Robotic-Assisted Surgery (RAS) is a surgical process that includes robotic devices to deal with sufferers with illnesses similar to colorectal most cancers. As opposed to the standard surgical strategies, robotic surgical procedures are deemed much less “painful” with “fewer complications” in accordance to Intuitive India, one of many firms that has been working on this area since 1995. This surgical technique can be said to lead to much less blood loss in addition to have a quicker restoration rate. Although robotic surgical procedure has been a a part of medical science for over 25 years, its demand seems to be rising owing to the coronavirus pandemic. This is especially as a result of RAS, in contrast to conventional surgical procedures, bodily require much less medical doctors or surgeons within the operation theatre. The know-how to perform robotic surgical procedure can be bettering with the entry of latest gamers and the introduction of 5G/ 6G networks.
With higher connectivity features, specialists declare the RAS can rework into telesurgery (or distant surgical procedure) that may additional permit the remedy of sufferers with out having the surgeon bodily present in the identical state and even nation.
The demand for robotic-assisted surgical procedure in India can be excessive, and the nation over time has put in greater than 70 robotic devices throughout places similar to Delhi, Mumbai, Chennai, and Kolkata. Most of those consoles are offered by the Silicon Valley-based company, Intuitive which pioneered the da Vinci surgical system. Notably, there are 70 da Vinci techniques put in in India, in accordance to the company.
In November 2019, the Government additionally launched its first public RAS facility at Safdarjung hospital in Delhi. With this improvement, the Government goals to convey robotic surgical procedure know-how at public hospitals to deal with sufferers totally free. Similarly, RAS, by its nature is capital intensive, and the price related to this process can be excessive. Further, the RAS could doubtless be helpful amid the pandemic; nonetheless, the robotic surgical process calls for extremely expert surgeons.
To be taught extra about RAS and its development in India, Gadgets 360 spoke with Dr Venkatesh Munikrishnan, who’s a Consultant Colorectal Surgeon at Chennai Colorectal Clinic and The Institute of Colorectal Surgery, Apollo Hospitals Chennai. Dr Munikrishnan has been performing robotic-assisted surgical procedures for over 4 years and comes with 23 years of expertise. These are the edited excerpts from the dialog.
What occurs throughout robotic surgical procedure, and why is it thought of advantageous?
During the RAS process, there’s a console the place the surgeon sits, and there are joysticks via which he operates. Next to the affected person, the robotic with arms carries devices that go into the affected person. These devices are miniaturised that mimic a surgeon’s actions in order that it’s exact. The robotic additionally offers a ten-times magnification and 3D view.
Those are some great benefits of RAS in contrast to open surgical procedure or laparoscopy.
Why are robotic surgical procedures important amid the coronavirus pandemic?
The predominant distinction right here is being socially distanced. We do not want that many individuals across the robotic because it has arms that may assist in surgical procedure. So, you’ll need just one [surgeon] as an alternative of three, and the surgeon can be not subsequent to the affected person as he’s sitting with the console away. This console may be so far as doable from the affected person.
In the context of the COVID-19 scenario, there have been considerations relating to the aerosolisation of the virus as you want to forged an instrument into the stomach to create the area to function. Now, that concern has been addressed.
Secondly, an infection charges or wound an infection charges are fewer in contrast to laparoscopy or open surgical procedures. The extra contact you’ve gotten, there are extra dangers of transmitting virus in addition to bacterial infections. You are additionally transferring the team together with medical doctors and assist employees away utilizing this know-how to do a lot of the technical work in the course of the surgical procedure.
Is RAS common in India and what sort of surgical procedures can this know-how carry out? Also, how is that this going to evolve sooner or later?
Currently, there are round 80 RAS devices throughout India, and Apollo ecosystem in all probability has the utmost variety of robots. Most of it’s within the Urology area, however it’s also getting common typically surgical procedures. Some gynaecology and head and neck surgical procedure utilization are there as nicely.
If this know-how had been to evolve post-COVID, and we all know that the ratio of doctors-to-patients in India is much less – that too experience in areas similar to colorectal most cancers surgical procedure is just not simply obtainable. So, we are able to place a console subsequent to the affected person and ship a assist team to carry out such varieties of advanced surgical procedures.
Who are the important thing suppliers of RAS know-how?
We [Apollo Chennai] are utilizing an Intuitive surgical robotic, and the most recent is the fourth-generation da Vinci Xi mannequin. This might be essentially the most broadly used robotic world wide. There are newer ones, similar to CMR (Cambridge Medical Robotics) and Medtronic robotic surgical procedure. Johnson & Johnson robotic surgical procedure can be creating one. There are a number of robots in improvement too, however I feel Intuitive is a entrance runner as a result of they have been available in the market for a lengthy time.
What are the challenges related to robotic surgical procedure in India? Are medical doctors apprehensive about RAS?
One is entry to know-how as they’re costly. But with extra firms coming into the foray, the price could go down. Also, extra insurance coverage is coming to play, insurance coverage firms will cowl the price [associated with this procedure].
But to handle price, you additionally want to be environment friendly. It does not matter whether or not its a private hospital or a authorities hospital as a result of somebody is paying for it. If we develop into environment friendly to perform this process, the price will go down [as more patients are being treated in less amount of time].
We even have a reluctance to something new, proper? And on this career, you at all times keep studying. So surgeons have to adapt, undertake, and get educated.
How is telesurgery going to assist and the place is it main in the mean time?
As I said that the experience degree is restricted, so the know-how has to evolve. You will plug this [RAS console] to 5G/6G community and produce this experience throughout the nation. The solely factor you want to work out is to what number of this [telesurgery] cheaper so that each affected person can profit from it.
Also, the following factor with this know-how is you can get augmented actuality to come and help you. It’s simply a matter of time.