By creator to web.musc.edu
MUSC Well being has constructed a big and profitable living kidney donor program. However the surgeons in this system aren’t content material to maintain doing issues the way in which they’ve finished them for years.
So, on Sept. 1, surgeons Vinayak Rohan, M.D., and Satish Nadig, M.D., D.Phil., used robotic surgical procedure to take away a residing donor’s kidney, changing into one of many first applications within the Southeast to carry out this surgical procedure robotically.
Not like conventional surgical procedure, by which the surgeon stands over the affected person to function, and even laparoscopic surgical procedure, which minimizes incisions however can be carried out on the working desk, robotic surgical procedure means the surgeon is sitting at a console throughout the room. Utilizing joysticks, the surgeon controls cameras that give a 3D view inside the affected person’s physique and mechanical arms that carry out the surgical procedure by means of tiny incisions.
However with the present success of this system utilizing laparoscopic surgical procedure, why change? Rohan stated surgical procedure is a subject that’s ever-evolving. The superior imaging of the DaVinci robotic system permits surgeons to be extra exact of their actions, he stated.
Extra importantly, the robotic system offers surgeons simpler entry to areas which might be arduous to succeed in. Meaning higher ergonomics for the surgeon, who now not has to contort and pressure to succeed in the right space, Rohan stated.
“So many operations, which have been beforehand finished laparoscopically, with wonderful outcomes, at the moment are finished with robotics as a result of immediately you notice, ‘Oh, there is a extra environment friendly approach to do that and nonetheless get wonderful outcomes for the affected person,’” Rohan stated.
Higher ergonomics for the surgeon advantages the sufferers, too. Betts Bishop, R.N., DaVinci coordinator for MUSC Well being, stated MUSC Well being surgeons tackle circumstances that require an additional degree of care.
“We get a really complicated caseload at MUSC,” she stated. “We do have some tougher circumstances.”
The minimally invasive nature of the surgical procedure often means simpler recoveries than conventional open surgical procedures, and the robotic arms imply that surgeons can attain deeper or greater into the physique than they in any other case might, she stated.
Within the case of residing donor robotic surgical procedure, as a result of the kidney needs to be eliminated in order that it’s nonetheless usable, surgeons must make a bigger incision than they usually would in minimally invasive surgical procedures. Nonetheless, within the case carried out Sept. 1, the donor affected person was nicely sufficient to be discharged the next day.
Bishop stated the robotic system is utilized by a few dozen specialties, starting from coronary heart care to urology.
However surgeons don’t make the change in a single day. Even essentially the most skilled of surgeons should endure full coaching on the system, together with working on fashions after which underneath the supervision of a proctor, earlier than they will start scheduling circumstances. The nurses, too, endure coaching on the system.
For kidney elimination, or nephrectomy, Rohan foresees his circumstances being about half-and-half robotic and laparoscopic, relying on the provision of robotic techniques. That stability will most likely shift extra towards robotic because the hospital system acquires extra machines, he stated.
Rohan can be waiting for the following milestone – performing a transplant robotically. Transplanting a kidney is considerably extra intricate than eradicating one, and few applications are performing this operation robotically, he stated. However Rohan is raring to consistently advance what MUSC Well being can supply to sufferers.
“It may be thrilling. We achieved this, and it’s going to be nice for our sufferers,” he stated.
— to web.musc.edu