Learn the benefits of robotic surgery and when it is indicated

ÇMore precise, shorter and less invasive surgeries are already possible thanks to a special helper: a robot. But he does not perform any movement alone. Everything that is done by the machine is commanded by a trained surgeon, who has undergone training and certification, through a control console, similar to that of a video game. “Among the main advantages is the quick recovery that robotic surgery provides. It is minimally invasive, so we don’t need large cuts to access the patient’s target organ”, comments urologist Anselmo de Paula Orlando.

Thus, the patient is able to leave the hospital for home and return more quickly to his social activities. “This patient also has less intraoperative bleeding and a lower risk of having to undergo a blood transfusion”, he points out. The postoperative period is also more relaxed. “Post-operative pain is much less, because the incisions, the cuts, are minimal. In prostate surgery, specifically, the patient is able to recover faster in the urinary part and often also manages to recover sexual function faster, ”he explains.

For the surgeon who operates the machine there are also benefits, according to the expert. “There are many advantages for professionals, because with the robot we have better surgical ergonomics. The surgeon operates sitting down with his elbows supported, so he can remain more concentrated and more comfortable even in longer procedures, improving the professional’s performance”, he comments.

It also highlights the three-dimensional view provided by the robot, increasing quality and breadth. “Furthermore, the tweezers are very small, making it easier to reach hard-to-reach places, which greatly facilitates the surgery,” says the urologist. He clarifies that there are no specific indications for performing the surgical procedure with the robot. “It’s the same surgery. The same patient can be operated on by open or robotic surgery, there is no specificity that obliges the patient to go for it, ”he says.

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The president of the Brazilian Society of Hernia (SBH), Marcelo Furtado, points out that the use of the robot offers the specialist an image magnification of up to 40 times and 360º movements of the tweezers, something that the human hand is not capable of doing, which which offers more precision in the movements. “It helps to preserve the anatomical structures and reduce postoperative pain, bleeding and the presence of hematomas”, he points out.

Democratization

The first robotic surgery performed in Brazil took place in 2008. Today, 14 years later, the number of procedures has been gradually increasing and technological advances allow robotic surgery to be an effective alternative that prioritizes the patient’s quality of life. The discharge was 200% in the last four years, according to data from a study carried out by the American Center for Accreditation in Bariatric and Metabolic Surgery.

In Goiás, the first surgery of its kind was performed in January of this year using the robot Da Vinci Surgical System, at Hospital Israelita Albert Einstein in Goiânia. In ten months, the unit’s robotics program has already performed more than 300 surgeries.

Modalities

Brazil currently has two robotic platforms released for use in surgeries in modalities such as urology, gastrosurgery, gynecology, head and neck surgery, cardiac and thoracic surgery. Hernia repair, treatment of prostate cancer and correction of congenital heart disease are among the possibilities and treatment of endometriosis are among the pathologies with indications for the procedure.

With new platforms arriving, this technology, which is not yet available in the Unified Health System (SUS), should become more accessible, according to the president of the Brazilian Society of Hernia (SBH), Marcelo Furtado. For him, the democratization of this type of procedure is a matter of time.

“There is no doubt that it is the future. Today we are not in a discussion stage of if, but when it will be available to most people”, she points out. “There is the issue of cost, which limits a lot, but Brazil has advanced a lot in recent years, with a large number of platforms installed. What was limited five years ago has more than doubled recently,” says Furtado.

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