Robot minimally invasive surgery authority is published by the monograph, and the experts in the swelling are led

At the thoracic ward of the Huangpu Hospital of Sun Yat -sen University Tumor Prevention and Treatment Center (hereinafter referred to as the "Swelling"), patients can often be seen after surgery, and the infusion rack can be used to rehabilitate around the promenade.

It is difficult to see from their natural walking. They are also beneficiaries of robotics surgery. They have accurate surgery, small trauma and few complications. The pain after surgery is greatly reduced and can be recovered as soon as possible.

Robotal thoracic surgery is more common in medium swelling. With the help of dual robotics, the hospital has successfully performed robot minimally invasive surgery for more than 5,000 patients. These clinical practical experience will soon become "star fire", bringing hope to more hospitals across the country. Recently, the nation's first robotal tumor surgery monograph in the country's first robotic tumor surgery, which was led by experts in the middle swelling thoracic team, was officially published.

Except for instructions

Robot surgery adds new "textbooks"

Swelling introduced the robot surgery system in January 2016 and April 2020. It is the first medical unit in Guangdong Province to have two robot minimally invasive surgical systems. In recent years The first place.

Rich clinical experience has made Zhongzhong become a domestic authoritative robot surgical training and observation platform. Since the formal opening of the Huangpu Words (Thoracic Fourth District) in March 2021, it has held a five -phase national robot minimally invasive thoracic surgery training course, which is popular with surgeon experts.

Robotics plays an increasingly important role in minimally invasive surgical therapy such as lung cancer, esophageal cancer, and hypertular tumors. It has become the pursuit of many minimally invasive thoracic surgeons with the robot. But they have to quickly become a qualified robot surgeon. In addition to digesting the entry -level "most head" instructions, they also need to learn a lot of clinical practical techniques. To this end, the team of Zhongdao experts decided to organize the monographs of robotal thoracic surgery surgery to provide reference for the same way and promote the development of robot minimally invasive thoracic surgery.

Recently, the "Micro -Initage Surgery Surgery Surgery Surgery" edited by well -known experts from the deputy director, chief physician, and doctoral supervisor of the neutral and swelling chest, edited by Yang Haoxian, and a well -known expert in the country's 24 medical units in the country. The book introduces the management of robot surgery and team construction, anesthesia and nursing management. Robot surgery is used in lung cancer, esophageal tumor surgery, and hypertrophy tumors, and also discusses clinical practice of day surgery. There are more than 670,000 words in the book, and the graphic is available. You can watch the classic surgical video.

This is by far the most comprehensive and authoritative robotic chest tumor minimally invasive monograph in China, and has been incorporated into the training textbooks of my country's robot minimally invasive thoracic surgery. Academician He Jie, director of the National Cancer Center, prefaced this book, reflecting his affirmation and appreciation of the book.

Foreign experience cannot be copied

Must have Chinese characteristics

As the earlier domestic thoracic surgeon, since 2018, Yang Haoxian has led the team to complete nearly 600 robotic thoracic surgery surgery.

Among them are lung cancer surgery, followed by high difficulty esophageal cancer and hypertrophy tumor surgery. These typical robotic surgical treatment records are available in the new book.

However, there are also patients with "persuasion". "Only one -third of the patient's surgery patients can be used for surgery. Some patients do not have deep lesions, and ordinary thoracoscopic surgery can be solved quickly and efficiently. There is no need to use relatively expensive robotic surgery." Yang Haoxian said that this is the best solution to patients from the perspective of cost-benefit analysis to avoid excessive treatment and also provide data support for medical insurance in the future. "No matter who pays, we do not want to waste medical resources."

For many years of robotic surgery, Yang Haoxian and his team also have a deep understanding -foreign experience cannot be copied, and there must be Chinese characteristics:

The first is to explore the surgical solution suitable for the characteristics of the Chinese people. The punching position should be improved. There are differences in the body shape of Chinese and Western humans.

The second is that the concept should be accurate and do not blindly pursue technical gimmicks. Although the trauma brought by minimally invasive surgery is small, lung cancer surgery is still a high -risk four -level surgery. It requires postoperative post -management. It is necessary to help patients control the risks. We must not blindly pursue the so -called fast recovery for the concept of hype.

The third is to prevent "in case", keep the emergency plan, not be able to get rid of the interests of patients to pursue the so -called new technology, and to firmly control the quality of medical treatment.

It is worth mentioning that the book introduces a minimally invasive surgical path and method of robotic lung cancer that is suitable for Chinese people. This improved surgical method not only simplifies the surgical process, reduces the difficulty of surgery, but also makes it unable to minimally invasive surgery before. The complicated patients have achieved good surgical effects, which greatly reduces the trauma of patients and further expands the adaptability of minimally invasive thoracic surgery. Related articles have also been published in international journals before.

Lung cancer robot surgery

The strongest voice in China is issued internationally

In recent years, with the promotion and application of low -dose spiral CT in lung cancer screening, patients with lung cancer can be found, diagnosed and treated early. Among them, some surrounding patients with early lung cancer can also achieve good results through lung segmentation.

As a national key specialist in clinical medicine, the Department of Swalm adherence to clinical and scientific research parallel, and is no exception in precision and minimally invasive pulmonary segmentation in early lung cancer robotic robotics. Yang Haoxian's team proves that the robot has obvious advantages in the removal of the lung segment, which can help thoracic surgeons better cross the learning stage and have good surgical safety. The results were invited to make oral reports at the conference at the 35th European Academic Annual Conference at the 35th European Cardiology Surgery (EACTS) academic annual conference in 2021. "Now a lung segment resection has increased an average of nearly 27 minutes. Robot surgery has reduced the surgery time, which is conducive to the recovery of patients. The average hospitalization time after surgery is 3 days ..." In July 2022, Yang Haoxian in the 30th European breast chest At the Academic Annual Conference of the Surgeon Association (ESTS), an oral academic report was announced, which announced the latest research results of precision minimally invasive surgical treatment of early lung cancer robotic robotics, that is, the phase of early lung cancer robot auxiliary minimally invasive lung segmentation and ordinary thoracoscopic minimally invasive surgery surgery Compared with advantages. The results of the data and research have received high attention from international peers, and also marked the entry of a minimally invasive surgical surgery in the middle swelling robotic lung cancer.

In the past years when the robot surgery has helped lung cancer patients to extend life, the team of intellectual thoracic experts has also explored new explorations. With the support of the Sun Yat -sen University Clinical Medicine Research Project, Yang Haoxian's team is leading the national multi -center random control research around this international problem. At present, the research is progressing smoothly. It is expected that the research results will be expected to rewrite or enrich the guidelines for lung cancer surgery.

Pay attention to the participation of patients

The healing rate is equal to the quality of life

The application of robotic surgery has changed more complex thoracic surgery from "impossible" to "possible".

The 58 -year -old Mr. Wang went to the hospital for cough with blood sputum in March this year. He was diagnosed with lobular lobe ilderocarcinoma with a diameter of 7 cm in diameter of the tumor and was accompanied by pulmonary lymphatic swelling. The lymph nodes are wrapped around the pulmonary arteries. The risk of surgery is very high. A little carelessness will damage the pulmonary arteries. The consequences are unimaginable. Mr. Wang hopes to give robot surgery in the last line.

He came to Zhongjiabuya, and Yang Haoxian told him that the robot minimally invasive surgery was feasible, but the overall planning, comprehensive treatment of multidisciplinary, and full management. "The effect of direct surgery is not ideal. Preparatory chemotherapy is required to reduce the tumor or control its development, and then perform robot surgery." Yang Haoxian introduced that this can not only achieve the purpose of minimally invasive surgery, but also improve the cure rate.

After treatment, although the tumor has narrowed, the lymph nodes in the thoracic cavity still stuck the lung artery. With the assistance of the robot, the surgical team only performed a few small holes on the patient's chest to complete the lobe resection surgery, and systematically cleaned the clung and the hypotonia. Mr. Wang was discharged from the hospital 3 days after surgery.

Robot surgery must not only push the effect of accurate surgery to a new height, improve the cure rate, but also meet the quality and aesthetic needs of patients to maximize postoperative surgery. Yang Haoxian introduced that taking lung cancer surgery as an example, not only should we pay attention to playing a few holes on the body, how big is each hole, but also pay attention to how to avoid damage to important muscles, protect normal blood vessels and nerve beams, reduce cough after surgery, reduce cough after surgery Wait for complications to patients. "That is, while reducing the trauma, it is necessary to reduce internal injuries."

In addition, many patients, especially female patients, have made beauty requirements. To this end, during the design surgery, Yang Haoxian's team also helped patients find ways to hide scars. Regarding the "beauty" surgical design, the team advocates patients to actively participate in the design of the surgical plan.

"I give the Mark pen to the patient. The patient wants to draw the wound first. I can see if I can help them achieve it." Yang Haoxian said that many times the team can really help the patient. In the past, patients did not dare to express or have no chance. Now they have expressed it, and there are many very reasonable places. "The original intention of the patient is consistent with us: not only to live, but also to live well. This is the direction of our joint efforts."

Reporter | Chen Le

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Edit | Zhou Yanmei Responsible | Zhang Xiuli

Correspondent | Zheng Minshan Zhao Xianting

Produced by Guangdong Health Online All -Media Team

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