机器人外科手术或单切口达芬奇机器人手术

原文：

Single Site Robotic Surgery or Single Incision da Vinci Robotic Surgery

What is Single Site Robotic Surgery or Single Incision Robotic Surgery?

Single-incision laparoscopic surgery (SILS), also called single-port access (SPA), or single-site (LESS) have been widely popularized recently, having claimed less pain and faster recovery. Robotic fans threw themselves at the technique, and now the da Vinci Single site Robotic Surgery has been used for several human robotic surgical procedures, mostly through the single incision of the umbilicus. Robotically assisted surgical technology has offered new options for minimally invasive surgery exclusively via single port.

Where can I get Single Incision Robotic Surgery?

Patients who have robotic surgery treatment can now appear from the process with almost no scarring damage and little discomfort, thanks to a new strategy in automatic surgery treatment. World Laparoscopy Hospital lately conducted the hospital’s first da Vinci® Single-Site™ cholecystectomy (gallbladder elimination surgery) in Apr, 2012. Using robotic assistance, our common surgery treatment group eliminated the person's gall bladder through a one-inch cut in the navel, making only a little, nearly unseen scratch.





Single Site Robotic Surgery


da Vinci is a robotic surgery program commonly used in complicated, non-invasive surgery; however, it was only in Dec 2011 that the FDA accepted the specific Single-Site equipment for use with the da Vinci Surgical System. Neither robotic surgery treatment nor single-incision surgery treatment is new, but mixing the two to eliminate the scar of surgery by doing with single incision needs additional training and special equipment, says Dr. R. K. Mishra, Director, World Laparoscopy Hospital. “To be one of the first medical centers to offer this officially innovative surgery treatment shows World Laparoscopy Hospital’s authority in offering patients with the most up-to-date non-invasive surgery options.”


The cut was made in the person's navel, restricting the discomfort to a very little area. In just three days, she was returning doing the essential work. Just three weeks after the surgery treatment, the affected person said the cut was not recognizable and what little discomfort she had was gone. Single-site robotic equipment used with the da Vinci foundation are the next step in the progress of surgery technology, creating World Laparoscopy Hospital is a innovator in offering the surgery procedures of the next generation.

What is the advantage of Single site da Vinci Robotic Surgery?

The da Vinci surgical system provides master asso- ciation function of which computer program enables a surgeon to swap his left and right hands, EndoWrist in-struments with 7 degrees of freedom and high definition 3D vision. Thanks to these unique functions, intuitive single incision endoscope surgery can be performed with increased safety and speed. Prospective benefits of single-site gall bladder surgery treatment may include:


•VIRTUALLY SCAR-FREE RESULTS
•MINIMAL PAIN
•LOW BLOOD LOSS
•FAST RECOVERY
•A SHORT MEDICAL CENTER STAY
•HIGH INDIVIDUAL SATISFACTION


During the process, choices rests perfectly at a robotic system, watching a three-dimensional, high-definition picture of the person's structure. The physician uses hand-held manages to move the instrument’s hands and photographic camera. In real-time, the system converts the surgeon’s side, hand and handy motions into accurate motions of the reduced in size equipment inside the affected person.

The da Vinci surgical system provides robotic instruments with 7 degrees of freedom added to conventional laparoscopic instruments. Because of this, the robotic instruments have more flexible movements than roticulator instruments do. As a result, the surgeon can manipulate the instruments without causing collision even if the instruments are inserted through the same incision. Although we used 8 mm EndoWrist® instruments in this surgery, use of 5 mm EndoWrist® instruments would make the surgical technique much easier because of their flexible snake profile. In general, roticulator forceps are used to avoid instrument collision; however, they are not suitable for suturing because their unique jaw mechanism is unable to rotate while bending. The robotic instruments have more degrees of freedom, which enable the surgeon to perform more precise and accurate manipulation.

At World Laparoscopy Hospital we could show the effectiveness of robotic single incision endoscopic surgery, which can be expected to expand its application area from simple procedure such as colecystectomy to more complicated procedures such as colectomy, etc. This single site or single incision da vinici robotic surgery technique is expected to contribute to the development of a number of procedures in the future.

半自动结果：

什么是单孔机器人外科手术机器人手术或单切口？

单切口腹腔镜手术（SILS），，也被称为单端​​口接入（SPA），或单点（LESS）得到了广泛的推广，在近期声称少痛苦小，恢复快。机器人的球迷把自己的技术，和现在的达芬奇单个站点的机器人外科手术已用于几个人机器人外科手术，主要是通过单一切口在肚脐。微创手术机器人辅助手术技术提供了新的选择完全通过单一端口。

我在哪里可以得到单切口机器人手术吗？

机器人手术治疗的患者可以出现的过程中，几乎不留疤痕损伤，稍有不适，到一个新的策略，自动的手术治疗。世界腹腔镜医院最近医院的第一达芬奇®单站点™胆囊切除术（胆囊消除手术）年4月，2012年进行。我们的常见的手术治疗组使用机器人的援助，消除人的胆，通过一英寸的切口在肚脐上，只有一点点，几乎看不见划痕。





单站点机器人手术


达芬奇机器人手术方案，常用于复杂的，非侵入性的手术，但是，它是2011年12月，FDA接受了特定的单一站点设备使用达芬奇外科手术系统。无论是机器人手术治疗，也不是单一切口手术治疗是新的，但两者混合做一个切口，以消除疤痕的手术，需要额外的培训和专用设备，RK米什拉博士说，主任，世界腹腔镜医院。“是第一个医疗中心提供这个的正式创新的手术治疗提供最最新的非侵入性手术的患者显示了世界腹腔镜医院的的权威。”


切割是在人的肚脐，一个非常小的区域限制不适。在短短的3天，她回国做的重要工作。三个星期后手术治疗，受影响的人说，切不能被识别什么不适，她已经走了。单站点使用的机械设备与达芬奇的基础是下一步的手术技术的进步，创建世界腹腔镜医院是一个创新的下一代提供了外科手术。

单个站点达芬奇机器人手术的优点是什么？

达芬奇外科手术系统提供了主的阿索离功能的计算机程序，使外科医生，以交换他的左手和右手，EndoWrist 7度的自由和高清晰度的3D视觉的仪器。由于这些独特的功能，直观的单切口内窥镜手术可以提高安全性和速度。单点胆囊手术治疗的预期收益可能包括：


•几乎无疤痕的结果
•最小的疼痛
•低血亏损
•快速恢复
•短MEDICAL CENTER住宿
•HIGH个人满意度


在这个过程中，选择在于完美的机器人系统，看的人的结构的立体，高清晰度的图片。医生使用管理移动手持仪器的双手和照相机。在实时，系统的外科医生的身边，手和方便的运动转换成精确的运动，减少尺寸的设备内受影响的人。

达芬奇机器人手术系统提供了工具，添加到传统的腹腔镜手术器械的7度的自由。正因为如此，机器人工具有更灵活的运动比roticulator文书。因此，外科医生可以操纵的工具，而不引起碰撞，即使通过相同的切口插入的文书。虽然我们在这个手术中，使用8毫米EndoWrist®工具使用5毫米EndoWrist®仪器的手术方法容易得多，因为其灵活的蛇轮廓。在一般情况下，roticulator钳子用于以避免文书碰撞;然而，它们不适合用于缝合，因为它们的独特的夹钳机构是不能转动，同时弯曲。的机器人工具有更多的自由度，使外科医生能够执行更为精确和准确操纵。

在世界腹腔镜医院，我们的机器人单切口内视镜手术的有效性，可以预期，扩大其应用范围从简单的程序，如colecystectomy更复杂的程序，如结肠，这个单个站点或的单切口达vinici机器人的预计手术技术的一些程序在未来的发展作出贡献。