The ROBOTIC REVOLUTION
ARSHAD M BHAT
SURGEONS OF THE VALLEY HAVE A CHANCE TO BE THE PART OF THIS ADVENTURE AS DEPARTMENT OF UROLOGY, SKIMS IS ORGANIZING ITS MAIDEN “ROBOTIC URO UPDATE 2012” IN THE INSTITUTE AUDITORIUM ON TUESDAY, JANUARY 17
The programme, according to the organizers, is going to be scientifically fruitful and enriching for the faculty as well as the upcoming surgeons. Renowned Robotic surgeons from USA, Dr Khurshid Guru, who is also the son of the soil, and Dr. James O. Peabody will deliver lectures during the programme, they said, adding the duo who has pioneered in robotic surgery would give an insight into this new technology and share their experiences. Panel discussions and carrier counseling would also be part of the event, they added.
The programme will be inaugurated by SKIMS, Director, Prof Showkat Ali Zargar. Giving details about the upcoming event, organizing committee chairman and Additional Professor Department of Urology, Dr Saleem Wani said, “Surgical robotics is the latest technology that holds significant promise, and it is one of the most talked about subjects in surgery today. Robotics is the future of surgery, and there is no doubt that in foreseeable future it will become an important tool in the surgical armamentarium.”
“While surgical robots offer advantages over the humans, we are still a long way from the day when autonomous robots will operate on people without human interaction. But, with advances in computer and artificial intelligence, it could be that in near future scientists will design a robot that can locate abnormalities in the human body, analyze them and operate to correct those abnormalities without any human guidance,” Dr Saleem said adding the industries dealing with the manufacturing of the Robots need to make it cost effective so that it could be applied to our set up.
The Committee chairman said, the event would be a great opportunity for surgeons particularly the students who will get an insight into this technology and explore their carrier options in this upcoming branch of medicine.
Dr Saleem urged the government and SKIMS administration to explore the possibility of bringing this cutting edge technology to the Institute, which, according to him, will be in synch with the dream of the founder of this tertiary care hospital.
Organizing committee secretary, Dr Arif Hamid said the “The success of the da Vinci Surgical System caught the attention of doctors and the media alike, and it is not going to be long when we will see almost all the procedures done by the robots from remote positions.”
Dr Arif further added that Robots have a tremendous role on urology especially uro-oncology, and we expect this cutting edge technology coming to our institute at the earliest so that its benefits can be passed onto our patients.
ROBOTS IN MEDICINE
Just as computers revolutionized the latter half of the 20th century, the field of robotics has the potential to equally alter the way we live in the 21st century. We’ve already seen how robots have changed the manufacturing of cars and other consumer goods by streamlining and expediting the assembly line. We even have robotic lawn mowers and robotic pets. And robots have enabled us to see places that humans are not yet able to visit, such as other planets and the depths of the ocean. The military is responsible for many of the advances in robotic surgery. That’s because military officials hoped that robotic surgery would provide a way for doctors to help patients on the front lines of combat zones without putting themselves in danger.
The da Vinci Surgical System from Intuitive Surgical is the most famous robotic surgery apparatus in the world.
On July 11, 2000, the U.S. Food and Drug Administration (FDA) approved the da Vinci Surgical System for laparoscopic procedures, making it the first robotic system allowed in American operating rooms.
The da Vinci uses technology that allows the human surgeon to get closer to the surgical site than human vision will allow, and work at a smaller scale than conventional surgery permits. The $1.5 million da Vinci system consists of two primary components including a viewing and control console and a surgical arm unit that includes three or four arms, depending on the model
In using da Vinci for surgery, a human surgeon makes three or four incisions (depending on the number of arms the model has) -- no larger than the diameter of a pencil -- in the patient’s abdomen, which allows the surgeons to insert three or four ports. The robotic arms hold the ports in place. One of the ports has two endoscopic cameras inside it that provide a stereoscopic image, while the other pots have surgical instruments that are able to dissect and suture the tissue. Unlike in conventional surgery, the doctor does not touch these surgical instruments directly.
Sitting at the control console a few feet from the operating table, the surgeon looks into a viewfinder to examine the 3-D images being sent by the camera inside the patient. The images show the surgical site and the two or three surgical instruments mounted on the tips of the surgical ports. The surgeon uses joystick-like controls located underneath the screen to manipulate the surgical instruments. Each time the surgeon moves one of the joysticks, a computer sends an electronic signal to one of the instruments, which moves in sync with the movements of the surgeon’s hands. Working together, surgeon and robot can perform complete surgical procedures without the need for large incisions. Once the surgery is complete, the surgeon removes the ports from the patient’s body and closes the incisions
In today’s operating rooms, you’ll find two or three surgeons, an anesthesiologist and several nurses, all needed for even the simplest of surgeries. Most surgeries require nearly a dozen people in the room. As with all automation, surgical robots will eventually eliminate the need for some personnel. Taking a glimpse into the future, surgery may require only one surgeon, an anesthesiologist and one or two nurses. In this nearly empty operating room, the doctor sits at a computer console, either in or outside the operating room, using the surgical robot to accomplish what it once took a crowd of people to perform.
The use of a computer console to perform operations from a distance opens up the idea of tele-surgery, which would involve a doctor performing delicate surgery miles away from the patient. If the doctor doesn’t have to stand over the patient to perform the surgery, and can control the robotic arms from a computer station just a few feet away from the patient, the next step would be performing surgery from locations that are even farther away. If it were possible to use the computer console to move the robotic arms in real-time, then it would be possible for a doctor in USA to operate on a patient in Srinagar.
A major obstacle in tele-surgery has been latency--the time delay between the doctor moving his or her hands to the robotic arms responding to those movements.
Currently, the doctor must be in the room with the patient for robotic systems to react instantly to the doctor’s hand movements.
From their inception, surgical robots have been envisioned to extend the capabilities of human surgeons beyond the limits of conventional laparoscopy.
Dr. James O. Peabody
James O. Peabody, MD, is a senior staff member of the Vattikuti Urology Institute (VUI) at Henry Ford Health System in Detroit, Michigan USA. He also serves as the Program Director of the Fellowship Program at the Henry Ford health System Detroit, MI. His specialties include urologic oncology. He has performed over 3000 robotic assisted laparoscopic prostatectomy.
Dr. James O. Peabody has an interest in the teaching of robotic surgical techniques and serves as director of the Urology Residency Program at the VUI. In 1997, he was awarded the Joseph C. Cerny, M.D., Resident Teaching Award. Dr. Peabody served as president of the Michigan Urological Society.
Dr. Khurshid A. Guru
Dr Khurshid A. Guru MD is Associate Professor in the Department of Urology at the School of Medicine and Biomedical sciences, State University of New York at Buffalo. He also serves as the Director of Robotic Surgery at the Roswell Park Center for Robotic Surgery. His specialty includes urologic oncology and has developed some of pioneering techniques in intra-corporeal urinary diversion. He has a special interest in the teaching of robot-assisted surgery and has invented one of the first robotic surgical simulators currently used across the world for safe robotic surgical training.
The Future of Robots in Urologic surgery
Dr.James O. Peabody(USA)
Dr.Khurshid A. Guru (USA)
How to bring Robot-assisted Surgery to Kashmir? Training & Implementation
Dr.James O. Peabody (USA)
Dr.Khurshid A. Guru (USA)
Nuts & bolts of Training in the United States: How can the West meet the East?
Dr.James O. Peabody(USA)
A challenge to Uro-surgeon
Dr Arif Hamid
Genito-Urinary Trauma: How do we manage?
Dr. James O. Peabody (USA)
US Guidelines for Bladder Cancer:
Tailoring them for Kashmir
Dr. Khurshid A. Guru (USA)
Case Discussion/Panel discussion
(3 cases, fifteen minutes each)
Dr.James O. Peabody
Dr. Khurshid A. Guru
Dr. B S Wazir
Dr. M Saleem Wani
Dr. Arif Hamid
Lastupdate on : Sat, 14 Jan 2012 21:30:00 Makkah time
Lastupdate on : Sat, 14 Jan 2012 18:30:00 GMT
Lastupdate on : Sun, 15 Jan 2012 00:00:00 IST
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