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Robotic urological surgery now in India

The system will help perform advanced surgical procedures like radical prostatectomy for cancer prostate, radical cystectomy for cancer bladder and many other procedures.

india Updated: Aug 17, 2006 18:35 IST

The department of Urology at All Indian Institute of Medical Sciences (AIIMS)is at the forefront for evaluation of new technologies in Urology and is a trend-setter for the country.

During the Golden Jubilee year of AIIMS, the department of Urology has acquired the da Vinci S Robotic Surgical system and has started robotic urologic surgery in India. The da Vinci S is the state-of-the-art 4-arm robotic surgical system and the department of Urology has acquired the first such system in Asia.

According to Dr Narmada P Gupta, theorganising chairmanand head of the Department of Urology at AIIMS, the system will help to perform advanced surgical procedures like Radical prostatectomy for cancer prostate, Radical Cystectomy for cancer bladder, Pyeloplasty for congenital Pelviureteric junction obstruction, Partial nephrectomy for kidney cancer, Vasico-vaginal fistula, Vault prolase and many other procedures.

The word robot is derived from the Czech word Robota - means labour. Robotics is fast emerging as the next generation technology. Today, robots are not exactly the walking, talking intelligent machines of movies, stories and our dreams. Robots are being commonly used in factories, warehouse and laboratories. In medical science, robots are in use in Neurosurgery, Orthopaedics and Cardiac Surgery. Da Vinci S robot is a master slave system in which surgeon sitting in the console and his controlled movements are transmitted through robotic arms to perform surgical procedures accurately.

Dr Gupta said that Minimal Invasive Surgery is the future and most of the surgical procedures will be done by key hole sugery. At present, key hole (laparoscopic) surgery has limitations of 2 dimensional view, counter intuitive movements and ergonomically difficult for advanced surgical procedures. Robotic assisted laparoscopic surgery has advantages of 3 dimensional view, magnification, 7 degree freedom of movements and ergonomic environment for performing surgery, as a result advanced surgical procedures can be done easily.

Cancer prostate is the most common cancer in men in USA and is the second most common cause of death. With education and awareness in public, simple digital rectal examination and blood test like Prostate Specific Antigen can detect cancer prostate prostatic biopsy can diagnose the cases early. Patients with early cancer prostate are suitable for radical prostatectomy operation. This operation was not acceptable to patients in the past because of its complications like bleeding, incontinence and impotence. The robotic radical prostatectomy operation will minimize the complicatios of this operation, will have shorter hospital stay and better quality of life.

Robotic Radical Prostatectomy started around 2001 in Europe & USA. At present, there are about 200 centers all over the world performing this kind of surgery. In Asian countries, Ronotic Urology surgery started in Japan, Malaysiaand Singapore. In India, ronotic systems were available in heart hospitals and cardiac surgery is performed through robotic assistance. Patients of cancer prostate from India are going to Europe and USA to get this operation done. The availability of Robotic surgical system at AIIMS will help Indian patients to get state-of-the-art in our own country instead of going abroad. The faculty of the department of Urology held training in USA and started performing these procedures regularly since July 19, 2006.

Robotic urologic surgery will set new standards of excellence in the management of various urologic diseases and will be developing a vision for the future.

First Published: Aug 17, 2006 18:35 IST