Second "DaVinci" system allows more robot-assisted interventions
A second "DaVinci Xi" has recently been made available to the Surgical University Hospital Heidelberg. The robot is the latest generation in its class and is now being used to support minimally invasive procedures.
"The focus is on surgery on the large and small intestine and the pancreas. A large part of the open surgical procedures can thus be carried out in future with robot support. In addition, the 'Xi' is also used in stomach and esophageal surgery as well as in liver surgery", explains Professor Markus W. Büchler, Medical Director of the Department of General, Visceral and Transplantation Surgery. "With the new system, the number of robot-assisted surgeries in the abdominal surgery area will increase from around 20 to planned 200 surgeries a year", adds Professor Thilo Hackert, Senior Physician and Head of the Department of Pancreatic Surgery at the clinic.
Especially in complex operations, the robot offers the highest precision and a three-dimensional function of the instruments that enable wrist-like movements during preparation and reconstruction. Professor Thilo Hackert: "Precise movements are possible in the smallest space in the body, so that the finest organ structures are protected and even seams can be created with the utmost precision during reconstruction. The Xi robot is clearly superior in terms of vision and degrees of freedom in the operation movements and also allows highly complex interventions in which minimally invasive surgery otherwise reaches its limits."
The large incision with which the surgeon must open the abdominal wall or thorax during an open operation is eliminated in robotic surgery. Instead, five to six small cuts are sufficient, through which the instruments are brought into the body via sleeves (so-called trocars). When this is done, the "DaVinci" takes over the movement of the instruments. The surgeon sits on a console and controls the robotic arms from there.
With these, the tissue can be taken and cut, in addition, the instruments can be changed and used. Over a three-dimensional high-resolution camera image, the surgeon sees the operating area enlarged ten times, in addition, there is a digital zoom.
Head physician from Herne is named the best surgeon in Germany
Professor Matthias Kemen, Chief Physician of the Clinics for General and Visceral Surgery at the Protestant Hospital Herne, has been named the top abdominal surgeon in Germany by "Focus Gesundheit".
His treatment successes in the areas stomach, intestine, pancreas and liver were evaluated. Important for the evaluation were, among other things, recommendations from patients and medical colleagues.
A total of 300 inpatient and 300 outpatient procedures.
In the spring, the magazine had already named Kemen as one of Germany's leading obesity surgeons. In the same issue, he was also listed as a top nutritionist.
The current issue is about visceral surgery, ie abdominal surgery. A total of 3,000 inpatient and 300 outpatient procedures are performed annually in Herne. The stomach surgery beats with more than 150 interventions annually.
"I'm glad that in the area of the stomach obviously our many innovative treatment methods were important," says Kemen.