The 73-year-old Mr. Xu Lao unfortunately relapsed after chemotherapy and radiotherapy. He was diagnosed and treated in the Head and Neck Surgery Department of the Eye, Ear, Nose and Throat Hospital of Fudan University. He became the first patient with Da Vinci robotic surgery in the hospital. The good news is that the operation was very successful, and he was discharged from the hospital only three days after the operation. What’s exciting is that the Eye, Ear, Nose, and Throat Hospital has achieved a “speed of ENTs” in treating this type of patients, taking full advantage of the precise, minimally invasive, and efficient recovery characteristics of robotic surgery, and completed 7 difficult operations in less than a week. !
"Choose to try because of trust"
Before admission, the family member Mrs. Xu made sufficient preparations, “After the previous operation, he was unable to speak for 4-5 days. After returning home from the hospital, he still seldom spoke due to sore throat, mainly writing and communicating. So this time I deliberately took it. Here comes the last handwritten notebook". But to the family's surprise, on the day of the operation, Mr. Xu Lao reported that his throat did not hurt and his speech after the operation was fine. "The happiest thing this time is that I can speak immediately on the same day (surgery)." Before being discharged from the hospital, Mr. Xu repeatedly thanked the chief surgeon Professor Zhou Liang and his team.
As the first patient, choosing robotic surgery is a major decision. The patient and family members frankly chose to try the new technology because "Although we don't understand (technology), we trust Dr. Zhou Liang's medical ethics and believe that he is good for us. Facts have proved that the effect is also very good."
The first batch of robotic surgery under dynamic 3D vision
In the newly established digital integrated operating room of the hospital, Professor Zhou Liang sat on the operating table at the far end of the Da Vinci surgical robot system to start the operation. Under the three-dimensional endoscope, the doctor’s operating field of vision was magnified 10 to 15 times. Uncle Xu’s pharynx was clearly "screened" in front of Professor Zhou Liang, like a 3D movie, and the small tissues of the surgical site were unobstructed. With the assistance of the assistant Dr. Xu Chengzhi, the tumor in the patient's pharynx was completely removed by the robot's slender and dexterous robotic arm in only 20 minutes. The bleeding of Old Man Xu during the whole operation did not exceed 10 ml (equivalent to one tablespoon). During the first batch of operations, Dr. Zhou Liang also successfully performed robotic surgery for 66-year-old Lin (male) and 42-year-old Yi (female).
Oropharyngeal cancer treatment enters the era of micro-innovation
As a new technology application, the oral robotic minimally invasive surgery carried out by the Eye, Ear, Nose and Throat Hospital avoids trauma and facial scars after the patient’s lips and mandible are incised, and at the same time can avoid tracheotomy to the greatest extent. For patients with early oropharyngeal cancer, doctors use surgical robots to achieve the largest operable space in the oral cavity. Under three-dimensional endoscopes, doctors can more accurately observe the surface of the tumor, the surgical resection edge is more accurate, and the intraoperative damage is more accurate. Smaller, less bleeding. After 2-3 days after surgery, the patient can resume normal swallowing function. Patients undergoing oral robotic surgery can not only achieve the effect of conventional surgery to treat tumors, but also better preserve the patient’s oropharyngeal swallowing, pronunciation, respiratory function and appearance, speed up the postoperative recovery process, and allow patients to return to work and work earlier. Life.
In the future, the Da Vinci surgical robot system will not only become a minimally invasive surgical technique for the treatment of head and neck tumors such as oropharyngeal cancer in the Eye, Ear, Nose and Throat Hospital, but also be expected to be used in other fields of ENT specialists, and even in the field of ophthalmology, allowing the development of medical technology Benefit more patients.
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