Next-generation robotic surgery for common and advanced surgical procedures

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A giant leap forward with next-gen robotic surgery, here’s everything you need to know about it.


Robotic surgeries can help perform common surgical procedures

Robot-assisted surgeries have been around for almost a decade, but until now, these robotic surgeries were mostly used for complex procedures like cancer. However, now with the next generation robot, Versius from CMR Surgical, Cambridge UK, the benefits of robotic surgery can be harnessed for all common surgical conditions such as gallbladder surgery, hernia, loss of bone surgery weight, appendicitis, fundoplication and other procedures.

In 1989, after a decade of conventional open surgery, I came across a surgical demonstration that changed my path forever. At an American College of Surgeons conference in New Orleans, I witnessed four cases of endoscopic gallbladder surgeries that seemed like nothing short of a miracle.

What amazed me the most was that the patients were walking the next day and recovering enough in the following days to resume work and daily activities. With a quick recovery time, less post-op pain, and very small incisions, it was something my dreams as a surgeon were made of. Laparoscopy made its way to me, it was my calling, a pretty perfect fit for my sensitivity and understanding as a surgeon. These three little punctures could make life a lot easier for countless people at home. It was fate! Since then, I have worked with singular determination to spread laparoscopic surgery in India.

Now, thirty years later, it’s another giant leap forward with next-generation robotic surgery for common surgical conditions. Supported by machine learning and enhanced by artificial intelligenceyouhe next-generation robot, Versius is designed to deliver surgical excellence. It offers all the advantages of the laparoscopic surgery technique with increased precision, accuracy and safety.

Versius improves my surgical skills with the 3D vision that I lacked for a few decades with laparoscopy. It allows fine and delicate wrist movements that have brought back pleasure to suturing and complex maneuvers. Also, with the console open, I can freely interact with my team during the proceedings that are so important. As a team, we have realized that we have become more efficient with reduced surgical time and are able to handle more cases in a given surgical day.

Most robotic systems have an enclosed console that limits the surgeon’s access to the patient without direct vision of the patient during surgery. One of the most important advantages of the Versius is that it has an open console and the surgeon can operate in a sitting/standing position according to his convenience. This allows access to the patient at all times and a direct view of the patient, easy communication with the surgical team and holistic control with close monitoring of all parameters during surgery.

Versius is a versatile robotic system, it works in synergy with the team. Its features make it easy to adopt, which shortens the learning curve. Its portability allows for proper use in the operating theater for surgeries in multiple disciplines. The versatility of port placement makes it very convenient to switch to the hybrid procedure if and when needed. In the long run, it will turn out to be very profitable and affordable. It is a mobile/portable robotic system that can be moved from one OR to another, improving the efficiency of my surgical team.

The patient is up a few hours after the surgery, can go out the same day or the next day and resume their normal diet and activities from the next day. There is little or no blood loss and due to the very small size of the orifices, the patient achieves excellent cosmetic results.

We started using the next-gen robot in 2021, and I’m quite surprised at how seamlessly and quickly the team adopted this system. The synergies of the system unfolded with me and my team in such a way that we achieved a world record by performing the 100 fastest robotic surgeries in just 17 days of operation. This world record was recognized and published in the World Book of Records, London 2022.

(Contained by: Dr. Pradeep Chowbey)

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