In people's minds, surgery must definitely see blood, and the scene must be quite "horrible." In fact, not as terrible as you think! Yesterday, Nanjing General Hospital of Nanjing Military Region held a press conference on Da Vinci surgical robots. Since the introduction of the only surgical robot in the province in 2010, it has successfully implemented 788 operations in the hospital, becoming the most complete robot in China. Experts concluded that through the operation of robots, many people think that the "horror" surgery can now achieve only a little blood. Correspondent Gao Minghua, Modern Express reporter Liu Jun
A large operation, can now be done "gently"
Yesterday morning, the robotic operating room of the Nanjing General Hospital of Nanjing Military Region conducted a live broadcast of rectal cancer. The operating room was very clean and the patient had almost no bleeding.
Wang Qiuping, chief physician of the hospital's otolaryngology department, also introduced a case of tongue root cancer resection. The surgery was done by a "robot doctor."
"The 80-year-old patient has not dared to do this after finding out the disease. He waited for more than eight months. Because the position of the tongue root cancer is too special, according to the previous thinking, the mandible must be opened and then the tongue opened. The doctor can find the lesion and remove it by hand." Wang Qiuping said. She then showed a picture of the surgical data, and the patient's face was "disastrous." "If you use the previous method, it is the effect on this picture. The entire operation has 80% of the damage, just to find the tumor, the cost is too great. Many people do not dare to do this operation after listening to the doctor's description."
After the operation, many patients have sequelae such as facial paralysis because of nerve damage. This also makes the patient "deep and fearful." Wang Qiuping said that after the robot was used for surgery, the doctor controlled the robot's dexterous arm. After entering the mouth, he successfully found the lesion for peeling and resection. At the scene, Wang Qiuping also showed pictures of the elderly after surgery, from the outside, like normal people.
The robot is coming, the surgery is bleeding less.
Jing Hua, the chief physician of cardiothoracic surgery in the hospital, said that in the past, heart surgery was to open the sternum. After the operation, the wire was sutured. This large wound left a considerable shadow to the patient. “A lot of people have done cosmetic surgery after heart surgery, hoping to eliminate surgical scars.â€
With minimally invasive techniques, especially with robots, blood is rare. "The robot's field of view has been magnified 10 times, far exceeding the original technology. Clear vision allows the surgery to bypass many blood vessels, ensuring that the amount of surgical bleeding is minimized." Jiang Zhiwei, chief physician of the hospital, said that previous gastric cancer surgery required Bleeding 300-400 ml, now on the robot, the bleeding is only 50 ml.
Ge Jingping, chief physician of urology, said that the previous prostate cancer surgery had bleeding more than 1000 ml, and now there is only 83 ml of bleeding.
Is the robot expensive for surgery? Calculated
At present, the Da Vinci robot is in the national promotion stage, and the average operation price of Nanjing General Hospital of Nanjing Military Region is 2.51 million yuan. "From the price of a single operation, it is indeed a little more expensive than normal surgery." Experts said, but careful accounting can still be achieved. "Patients are not only less traumatized, the key is short discharge time, saving costs and time." For example, gastric cancer surgery can be discharged from 9 days, the average is shortened to 6 days.
Experts also revealed that the Da Vinci surgical robot has not yet entered medical insurance, so the price of surgery is more expensive, but the Drum Tower Hospital has begun to introduce. With the increase in use, it can reduce the burden of medical care for many patients if it can promote medical insurance reimbursement.
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