Robotic prostate cancer surgery accessible technology

At present, Thailand has entered an aging society. This is because the average life expectancy of Thai people is getting higher. Therefore, the quality of life of the elderly is important. Like prostate cancer, the incidence increases with age. And in the past, prostate cancer was often found in the advanced stage. until more developed medical technology Make prostate cancer screening by blood test (PSA) and physical examination. This makes it possible to screen more prostate cancer in the early stages. Decreased incidence of detection of metastatic prostate cancer As a result, it can be treated in a timely manner. and has a higher survival rate than the invasive phase

Current Prostate Cancer Treatment Guidelines There are many methods, but the choice of one depends on the appropriateness of the stage of the disease. and the physical condition of the patient Today we will raise the issue of prostate cancer surgery. Let’s talk to each other. When it comes to surgery, everyone certainly doesn’t want to get involved. Whether it’s regarding pain following surgery large wounds convalescence in hospital and recovery following surgery that takes time to return to normal daily life Hospitalization of one patient may affect many parts, not only the patient himself. This may affect relatives who have to take time to help care until the patient recovers as well.

But nowadays there are many different methods of surgery. And it has continued to evolve until it comes to minimal invasive surgery. Until the year 2000, the development of robot-assisted surgery using the device as a small movable robotic arm. 7 directions, similar to a human hand or a surgeon who operates in a narrow area, as well as a high-magnification camera, 3D imaging system, resulting in increased surgical accuracy, reducing injury to nearby tissues and reducing damage. Blood. Both of these are important for faster recovery and return home following surgery. in European and American countries This tool is widely used and very popular. More than 3,800 studies have been conducted. Currently, many generations of devices have been developed, including good surgical techniques. The surgeon has developed continuously. This is because the treatment of prostate cancer requires a balance of 3 factors: 1.) oncological outcomes, 2.) recovery of physical and urinary function, and 3) postoperative complications. Wheels that spin together in balance for the good quality of life of patients, especially the elderly Moreover, at present, the incidence of prostate cancer screening is found that the patient’s age is reduced between 50-60 years old, which is still healthy. have potential to work There is also a need for a good quality of life in the aging society. The focus is on being able to control urination following robotic prostate cancer surgery. Reduce the use of disposable diapers for adults is very important to the quality of life of patients in socializing. Because patients with urinary control are not afraid of urinary incontinence or fear of the smell of damp urine. therefore do not want to go out Therefore, in addition to the treatment results from different researches It has been found that robotic prostate cancer surgery is effective in treating cancer at any stage of the disease as compared to the standard open-abdominal surgery. But robotic prostate cancer surgery offers superior results in regarding the size of the wound less pain recover faster back to daily life fewer postoperative complications In addition, the issue of quality of life following surgery is to control urination following surgery. Robotic prostate cancer surgery Provides superior treatment results than conventional laparoscopic surgery

Current surgery, the development of robotic prostate cancer surgery techniques. There has been a lot of progress in There is a new surgical technique that is prevalent in many countries. is a robotic prostatectomy, where an incision is made in the pelvic peritoneum to remove the prostate. (Retzius-Sparing Robotic Assisted Robotic Radical Prostatectomy) to reduce the destruction of nearby tissues, as shown in the picture. The prostate is very important in the control of urinary incontinence. which the former method must be operated through the top and the side of the prostate causing disturbances in the control of urinary incontinence But the new techniques mentioned will enter the channel. behind the prostate can reduce injuries or damage nearby tissues according to the meaning of True minimally invasive surgery

At present, Rajavithi Hospital has installed a robotic system to assist surgery Providing treatment for prostate cancer patients since December 25, 2020 onwards, surgeries have been performed on more than 200 patients, making it the first robot-assisted surgery. and the most modern of the Medical Department Ministry of Health You can contact for more information at Urology Outpatient Department Rajavithi Hospital Tel. 02-206-2900 ext. 10720, 10721

Article by Asst. Prof. (Special) Dr. Thanet Thaidamrong
expert doctor Urology surgery Rajavithi Hospital

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