Robotic Surgery

In November 2018, the Presidential Hospital officially launched the Kazakhstan International Reference and Training Center for Robotic Surgery that is opened at the Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan. The Project was presented to the President Nursultan Nazarbayev.

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For the first time in the post-Soviet space, a Project has been created that combines all the possibilities of developing a new direction in world medical practice - surgery using a robot: practical medicine, training and professional development of specialists, clinical trials and scientific developments. In fact, the center for Robotic Surgery takes Kazakhstani Medical Science to a completely new, progressive level.

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The unique clinical unit of the Hospital will allow to comprehensively develop a new direction in medicine not only in Kazakhstan, but also in other countries.

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The Center solves one of the most important problems of modern medicine: it provides an opportunity to train staff for robotic surgery on the spot, without leaving the country. Full-cycle master classes in the Presidential Hospital will be held both for Kazakhstani surgeons and for colleagues from the Russian Federation and Central Asian countries.

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Robotic operating room is the modern, most effective method of surgical treatment in Urology, Gynecology and General Surgery. While retaining the advantages of laparoscopic surgery (when internal organs are operated through small openings on the patient’s body), robot-assisted surgery has a lot of additional advantages.

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3D observation over operational field and multiple zooming of operated organs; full elimination of hand tremor of surgeon; absence of necessity in big cuts, minimal risks of infections and blood loss; reducing stay days in inpatient department and rehabilitation period; absence of serious pain sensations after operations.

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Surgical instruments mounted on the robot’s mechanical arms allow the specialist to perform a wide range of movements with high accuracy. One of the manipulators is equipped with 3D camera, which transmits the image of the operated area with high resolution. It is important that the surgeon controls the actions of the robot, controlling each manipulation.

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 Robotic Surgery also improves the quality of cancer operations. Patients no longer need additional studies and chemotherapy.

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The famous urologist, Dr.David Samadi started to use the new urological technology as one of the first in the world. An prestigious American surgeon has performed more than seven thousand operations and is currently advising doctors at the Hospital, helping to develop the new Transenterix Senhance system. Doctors at the Hospital, who perform operations using robotic surgery, also successfully completed training in Italy, at the office of the manufacturing company. The Project was created with the support of the Fund of the First President. 

Equipment: Robotic Surgical System Senhance in designed to carry out robot-assited minimally invasive surgical operations.dsdahjhj

The operating surgeon,using the manipulators on the remote.

 

3D imaging mode is provided by video camera and stereoscopic endoscope. The movement of the endoscope in the operating space is controlled by the eye movement of the surgeon through the integrated AI Tracker system. The system allows operations in the following surgical areas: urology, gynecology, proctology, general (abdominal) surgery.

 

Advantages of robotic surgery: 

 

The advantages that the robotic system offers to the operating surgeon allow precise and delicate surgery. Surgical instruments of the robotic system completely exclude hand tremor (natural trembling), which is observed even among the most equable specialists, which allows an experienced surgeon to carry out jewelry surgery on the robot and preserve microscopic neuromuscular fibers.

 

Surgical instruments mounted on the mechanical arms of the robot allow the specialist to carry out the widest range of movements with high accuracy. One of the manipulators is equipped with 3D camera, which transmits a high-resolution image of the operated area. It is important to note that the surgeon controls the actions of the robot, controlling each manipulation. The robot does nothing on its own, but obeys the "orders" of the surgeon sitting at the console in the operating room and activating the robot's arms with the help of joysticks.

 

Благодаря многократному увеличению размеров операционного поля и высокой разрешающей способности оптической системы, хирург способен отделять ткани с высокой аккуратностью и непревзойденной точностью. Специальные миниатюрные инструменты, управляющие кончиками пальцев, позволяют хирургу осуществлять манипуляции, недоступные человеческой руке.

 

A computerized system of settings and scaling of movements aligns the manipulations of hands and tools, preventing errors associated with the human factor. An effective security system controls the process of tool changes during surgery. All this creates ideal conditions for the surgeon to conduct a surgical procedure with minimal blood loss and without complications.

 

The freedom of movement of surgical instruments with a size of several millimeters due to the zoom function and an enlarged three-dimensional image gives the best operational result with minimal chances of complications. The minimally invasive technique of conducting operations on the robot allows the patient to return to daily activity as soon as possible.

 

The sitting position of the surgeon during the operation, has a particularly positive effect on the result during complex operations, for example, with prostatectomy with reconstruction of the bladder.