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
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Abstract:
Our hospital have started laparoscopic cholecystectomy in 1991, and after thenmany surgeons have been trained in the era of laparoscopic and minimallyinvasive surgery. Since then numerous procedures have been applied for alaparoscopic surgery, and many patients have been benefited as a result. Wehave performed the first automated surgery in Korea using Automated EndoscopicSystem for Optimal Positioning (AESOP) in June, 1996.With the help of Inbae Yoon’s(a 1961 graduate of our medical school) inspirationand donation, our hospital has started “IB Yoon Multi-Specialty EndoscopicResearch & Training Center” in 1998. As we started the robotic surgery we havechange the name to “Severance Robotic and Minimally Invasive Surgery Center”in March 2005. These infrastructures enables us the expansion of laparoscopicsurgery and inspires many surgeons to understand principles and equipments oflaparoscopic and robotic surgery. We performed the first robotic surgery usingda Vinci system in July, 2005. During 5 and half years after introducing theda Vinci surgical system in 2005 we have performed more than 10000 cases ofrobotic surgery successfully. With collaboration between medicine and roboticengineering company, we are developing our own version of Korean roboticsystem.In conventional laparoscopic surgery, limited motion of laparoscopic instruments,2-D surgical field, and unstable surgical view resulted from unnecessary movementof laparoscope (shaking surgical field) by assist surgeons, magnifying tremor oflaparoscopic instrument, and unexpected movement of laparoscopic instrumentby another assist-surgeon can accidentally produce inappropriate environmentfor safe laparoscopic surgery. To the contrary, stable 3-D surgical field providedby robot surgical system, wrist like movement of instrument, stationary holdingof fourth arm movement (to replace the role of assistant surgeon in laparoscopicsurgery) seems to produce very appropriate surgical environment for safelaparoscopic HBP surgery. Therefore, robot is thought to be very appropriate forfunction-preserving minimal invasive HBP surgery.
