[Latest Technology] The third generation da Vinci Surgical Robot “simplifies the complexity” (Shanghai Renji Hospital) 2014-09-12 Popular Medicine Shanghai Renji Hospital Urology Department Chen Haiguo In September 2014, Shanghai Renji Hospital affiliated with Shanghai Jiaotong University School of Medicine introduced the third generation da Vinci Surgical Robot SI system and put it into use. It is the only large local public tertiary hospital in Shanghai that has introduced this system. The system is the most advanced minimally invasive surgical system widely used in the world, suitable for minimally invasive surgery in general surgery, urology, cardiovascular surgery, thoracic surgery, gynecology, quinturology and pediatric surgery. It is the only intelligent endoscopic minimally invasive surgical system in the world today that has been approved by the FDA for use in surgical clinical treatment. Using the da Vinci SI system, physicians can enhance the flexibility and maneuverability of surgical instruments, perform surgical operations more precisely, and can perform more complex types of surgery. Based on clinical reports of the da Vinci robot worldwide, the main clinical advantages of the da Vinci Surgical Robotics SI System over previous systems are clear. The main advantages include: 1. more flexible and precise equipment control, more convenient and faster preoperative equipment preparation, which can improve the efficiency of preoperative preparation and save time; 2. the new equipment adds single-hole surgery technology and supporting instruments, which can carry out robotic single-hole surgery. single-hole surgery represents the current frontier of the development of minimally invasive surgery in the world, providing more room for the development of robotic minimally invasive surgery; 3. the addition of surgical field fluorescence contrast technology. For example, when performing tumor surgery, doctors can use this technology to clearly see the image of the lymphatic location that needs to be cleared in the operating field, which improves the lymphatic clearance rate, reduces peripheral tissue damage, and significantly improves the prognosis of tumor patients. 4. The imaging system provides a higher definition and wider surgical field, which makes the assistant’s auxiliary work more accurate and effective. 5. The new intraoperative ultrasound probe for robots is flexible The probe is designed with a raised handle on the back of the probe for flexible robotic instrument gripping to explore at any angle. The intracavitary ultrasound can be used to determine the texture, boundary, and blood supply of the tumor, especially in certain kidney tumor resections, liver tumor resections, and pancreatic tumor resections. The SI system is more scientific than da Vinci’s previous series of robots in that it is designed with the surgeon’s labor position and work intensity in mind, and is more in line with the surgeon’s personalized operation requirements. For example, the ergonomic design of the console allows him to record the comfortable position of each surgeon, and the machine can be adjusted automatically when the surgeon is registered. For doctors to operate for a long time to protect the body, reduce the occurrence of occupational diseases, and in the continuous operating room, saving the continuous preparation time. Second, the overall design of the equipment is more compact, saving space, easy to move and install. Thirdly, the SI system can also be equipped with two surgeon’s consoles, so that two surgeons can operate at the same time. It is suitable for different surgical joint operations. Minimally invasive training is more effective with the new third-generation da Vinci Surgical Robot, which adds a simulation training program for clinicians to perform simulated surgical training. The training currently consists of virtual reality tutorials to familiarize the operator with the robot’s handles, foot pedals, and other controls. Using the da Vinci Surgical Simulator Trainer can shorten the learning curve for physicians, correct certain missteps, or save the financial cost of animal surgery experiments. In addition, the SI system greatly facilitates clinical teaching with two optional control consoles, which will make robotic minimally invasive surgeon training more effective. With the da Vinci Surgical New Robot SI System, Renji Hospital is actively preparing to build a regional or even national minimally invasive training platform, striving to benefit more regions and people. Using the da Vinci SI system doctors can greatly expand the scope of minimally invasive surgery applications and gradually carry out more complex and difficult surgeries, such as minimally invasive non-stop bypass surgery in cardiac surgery. At the same time, complex minimally invasive surgeries will become simpler, capable of achieving smaller trauma, greater patient applicability and closer to ideal surgical results, in line with the goal of perfect excellence in modern surgery. In addition, the application of the new procedure will help reduce the amount of anesthesia required, reduce the risk of infection, and reduce blood loss. Patients who undergo this new surgical approach benefit greatly from a single-port incision that can greatly reduce recovery time, preserve good function, reduce bleeding and blood transfusion, reduce trauma and scarring, reduce hospitalization days, and allow patients to quickly return to their daily lives. It is reported that four hospitals, including Shanghai Zhongshan Hospital, also introduced the second generation of the da Vinci Surgical Robot S system in 2009. (Reporter Yuan Hui Yun Correspondent Zhang Jian) 1. Share the article: Click on the top right corner… 2. Follow us: ① Click on the small word “Popular Medicine” below the title, or ② in the upper right corner of the address book In the “Add Friends” box, type the micro signal popularmedicine in the “Search number to add friends” box, or ③ in the “Add Friends” box in the upper right corner of the address book Search for “Popular Medicine” in “Find Public Numbers” (Special reminder: some public numbers have been found to use “Popular Medicine”, so please identify the certified (V-added) one) (Special reminder: we have found that some public numbers have been misappropriated “Popular Medicine”, please identify the certified (V) “Popular Medicine” public number! 3. 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