Less postoperative pain, shorter convalescence and faster recovery: patients who will benefit from the talents of Da Vinci X, the new high-tech surgeon at the Saint-Jean-L'Ermitage clinic (CSJE) in Melun (Seine- et-Marne), can approach their future intervention without stress.
This is a surgical robot acquired by the CSJE for the sum of 1.7 million euros.
This innovation is already present at the Grand Hospital de l'Est Île-de-France in Meaux, at the CHU Henri-Mondor in Créteil (Val-de-Marne) and in certain Parisian hospitals of the AP-HP.
Delivered to Melun on September 17, it will be operational from mid-October, time to train surgeons and nurses.
Developed by the American company Intuitive Surgical, this minimally invasive surgery tool allows more precision in the operations.
The surgeon's tremor is canceled
Equipped with binocular glasses, the surgeon sits in front of a console where the area to be operated on appears in 3D thanks to cameras inserted into the patient via small holes.
He places thumb and forefinger in joysticks and remotely controls the four robot arms which are above the patient.
How? 'Or' What ?
Via articulated and miniaturized grippers through which it reaches spaces that are difficult to access by human hands.
The image can be magnified twenty times.
The surgeon's tremor is canceled.
Meaux, January 2020. At the start of the year, the Da Vinci Xi surgical robot was presented to patients and nursing staff at Meaux hospital.
LP / Alexandre Arlot
It reduces the risk of side effects of prostate removal
The urology department of the CSJE will be the first to use it for prostatectomies in cases of prostate cancer, ranking first among cancers in men, ahead of that of the lung and colon rectum.
The clinic performs around ten operations of this type each year.
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"The prostate is located at the bottom of the belly," explains a surgeon specializing in the robot.
Before, we had to cut big.
With this robot, which has the dexterity of the human hand, the incisions are smaller and more precise.
The risks of impotence or urinary incontinence associated with the removal of the prostate are very markedly reduced because the nerves and anatomical structures are preserved.
"For kidney cancer," the robot can remove tumors that are more complicated to remove "And for organ descents (bladder, uterus and rectum)," we do a better job with more precise surgery ".
The Da Vinci X robot used during an operation.
DR
Da Vinci X will then be used in the digestive surgery department.
In patients suffering from obesity, it helps to reduce the stomach, shorten the digestive tract.
In the event of colorectal cancer [
Editor's note: second cause of death from cancer, all sexes combined
], its high precision prevents the patient from having to wear an external pocket (artificial anus).
In gynecology, the robot will treat uterine cancer in particular.
"Reduce the rate of leakage to Parisian establishments"
This purchase is a double wish according to Dr Philippe Cosson, CEO of the CSJE.
"We want to provide better comfort to patients and thus reduce the rate of leakage to Parisian establishments", he explains.
Rate he estimates at 40% for his clinic.
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His other wish: to be at the forefront of technology to attract young doctors trained in this technique in Paris.
"It is an essential investment that we were able to make thanks to the support of our group, Doctegestio", underlines Philippe Cosson.
The arrival of a sixth urologist specializing in robotic surgery goes in this direction.
One of the instruments that make up the Da Vinci X surgical robot. DR
The CEO of the clinic is aware that this high-tech tool, expensive to buy, is also expensive to operate.
A clamp costs between 2000 and 5000 euros and must be changed after 10 or 15 uses.
“It's a choice,” he assumes.
The establishment makes an effort on its profitability because we have a certain ethics.
This is progress!
And it will remain accessible to patients.
"
The Da Vinci X robot will be on display in the clinic lobby on Wednesday, September 30, from 9 a.m. to 5 p.m.
Health: surgical robots are taking over Paris hospitals