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Technology
Da Vinci Coming to Hinduja Hospital
Robotic surgery is more precise than laparoscopic surgery
because the robot's tools can be manoeuvred easily even in confined places like
the pelvic region
PD Hinduja Hospital, Mumbai is planning to buy the world's most advanced robotic
surgery system, which can be used for abdominal, gynaecological, cardiac and
cancer surgeries.
The only Da Vinci in the country today is at the All India Institute of Medical
Sciences in New Delhi. The robotic system will be especially used for radical
prostatectomy— removal of cancerous prostate glands— when even a slight
error can damage nerves, resulting in urinary incontinence and sexual dysfunction.
"Robotic surgery, since it's inception in 1999, is known to be superior
compared to traditional open radical surgery or laparoscopic procedures,"
said Dr Ashutosh Tewari, Director of Robotic Prostatectomy, New York-Presbyterian
Hospital who attended the day-long first international symposium on radical
prostatectomy and robotics at Hinduja Hospital recently.
Robotic technology can be used in any kind of surgery, but it is particularly
useful when it comes to prostatectomy— removal of a cancerous prostate,
as removing it is a delicate procedure, compounded by the gland's proximity
to the nerves and tissues controlling continence and sexual function.
Robotic prostatectomy is the most advanced form of surgery, in which a surgeon
sits away from the patient and guides the robotic arm into the patient's abdomen.
The robotic arm enters the abdomen through five tiny incisions and a 3-D camera
inserted via the arm helps the surgeon focus on the cancerous tumour. Bit by
bit, the diseased prostrate is removed.
"Robotic surgery is more precise than laparoscopic surgery because the
robot's tools can be manoeuvred easily even in confined places like the pelvic
region. In laparoscopic surgery, the instruments can be turned only 180 degrees,"
said Dr Gustad Daver, Medical Director, Hinduja Hospital. To ensure that the
equipment becomes cost-effective, Dr Daver, said the Hospital was planning to
get a robotic arm, which could be used not just for prostrate cancers but also
for other general abdominal and thoracic surgeries.
EH News Bureau
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