Kidney transplantation is the most effective treatment of chronic kidney failure which is the result of permanent loss of kidney function. The patients with chronic kidney failure can return to their lives as healthy individuals in a short time upon a successful transplant and post-operation follow-up process. The "Da Vinci Robotic Surgery" method applied in Memorial Bahçelievler Kidney Transplant Center offers opportunities to reduce many risks during surgery as well as to improve the quality of life of the patient after surgery.
KIDNEY IS TRANSPLANTED WITH ROBOTIC METHOD
Kidney transplant is a versatile process that requires proper pre-operation preparations, an experienced team using advanced technology during transplant process, a professional team to manage the post-transplant care and treatments. Good and proper management of this process is important for the patient's future quality of life and reducing the risk of possible complications. The "Da Vinci Robotic Surgery" method applied in Memorial Bahçelievler Kidney Transplant Center provides important privileges to the physician as well as the patient during and after the kidney transplant process. Thanks to the image zooming system that increases the vision quality of the surgeon 15 times during the surgery, even the thinnest veins can be seen in all details. In addition, it does not cause tiredness and loss of concentration since the surgeon can sit for the long period of surgery. In case of possible hand tremor of the surgeon, the risk of developing complications is also minimized by the anti-tremor system in the device. In addition, in these operations in which the kidney is completely attached to the recipient by the robotic method, the risk of developing post-operative infections is much lower compared to the open method by providing a quick healing of the scar thanks to the only 4 cm incision opened in the patient. In addition, immunosuppressive drugs that suppress the immune system administrated to the patient after open surgery can delay the healing of the large scar area in open surgery. The small incision in the robotic surgery method greatly reduces this risk.
There are 3 parts in the Da Vinci System in which the surgeon moves the arms of the robot as his/her hands with 3D image:
Surgical console section where the surgeon sits during operation,
Patient console section next to the patient and including robotic arms prepared under sterile conditions,
Camera system unit providing advanced imaging system.
In the Da Vinci Robotic System, the camera and the accompanying three robotic arms are proceeded into the abdomen through tunnels with a diameter of 0.8 cm or 1 cm placed on the wall of the abdomen from certain points. Thanks to the thin and gentle surgical robotic arms, the joining (anostomosis) of the veins of the kidney which is placed into the abdomen through a small incision, is performed. In order to increase safety, the incision in the lower part of the abdomen from where the kidney will be removed, is performed at the beginning of the surgery. Since the surgeon's hand can enter through this incision during the surgery, there is the advantage of feeling and the chance to intervene in an emergency.
THINGS TO KNOW ABOUT "DA VINCI ROBOTIC SURGERY" METHOD
Robotic kidney transplant surgery requires high surgical experience and advanced technology. Surgery for the kidney donor is now performed as standard with the laparoscopic method. Robotic surgery provides additional benefits in terms of kidney recipient's quality of life and reduction of complications.
Robotic kidney transplant surgery has important advantages for both surgeon and patient. One of the most important of these concerns the surgeon's quality of vision during the operation. Laparoscopic kidney transplantation methods with standard camera provide only two-dimensional images. In the Da Vinci Robotic Surgery system, 3D images can be obtained thanks to high resolution cameras that transmit seperate images to each eye. In addition, since these cameras can zoom in 15 times, surgery can be performed with an ideal view.
The ends of the surgical instruments at the tip of the robot's arms rotate around their axes at total of 540 degrees in all planes. This technology enables the surgery to be performed even in the deepest parts of the body, beyond the mobility capacity of the human wrist.
The "tremor scaling" feature in the Da Vinci Robotic Surgery system prevents the surgeon from transmitting possible hand tremors to the devices during the surgery.
In classical surgeries, surgeons perform the surgeries by standing up and this may cause difficulties due to tiredness in prolonged surgical interventions. In robotic surgery, since the surgeon works by sitting, his/her concentration is higher and the risk of stress due to tiredness decreases.
The operation continues meticulously, as the robot moves according to the surgeon's wrist movements. Especially in suturing and suturing tissues, a much greater advantage is provided compared to the laparoscopic system.
After the operations performed with robotic surgery, the patient can recover in a much shorter time and the length of hospital stay is also shortened.
18 April 2022
6 January 2021
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