/celebrities-who-beat-cancer-photo.html#slide7 

What is Robotic Surgery 

Overview

Robotic surgery, also known as robot-assisted surgery, is a surgical technique that combines the skill of a trained surgeon with the advanced capabilities of robotic systems. The robotic system consists of robotic arms equipped with surgical instruments and a high-definition 3D camera. The surgeon controls the robotic arms from a console, manipulating the instruments with enhanced dexterity and precision. The robotic system translates the surgeon’s hand movements into precise robotic movements, allowing for greater control and accuracy during the surgical procedure.

Procedure

The robotic surgery procedure involves several key steps:
  1. Patient Preparation: The patient is prepared for surgery, which may include fasting, administering anesthesia, and positioning the patient on the operating table.
  2. Robot Setup: The robotic system is set up, and the surgical team prepares the robotic arms and instruments for the procedure.
  3. Surgeon Console: The surgeon sits at the console, which provides a magnified, three-dimensional view of the surgical site. The surgeon operates the robotic arms and instruments using hand and foot controls.
  4. Trocar Placement: Small incisions are made in the patient’s abdomen, and trocars (thin tubes) are inserted to provide access for the robotic arms and instruments.
  5. Robotic Arm Insertion: The robotic arms, equipped with surgical instruments, are inserted through the trocars into the patient’s abdomen.
  6. Surgical Procedure: The surgeon uses the console to control the robotic arms and perform the surgical procedure. The robotic system provides precise movements and excellent visualization of the surgical site.
  7. Completion and Closure: Once the surgical procedure is completed, the robotic arms are removed, and the small incisions are closed.

How Does Robotic Surgery Work?

Robotic surgery works by translating the surgeon’s precise movements at the console into robotic movements of the surgical instruments. The robotic system eliminates tremors and enhances the surgeon’s dexterity, allowing for more precise and delicate maneuvers. The robotic arms have a greater range of motion than the human hand, enabling access to challenging anatomical areas. The high-definition 3D camera provides a magnified view of the surgical site, enhancing visualization and accuracy during the procedure. The surgeon’s expertise and skill remain critical in performing the surgery effectively and safely.

Who needs Robotic Surgery 

Not all patients are eligible for robotic surgery. The suitability of robotic surgery depends on various factors, including the type and stage of cancer, the location of the tumor, the patient’s overall health, and the surgeon’s expertise. A comprehensive evaluation by a multidisciplinary team is necessary to determine if robotic surgery is the appropriate treatment option for each individual.

How to prepare for Robotic Surgery 

Preparing for robotic surgery for cancer treatment involves several essential steps to ensure the procedure’s success and the patient’s well-being. Here is a comprehensive guide on how to prepare for robotic surgery:
  1. Choose a Skilled Robotic Surgeon: The first and most crucial step is to select a qualified and experienced robotic surgeon who specializes in cancer treatment. Look for surgeons who have performed a significant number of robotic surgeries and have a track record of successful outcomes.
  2. Consultation and Evaluation: Schedule a consultation with your chosen surgeon to discuss your cancer diagnosis, treatment options, and the suitability of robotic surgery for your specific case. The surgeon will evaluate your medical history, overall health, and the stage of cancer to determine if you are a suitable candidate for robotic surgery.
  3. Medical Clearance: Before the surgery, you may need to undergo a series of medical tests, such as blood tests, imaging scans, and electrocardiograms, to ensure that you are in good health and fit for the procedure.
  4. Stop Smoking and Alcohol: If you smoke or consume alcohol, it is advisable to quit or reduce these habits as they can hinder the healing process and increase the risk of complications.
  5. Medication Review: Inform your surgeon about any medications you are currently taking, including prescription drugs, over-the-counter medications, and supplements. Some medications may need to be temporarily stopped or adjusted before the surgery.
  6. Follow Fasting Instructions: Your surgeon will provide specific fasting instructions, which may include refraining from eating or drinking anything for a certain period before the surgery.
  7. Preoperative Instructions: Your surgeon will provide you with detailed preoperative instructions, which may include showering with a special antibacterial soap the night before or on the morning of the surgery.
  8. Arrange Transportation: Since robotic surgery may require anesthesia, it is essential to arrange for someone to drive you to and from the hospital on the day of the procedure.
  9. Plan for Recovery: Discuss with your surgeon about the expected recovery period and plan accordingly. Arrange for assistance at home during the initial days of recovery, especially if you live alone.
  10. Mental Preparation: Preparing mentally for the surgery is equally important. Stay positive, ask any questions you may have, and seek support from your loved ones to help alleviate any anxiety or stress.
  11. Follow Preoperative Diet Guidelines: Your surgeon may provide specific diet guidelines to follow before the surgery, which may include avoiding certain foods or liquids to reduce the risk of complications during the procedure.
  12. Follow All Instructions: It is crucial to carefully follow all the preoperative instructions provided by your surgical team to ensure the surgery’s success and reduce any potential risks.
Remember to communicate openly with your surgical team and ask any questions or address any concerns you may have. By following these preparation steps, you can optimize the outcome of your robotic surgery for cancer treatment and support your recovery process.

Benefits of Robotic Surgery

  1. Minimally Invasive: Robotic surgery is a minimally invasive technique that uses small incisions, resulting in less trauma to the body, reduced pain, and faster recovery compared to traditional open surgery.
  2. Enhanced Precision and Control: The robotic system provides the surgeon with enhanced precision, control, and maneuverability, enabling complex surgeries to be performed with greater accuracy.
  3. Superior Visualization: The high-definition 3D camera provides a magnified view of the surgical site, allowing for better visualization of delicate structures and precise surgical maneuvers.
  4. Reduced Blood Loss and Complications: Robotic surgery has been associated with reduced blood loss, lower risk of complications, and a lower rate of wound infections compared to traditional open surgery.
  5. Faster Recovery and Shorter Hospital Stay: Patients who undergo robotic surgery often experience faster recovery, shorter hospital stays, and a quicker return to their normal daily activities.

Risks of Robotic Surgery

  1. Cost: Robotic surgery can be more expensive compared to traditional open surgery or laparoscopic procedures due to the high cost of the robotic system and its maintenance.
  2. Learning Curve: Robotic surgery requires specialized training and expertise. Surgeons need to undergo extensive training to become proficient in using the robotic system effectively.
  3. Equipment Limitations: The robotic system has certain technical limitations, including limited tactile feedback and a fixed range of motion for the robotic arms. Surgeons must be aware of these limitations and adapt their techniques accordingly.
  4. Availability and Access: Not all healthcare facilities have access to robotic surgery systems, limiting the availability of this advanced surgical technique in some regions.
  5. Patient Selection: Not all patients are suitable candidates for robotic surgery. Factors such as obesity, previous abdominal surgeries, or certain medical conditions may affect eligibility for robotic procedures.

What to do after Robotic Surgery

After undergoing robotic surgery for cancer treatment, the post-operative care and recovery phase is critical to ensure the best possible outcome. Here are the essential guidelines to follow after robotic surgery:
  1. Hospital Stay: The length of hospital stay after robotic surgery varies depending on the type and extent of the procedure performed. Follow the instructions of your healthcare team regarding hospital discharge and post-operative care.
  2. Pain Management: You may experience some pain and discomfort after surgery. Your healthcare team will provide pain management strategies, including medications and other pain relief techniques. Take pain medications as prescribed and report any excessive pain or new symptoms to your healthcare provider.
  3. Incision Care: Proper care of the surgical incisions is crucial to prevent infection and promote healing. Keep the incision sites clean and dry as per the surgeon’s instructions. Report any signs of infection, such as redness, swelling, or drainage, to your healthcare provider.
  4. Physical Activity: While it’s essential to avoid strenuous activities immediately after surgery, your healthcare team will guide you on gradual resumption of physical activities. Engage in light walking and mobility exercises as recommended to promote blood circulation and prevent complications like blood clots.
  5. Follow Dietary Guidelines: Follow the dietary instructions provided by your healthcare team. A balanced and nutritious diet will aid in the healing process and support your overall health.
  6. Hydration: Drink plenty of fluids to stay hydrated, but avoid excessive caffeine or alcohol consumption as they can interfere with healing.
  7. Medication Management: Continue taking prescribed medications and follow the recommended dosage and timing. Inform your healthcare team about any allergies or adverse reactions to medications.
  8. Follow-up Appointments: Attend all follow-up appointments with your surgeon as scheduled. These visits are crucial for monitoring your recovery and addressing any concerns.
  9. Rest and Sleep: Adequate rest and sleep are essential for healing. Listen to your body and avoid overexertion during the initial recovery period.
  10. Avoid Smoking and Alcohol: If you smoke or consume alcohol, it’s best to avoid these habits during the recovery phase as they can impair healing and increase the risk of complications.
  11. Emotional Support: Recovery after surgery can be physically and emotionally demanding. Seek support from family, friends, or a support group to help cope with any emotional challenges.
  12. Report Concerns: If you experience any new or worsening symptoms, such as fever, excessive pain, bleeding, or difficulty breathing, contact your healthcare provider immediately.
  13. Gradual Return to Daily Activities: As you recover, gradually resume your normal daily activities based on your surgeon’s recommendations. Avoid heavy lifting and intense physical activities until cleared by your healthcare team.
Remember that the recovery process varies from person to person and depends on the specific surgical procedure and individual health condition. Adhering to your surgeon’s post-operative instructions is crucial for a smooth recovery and successful cancer treatment outcome. If you have any questions or concerns during your recovery, do not hesitate to reach out to your healthcare team for guidance and support.

Celebrities who have fought cancer and won

Sonali Bendre

Bollywood actress Sonali Bendre was diagnosed with metastatic cancer in 2018. The actress had cancer treatment in the United States and returned cancer-free. She starred in several Bollywood blockbusters, including ‘Kal Ho Naa Ho’ and ‘Sarfarosh.’

Mumtaz

This evergreen Bollywood actress won many hearts with her beauty and charismatic performances in movies such as Do Raaste, Chor Machaye Shor, Aag, Khilona, Aadmi aur Insaan, Upaasna and so on. At the age of 54 she was diagnosed with breast cancer. She fought the disease for 11 years and made sure it did not get the better of her. She was also featured in the UniGlobe Entertainments documentary on cancer survival called ‘1 Minute’.

Robert De Niro

Thanks to regular medical checkups, the actor’s prostate cancer was diagnosed at an early stage in 2003. In December of that year, De Niro had surgery, a typical treatment option when the cancer has not spread beyond the prostate gland.

Amazing Facts about Robotic Surgery for Cancer treatment

  • The concept of robotic surgery dates back to the 1980s, with the development of the first robotic arm by the Stanford Research Institute for use in delicate surgeries. (Source)
  • The first The first robotic-assisted surgery was performed in 1985 when the PUMA 560 robotic arm was used for neurosurgical biopsies. (Source)
  • The da Vinci Surgical System, one of the most well-known robotic surgical platform, was approved by the FDA in 2000 for use in general laparoscopic procedures. (Source)
  • Robotic systems provide surgeons with a high-definition, 3D view of the surgical site, enhancing visualization and aiding in precise tumor removal. (Source)

4 Reasons for Regular Cancer Screening

Complications of Untreated Cancer

What is Robotic Surgery

Overview

Robotic surgery, also known as robot-assisted surgery, is a surgical technique that combines the skill of a trained surgeon with the advanced capabilities of robotic systems. The robotic system consists of robotic arms equipped with surgical instruments and a high-definition 3D camera. The surgeon controls the robotic arms from a console, manipulating the instruments with enhanced dexterity and precision. The robotic system translates the surgeon’s hand movements into precise robotic movements, allowing for greater control and accuracy during the surgical procedure.

 

Procedure

The robotic surgery procedure involves several key steps:

  1. Patient Preparation: The patient is prepared for surgery, which may include fasting, administering anesthesia, and positioning the patient on the operating table.
  2. Robot Setup: The robotic system is set up, and the surgical team prepares the robotic arms and instruments for the procedure.
  3. Surgeon Console: The surgeon sits at the console, which provides a magnified, three-dimensional view of the surgical site. The surgeon operates the robotic arms and instruments using hand and foot controls.
  4. Trocar Placement: Small incisions are made in the patient’s abdomen, and trocars (thin tubes) are inserted to provide access for the robotic arms and instruments.
  5. Robotic Arm Insertion: The robotic arms, equipped with surgical instruments, are inserted through the trocars into the patient’s abdomen.
  6. Surgical Procedure: The surgeon uses the console to control the robotic arms and perform the surgical procedure. The robotic system provides precise movements and excellent visualization of the surgical site.
  7. Completion and Closure: Once the surgical procedure is completed, the robotic arms are removed, and the small incisions are closed.

How Does Robotic Surgery Work?

Robotic surgery works by translating the surgeon’s precise movements at the console into robotic movements of the surgical instruments. The robotic system eliminates tremors and enhances the surgeon’s dexterity, allowing for more precise and delicate maneuvers. The robotic arms have a greater range of motion than the human hand, enabling access to challenging anatomical areas. The high-definition 3D camera provides a magnified view of the surgical site, enhancing visualization and accuracy during the procedure. The surgeon’s expertise and skill remain critical in performing the surgery effectively and safely.

Who needs Robotic Surgery

Not all patients are eligible for robotic surgery. The suitability of robotic surgery depends on various factors, including the type and stage of cancer, the location of the tumor, the patient’s overall health, and the surgeon’s expertise. A comprehensive evaluation by a multidisciplinary team is necessary to determine if robotic surgery is the appropriate treatment option for each individual.

How to prepare for Robotic Surgery

Preparing for robotic surgery for cancer treatment involves several essential steps to ensure the procedure’s success and the patient’s well-being.

Remember to communicate openly with your surgical team and ask any questions or address any concerns you may have. By following these preparation steps, you can optimize the outcome of your robotic surgery for cancer treatment and support your recovery process.

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What to do after Robotic Surgery

After undergoing robotic surgery for cancer treatment, the post-operative care and recovery phase is critical to ensure the best possible outcome.

Hospital Stay

The length of hospital stay after robotic surgery varies depending on the type and extent of the procedure performed. Follow the instructions of your healthcare team regarding hospital discharge and post-operative care.

Pain Management

You may experience some pain and discomfort after surgery. Your healthcare team will provide pain management strategies, including medications and other pain relief techniques. Take pain medications as prescribed and report any excessive pain or new symptoms to your healthcare provider.

Incision Care

Proper care of the surgical incisions is crucial to prevent infection and promote healing. Keep the incision sites clean and dry as per the surgeon’s instructions. Report any signs of infection, such as redness, swelling, or drainage, to your healthcare provider.

Physical Activity

While it’s essential to avoid strenuous activities immediately after surgery, your healthcare team will guide you on gradual resumption of physical activities. Engage in light walking and mobility exercises as recommended to promote blood circulation and prevent complications like blood clots.

Follow Dietary Guidelines

Follow the dietary instructions provided by your healthcare team. A balanced and nutritious diet will aid in the healing process and support your overall health.

Hydration

Drink plenty of fluids to stay hydrated, but avoid excessive caffeine or alcohol consumption as they can interfere with healing.

Medication Management

Continue taking prescribed medications and follow the recommended dosage and timing. Inform your healthcare team about any allergies or adverse reactions to medications.

Follow-up Appointments

Attend all follow-up appointments with your surgeon as scheduled. These visits are crucial for monitoring your recovery and addressing any concerns.

Rest and Sleep

Adequate rest and sleep are essential for healing. Listen to your body and avoid overexertion during the initial recovery period.

Avoid Smoking and Alcohol

If you smoke or consume alcohol, it’s best to avoid these habits during the recovery phase as they can impair healing and increase the risk of complications.

Emotional Support

Recovery after surgery can be physically and emotionally demanding. Seek support from family, friends, or a support group to help cope with any emotional challenges.

Report Concerns

If you experience any new or worsening symptoms, such as fever, excessive pain, bleeding, or difficulty breathing, contact your healthcare provider immediately.

Gradual Return to Daily Activities

As you recover, gradually resume your normal daily activities based on your surgeon’s recommendations. Avoid heavy lifting and intense physical activities until cleared by your healthcare team.

Remember that the recovery process varies from person to person and depends on the specific surgical procedure and individual health condition. Adhering to your surgeon’s post-operative instructions is crucial for a smooth recovery and successful cancer treatment outcome. If you have any questions or concerns during your recovery, do not hesitate to reach out to your healthcare team for guidance and support.

Benefits of Robotic Surgery

Risks of Robotic Surgery

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