The surgeon sits in front of a computer console that looks a bit like Pixar’s WALL-E.
After placing your thumb and forefinger on the grips, perform small actions of cutting, cauterizing, or suturing while looking at the console screen, which provides a magnified three-dimensional view of the surgical site. Switch instruments by stepping on the pedals like an organist.
Surgeon Garrett Friedman’s movements are transmitted to a robot several feet away. This robot is typically an octopus-like machine with four arms. But this afternoon, in the operating room at Mountain View Hospital, the robot has one mechanical his arm with four small prongs, three with pliers-like tips, and a fourth has a small camera.
This next-generation robotic surgery system requires one small incision for colon surgery instead of the multiple incisions of previous robotic systems and the groin-to-rib cut of traditional hands-on surgery.
“It really distills surgery down to the absolute bare minimum that patients will need to undergo minimally invasive colon surgery in 2022,” Friedman said Tuesday while demonstrating the system.
Friedman and HCA’s MountainView Hospital participated in a Food and Drug Administration clinical trial to confirm the safety and feasibility of using the da Vinci SP (single port) robotic system in a variety of colorectal surgeries . The trial is enrolling adult patients who are candidates for minimally invasive surgery for colon cancer, polyps, and other conditions.
Friedman is one of the few surgeons in the United States performing colorectal surgery with this system. MountainView is the only facility in Nevada with this system.
The system was initially validated by the FDA for use in urology and oral surgery, such as tongue cancer, Friedman said. He has used the system less than 10 times in single-incision surgeries and 30-40 times in other colon surgeries. The FDA has given physicians broad latitude to use the device in ways beyond its original approval.
“We have already been able to safely carry out these operations, so we are confident that they can be carried out safely,” he said.
The technology’s performance in the trial will be assessed by its ability to complete the procedure without the need to convert to another approach, such as multiport robotics or laparoscopic surgery, according to the study description.
Other participants in this trial include the Adventist Health System/Sunbelt in Orlando, FL, the Mayo Clinic in Rochester, NY, and the Houston Methodist Institute.
Robotic surgery is known for enabling doctors to perform certain complex procedures with greater precision and control. By reducing the number of incisions he makes to just one, Friedman says the One Port System can reduce pain and scarring.
“We all want a minimally invasive approach, minimal pain, minimal complications, and with this highly specialized technique, we believe this is the way to go,” he said. said there are cosmetic benefits in that a single incision can be hidden below the bikini line.
There are no additional or reduced costs for patients to participate in clinical trials. He required follow-up examinations 14 days after surgery and she 42 days after surgery, according to the study, and he required additional follow-ups every year for 5 years.
Friedman, 37, received medical training at Weill/Cornell/New York Presbyterian Hospital, Memorial Sloan Kettering Cancer Center, Columbia University Medical Center, and Loma Linda University Medical Center.
As a US Air Force surgeon, I came to Las Vegas in 2017 to work at Nellis Air Force Base. “I never intended to live in Las Vegas, but I ended up loving it,” he said.
“I wanted to stay, and I wanted to do more than just hang shingles and have surgery,” he said. It was.”
Please contact Mary Hynes at mhynes@reviewjournal.com or 702-383-0336.follow @MaryHynes1 on Twitter.
Comments
Post a Comment