The Future of Modern Surgery
The term robot refers to computer-enhanced master–slave machines
which has taken the speciality of surgery by storm. It has refined a
surgeon’s capacity to do precise movements in confined spaces, with
minimal blood loss and good surgical outcomes.
The system consists of 3 components. At the patient table is the
Patient Cart which has robotic arms. These hold surgical instruments
that are introduced into the patient through small ports. The surgeon
operates the machine sitting at the Robotic Console, which is the
second component. The third component is the Image Cart which has
an image monitor to see the operative field, the master controller of the
entire robot and communication / video recording channels.
Robotic surgery is a type of minimally invasive surgery. “Minimally
invasive” means that instead of operating on patients through large
incisions, miniaturised surgical instruments are used that fit through
a series of quarter-inch incisions. When performing surgery these
miniaturised instruments are mounted on three separate robotic
arms, allowing the surgeon maximum range of motion and precision.
The fourth arm contains a magnified high-definition 3-D camera that
guides the surgeon during the procedure.
The surgeon controls these instruments and the camera from a console
and operates all four arms simultaneously while looking through a
stereoscopic high-definition monitor, giving him a better, more detailed
3-D view of the operating site than the human eye can provide. Every
movement he makes with the master controls is replicated precisely by
the robot. And because of the console’s design, the surgeon’s eyes and
hands are always perfectly aligned with his view of the surgical site,
minimising surgeon fatigue.
Utilising this advanced technology, surgeons are able to perform a
growing number of urological, gynaecological, cardiothoracic and
general surgical procedures and other very complex surgeries such as
heart surgeries, kidney transplant and cancer related surgeries.
For the patient, robotic surgery can offer all the potential benefits of a
minimally invasive procedure as compared with the traditional open
surgery, including reduced pain, less blood loss, fewer complications,
shorter hospital stay, less risk of infection, less scarring and less need
for blood transfusions.
There has been an explosive development in the scope of Robotic
Surgeries in all streams of surgery. Its application area is very wide
and it has proven to be of tremendous help in the medical world.
BLK Super Speciality Hospital and our sister concern in MumbaiNanavati
Super Speciality Hospital will also be launching a Centre
for Robotic Surgery very soon and offer this cutting edge technology to
Dr. Aditya Pradhan
Sr. Consultant, Urology,
Andrology & Renal Transplant
BLK Centre for Renal Sciences
& Kidney Transplant
BLK Super Speciality
Hospital, New Delhi