tailieunhanh - Endourooncology New Horizons in Endourology - part 3

vũ khí từ một trạm từ xa, một bàn đạp chân điều khiển các chuyển động camera, và hai ngón tay điều khiển xử lý (thạc sĩ) nằm trong một giao diện điều khiển điện thoại di động thao tác các cánh tay robot mang ngắm cụ robot. Threedimensional, 10-15 lần phóng đại tầm nhìn, mức độ tự do của phong trào | Robotic Urologic Surgery 29 arms from a remote station a foot pedal controls the camera movements and two finger-controlled handles masters located in a mobile console manipulate the robotic arms that carry the articulating robotic instruments. The threedimensional 10-15 times magnified vision the seven degrees of freedom of movement the scaling of movements and the articulating robotic endowrist which allows mimicking of the surgeon s hand movements permit fine dissection in confined spaces and ease in dealing with vascular structures and organs located near the vital structures. Ergonomics for Surgeons In LUS excessive force and torque on sensitive areas of the surgeon s palm and fingers can lead to unnecessary fatigue discomfort and temporary neuropraxia. Robotic assistance is ergonomically excellent for the operating surgeon as it provides ideal posture and an optimal grip on the manipulating instruments and prevents fatigue by allowing the surgeon to sit in a chair at the console. Robotics da Vinci-Assisted in Urologic Surgery Table 1 depicts what is on the horizon for robotics in laparoscopic urology at this point in time. For each application the question is being asked How do these new techniques compare with the current standard open techniques Most surgical procedures currently being performed can be classified as ablative or reconstructive. Ablative procedures in urology may be either diagnostic . lymph node dissection or therapeutic . nephrectomy adrenalectomy whereas reconstructive procedures are ureteropelvic junction repair pyelo-plasty partial nephrectomy etc. The other group of procedures utilizes both components ablative and reconstructive the most commonly performed operation in this group is robot-assisted radical prostatectomy. The important procedures that are currently being performed are briefly described below. Robot da Vinci -Assisted Radical Prostatectomy for Prostate Cancer Radical anatomic retropubic prostatectomy is the most .