Video: Thoracic Robotic Surgery
Thoracic Robotic Surgery.
Fri, 08 Sep 2017 15:56:48 +0000Thoracic Robotic SurgeryThoracic Robotic Surgery.http://chic.clipsyndicate.com/video/playlist/12463/7080202?cpt=8&wpid=2637WCIA>>heather: we hear all of the time about medical advancements. >>matt: it's happening again in your community for patients undergoing lung surgery. here with us is doctor - -. good to have you. i want to talk about robotics. i feel like so much discussion about medicine is how the technology can help us to better things. that's kind of where you are situated. >> what we are doing, no one else is doing. robotic thoracic surgery. we are doing surgeries taking out pieces of long, taking out masses. rather than taking out through the side we are doing this lesson basically through a port. >>matt: can you still do the same thing? people hear a smaller incision. are you still getting the same result? >> that's an excellent question. we have spent decades figuring out what's the best way to do these procedures is. we need to be able to do the same procedure even if we are doing it less invasively. we don't want to sacrifice the surgical principles just for the sake of making smaller incisions. that's one of the big advantages of using a surgical robot. we are able to do the same surgery but with less invasively. >>heather: who would be a good candidate for this robotic surgery? >> i consider everyone who needs a longer operation or an inside the chest operation for robotic surgery. not everyone is a good candidate but most everyone are. even for bulky things it's a little more cumbersome. >>matt: v robotics really enhances because you guys are in control. you guys are still in control. >> it's a surgical instrument. it still the surgeon doing the operation. it's the surgeon using the tool. >>heather: speaking of tools, you actually have some of the tools you use. what are we looking at? >> this is an example of one of the robotic instruments we use. show and a little bit. this is a little tiny instrument that plugs into the robot. this is a grasp or. this can be used through a small incision in the chest to grab the tissues into the dissections that we would otherwise do with our hands. >>matt: put your hand next to that. >> i do not have abnormally large hands. >>heather: good to know. >>matt: let's take a look at this video and describe what's happening. >> the video we will see is a robotic procedure where we did a - - of a lung mass. the instrument on the left is the instrument we were just holding. this is a stapler that is coming and going underneath the mass that is being held up. we use the surgical staplers to seal and divide pieces of tissue. that's a piece of long that we are holding up. this is the first firing of the stapler. so there will be a second one coming in momentarily. >>matt: presumably when you are stapling this you are cutting off circulation. >> the remaining long has to be perfectly sealed so no air can leak out of it. so then we take the rest and put it in a retrieval bag and pull it out for thebad. you'll see the bad bag momentarily. we drop the mass into the bag. and it keeps it contained in the bag if this is a cancer. this is the stapler we use. this is a device that goes into another port. closes it off. it creates six rows of staples and cuts down the middle. it completely divides both sides. >>matt: what has been your experience with these. do patients recover more quickly? recovery time is important but so is the fact that their issue is resolved. >> recovery is the big thing with these robotic procedures. holes in the chest so people have less pain. the pain results more quickly. they have fewer complications. it's easier to breathe. what the nurses have noted. it's easier to get patients to do things afterwards because they are having less pain. >>matt: they are more mobile. you are the only one doing that in this area. >> yes. we also have general surgeons doing operations in the abdomen. urologists doing kidneys. >>heather: after your tutorial, i feel confident that i could tackle it.