The surgical robot Da Vinci Xi, created in 2014, succeeded in removing for the first time in history a malignant kidney tumor from an awake patient, in a surgery performed this Wednesday at the Molinette Hospital in Turin, Italy.
The intervention assisted by the robot was in charge of the doctor Paolo Gontero, who had never used this robot to perform surgery with a patient fully awake and with only local anesthesia. The operation was a success and lasted two hours, under the task to four operating arms of the surgical robot.
As detailed Gontero, cited by the agency Efe, the decision to operate with Da Vinci Xi It was something “obliged” since in the particular case of the patient, it was not safe to use the technique “traditional open pit”, nor laparoscopic surgery (with a small camera) for the risk of spreading the tumor.
“I told the patient that her case was extremely complex, since robotic surgery, the only technology that would allow us to remove a tumor of these dimensions with a minimally invasive way and saving the kidney, had never been used in an awake patient and , therefore, I could not assure him of the viability of the intervention “, said the specialist.
This cancer was suffered by a 62-year-old patient who had “toured the country and the most prestigious hospitals” looking for a solution to a “deep” malignant tumor of more than 5 centimeters in the kidney. According to the doctor, total anesthesia had been ruled out because the woman has only one lung, because it had also been removed some time ago, after suffering from another cancer.
“The chance that he would not wake up from sedation was very high”, he warned Gontero, who also explained that his patient’s tumor was a mass of liquid content, which at the slightest mistake could spread to other parts of the body.
Meanwhile, the City of Health of Turin, a health complex where the Molinette Hospital is located, stressed that the success of the surgery was thanks to “Innovative three-dimensional reconstruction technologies”.
“Thank you for giving me a second life”, the woman, who surprisingly remained awake throughout the intervention, thanked the woman excitedly.
How does the Da Vinci surgical robot work?
The Da Vinci Surgical System consists of a computer-assisted surgery that allows graduating, filtering and transforming the movements of the surgeon into more precise movements of the microinstrumental, according to the Italian Hospital website. In that sense, they detail that It is usually used for Urological surgeries, especially Prostate Cancer and Renal Cancer.
According to specialists, it is a “cutting-edge surgery that allows the surgeon to receive a clearer and more detailed view of the entire operative field and, in this way, by transforming the surgeon’s movements into extremely delicate and precise robotic movements, improvement is achieved” surgical intervention.
Likewise, from the hospital website they assure that Dan Vinci Xi “it allows a shorter hospital stay, less pain, less risk of infection, less blood loss and fewer transfusions”, as well as “smaller scars, faster recovery”.
Interventions in kidney cancer
Radical nephrectomy, that is, the removal of one of the kidneys, was previously performed exclusively through an open approach.
From the Italian Hospital they argue that the “The current therapeutic objective is to preserve the kidney and eliminate only the tumor” And, despite the fact that in many cases it can be done by accessing the kidney through the conventional open approach, given the difficulties of the procedure, it is not always possible with a traditional laparoscopic approach.
In this sense, doctors highlight the work of robotic assistance, thanks to 3D vision and micro-instruments, it allows “minimally invasive”, to achieve a successful intervention in the kidney.
Source: EFE. Italian Hospital.