The robot "doctor" was praised for the accuracy of the surgery.

In the United States and most countries with high prostate cancer, robotic-assisted radical prostatectomy has almost replaced the standard traditional surgery for prostate cancer; recently, the STAR robot (Smart Tissue Autonomous Robot) height The operation of suturing the small intestine of the pig was completed independently, and it was better than the surgeon.

With the development of robotics, more and more robot “doctors” will go to the operating table in the future.

The biggest advantage at present: prostate cancer

In developed countries and regions such as Europe and the United States, prostate cancer is the most common malignant tumor in men, and its mortality ranks second in various cancers. In the UK, more than 40,000 new cases of prostate cancer are diagnosed each year.

Now, Da Vinci surgical robots are changing the fate of many European and American prostate cancer patients.

Has become mainstream in Europe and America

Since Germany completed the world's first robot-assisted prostate cancer radical surgery in 2000, through more than a decade of development, currently in the United States and most countries in Europe where prostate cancer is high, robotic-assisted radical prostatectomy has almost replaced A limited standard of traditional surgery for prostate cancer. Among them, the most widely used is the American robotic surgery system "Da Niu" - the Da Vinci surgical robot produced by the Intuition Surgery Company.

The Da Vinci surgical robot consists of a surgeon's console, a mechanical operating arm and a high-precision 3D imaging video imaging platform.

During the operation, the robot does not perform the operation automatically or according to a preset procedure. Instead, the doctor controls the robot arm under the 3D high-definition image monitoring through the console, thereby completing each action of the operation. After the surgical preparations are in place, a Da Vinci robot is placed next to the patient and the doctor sits on the console a few meters away.

During the operation, Da Vinci surgical robots provide doctors with a wide field of vision and accurate and flexible control ability, which can clearly show the anatomy of tissues and organs and the direction of neurovascular bundles. Fine separation facilitates lymph node dissection and conducts Accurate stitching.

720 degree rotation operation

When dealing with fine and complex prostate tissue, the Da Vinci surgical robot can perform 720-degree rotation operation and accurate field of view.

According to reports, there are currently about 3,266 Da Vinci systems in the world, most of which are in the United States and 350 in Asia.

There are currently 58 in the UK medical system. At the University Hospital of Wales, Da Vinci surgical robots have been used for a year and a half, and they have been on the job for 3 days a week. 350 radical prostatectomy operations have been performed. In addition, Da Vinci surgical robots are also used in the fields of gastrointestinal, hepatobiliary and pancreatic and gynecological.

The future: self-executing soft tissue surgery?

At present, the advantages of surgical robot operation are some relatively hard tissues, such as leg bones, heads, etc., which can remain motionless during surgery. Soft tissue surgery is much more complicated – the smooth, matte tissue in the human body moves and is difficult to track, making it difficult to hand over to the robot.

Robot is better than doctor

But this limitation may soon be a breakthrough. In a recent experiment, the STAR robot (Smart Tissue Autonomous Robot) completed the operation of suturing the small intestine of the pig in a highly independent manner. In the "match" with the human surgeon, the STAR robot was completed more than the surgeon. it is good.

Peter King, a pediatric surgeon at the National Children's Medical Center in Washington, DC, is a participant in the STAR Robotics program. In the experiment, the STAR robot was asked to sew a cut pig's small intestine. "We have compiled the most advanced surgical procedures for it based on the condition of the machine itself," Kim said.

The STAR robot first performed this experiment on isolated small intestine tissue in the laboratory, and then performed live experiments on anesthetized pigs. An experienced surgeon also performed the same operation at the same time. The comparison results show that the stitching of the STAR robot is more regular and less prone to leakage.

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