Robot HBP surgery (Robotic Hepato-Bilio-Pancreatic Surgery in YUHS)
- VernacularTitle:Элэг, цөс, нойр булчирхайн мэс заслын салбарт Робот мэс заслын нөлөө
- Author:
Woo-Jung Le
- Publication Type:journal article
- From:Innovation
2014;8(4):140-141
- CountryMongolia
- Language:English
-
Abstract:
Our hospital have started laparoscopic cholecystectomy in 1991, and after then
many surgeons have been trained in the era of laparoscopic and minimally
invasive surgery. Since then numerous procedures have been applied for a
laparoscopic surgery, and many patients have been benefited as a result. We
have performed the first automated surgery in Korea using Automated Endoscopic
System for Optimal Positioning (AESOP) in June, 1996.
With the help of Inbae Yoon’s(a 1961 graduate of our medical school) inspiration
and donation, our hospital has started “IB Yoon Multi-Specialty Endoscopic
Research & Training Center” in 1998. As we started the robotic surgery we have
change the name to “Severance Robotic and Minimally Invasive Surgery Center”
in March 2005. These infrastructures enables us the expansion of laparoscopic
surgery and inspires many surgeons to understand principles and equipments of
laparoscopic and robotic surgery. We performed the first robotic surgery using
da Vinci system in July, 2005. During 5 and half years after introducing the
da Vinci surgical system in 2005 we have performed more than 10000 cases of
robotic surgery successfully. With collaboration between medicine and robotic
engineering company, we are developing our own version of Korean robotic
system.
In conventional laparoscopic surgery, limited motion of laparoscopic instruments,
2-D surgical field, and unstable surgical view resulted from unnecessary movement
of laparoscope (shaking surgical field) by assist surgeons, magnifying tremor of
laparoscopic instrument, and unexpected movement of laparoscopic instrument
by another assist-surgeon can accidentally produce inappropriate environment
for safe laparoscopic surgery. To the contrary, stable 3-D surgical field provided
by robot surgical system, wrist like movement of instrument, stationary holding
of fourth arm movement (to replace the role of assistant surgeon in laparoscopic
surgery) seems to produce very appropriate surgical environment for safe
laparoscopic HBP surgery. Therefore, robot is thought to be very appropriate for
function-preserving minimal invasive HBP surgery.
