Recently, Wang Dongjin, director of the Cardiothoracic Surgery Department of Gulou Hospital, manipulated the surgical robot and successfully bridged the heart for an 85-year-old heart disease patient. It is understood that this is the nation's oldest patient robot coronary artery bypass surgery.
85-year-old man to undergo surgery
Mr. Fang, 85, has felt chest tightness after the past one or two activities. He went to the hospital for examination. The cardiologist told the father: "The heart is blocked. The elderly, you have to undergo major surgery..." due to coronary artery disease Serious, unable to apply stent technology, must carry out bypass surgery, the family quickly sent him to cardiac surgery, ready for surgery.
"Traditional heart bypass surgery requires the patient to be anesthetized, and then the sternum is completely opened with a sternum saw. The wound is more than 20 cm." The old age is old and the function of each organ is degraded. Traditional thoracotomy can cause great trauma. There are difficulties in later rehabilitation, which makes the elderly worry: "I am 85 years old, I dare not take this risk." The old man found Professor Wang Dongjin, hoping to solve his problems with minimally invasive techniques.
Minimally invasive use of robots
Wang Dongjin told the reporter that after discussion, the team decided to try the robot minimally invasive bypass surgery, which has never been tried in Jiangsu, and the elderly who are so old can not find a second. After detailed examination and careful preparation, the old man was introduced into the operating room. The doctor made three small holes with a diameter of 1 cm on the chest wall of the old man. The robotic arm of the surgical robot was inserted into the old body. The surgeon doctor sat in front of the console and operated remotely with a liquid crystal screen magnified 10 times or more. Each robot arm has different surgical operation equipment, including pliers, electrocoagulation knives, scissors, etc. Which one of the equipment needs to be replaced at any time.
“The operating head in front of the robot arm can be rotated 360 degrees, and it can reach the angle that the human hand can't reach. The operation effect will be better.†Wang Dongjin said that the robot is used for coronary artery bypass, and the operation time is 4 to 6 hours, which is more than the traditional open surgery. The time is longer, but the benefit of the postoperative patients is obvious. Because the trauma is small and the recovery is fast, the patient can walk down the ground on the day of surgery and discharge in the fastest three days.
More than 10 people benefit from "Da Vinci" robotic surgery
"My brother did a chest-opening surgery 10 years ago. I didn't get a bed for 3 months. I finished the operation on January 19 this year. After I went home on the 27th, I was busy with the New Year's Eve. After the Spring Festival, I had already climbed two. The second purple mountain, there is no difference between normal people." Mr. Bao, 71 years old, told reporters happily.
According to Wang Dongjin, relevant statistics show that about 50% of patients with coronary heart disease eventually die from sudden death. Patients with coronary heart disease should be actively treated even when they are old, and the emergence of the "Da Vinci" robot has broken through the old-age, high-risk restricted area of ​​traditional surgery. Up to now, there have been more than 10 cases of heart disease such as Mr. Fang and Mr. Bao who have benefited from the “Da Vinci†robot.
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