Apollo Hospital Chennai is completing India’s first true robotic bariatric surgery on a 50-year-old woman from Bangladesh. With the advent of state-of-the-art technology, Apollo Cheney reached a robotic milestone on September 8, 2021, when Dr. Raj Palaniapan, Director և Leading Bariatric Surgeon, performed the Apollo Hospitals on India’s first fully robotic salivary gland. He performed a complex operation called “One Anastomotic Bypass” with just three robotic ports, and performed the entire procedure without the use of any additional ports.
Ms. Tania, a 50-year-old Bangladeshi woman, was a high-risk obese patient who weighed 124 (kg) (BMI – 51 kg / m2) with a variety of comorbid conditions, including previous brain tumor surgery (astrocytoma), epilepsy (during treatment). , Weakness and numbness of the right leg cause brain disease, sleep apnea, thyroid medications after complete thyroidectomy, as well as two other abdominal surgeries for gallbladder fibroids. He was recently diagnosed with diabetes, hypertension and dyslipidemia. He was mostly confined to a wheelchair; he was confined to his home after gaining significant weight; The bariatric procedure was to be performed as a medical emergency. Bariatric surgery gives patients a feeling of satiety, reduces their hunger by causing weight loss, and significantly improves health. This is due to the fact that the new stomach bag holds less volume than the normal stomach և reduces the amount of food intake.
Explaining the procedure, Dr. Raj Palaniapan said. “Because of the difficulties and risks of two stages of traditional surgery, Robotics was the only solution for him to reduce postoperative complications while increasing recovery while increasing safety. metabolic bypass surgery, which was planned. However, existing hybrid robotic surgeries will be as difficult as laparoscopy may not be very helpful. Therefore, we agreed through intuitive surgery to obtain all the necessary consumables, including the recently launched SUREFORM staplers for a fully robotic approach. These staplers have versatile movements և 90 degree articulation, which greatly reduces the difficulty of fixing the stomach and intestines during surgery. Large fat cake, the intestine could not mobilize well enough to complete the anastomosis, which leads to a small regression. The precision of the robotic suture made this demanding step of the anastomoses possible in such an unfavorable situation և we could have finished with perfect closure. This procedure is the first robotic bariatric surgery in the world, which was performed in only three ports. “Once in history, the full potential of robotic surgery has been achieved.”
The operation lasted about 150 minutes, and the patient was able to recover from the anesthesia after the operation. True smart robotic surgery causes less tissue damage than hybrid robotic surgery, so recovery was possible without transferring the patient to an artificial respiration device or intensive care unit. Within 12 hours after surgery, the patient began to take oral fluids, within 48 hours, mobilized with support, and was discharged in good health on the 4th day after surgery.
Speaking about the team’s achievements, Mrs. Prieta Redin, Vice President of “Apollo” Hospital Group, said: “While robotic surgery was a benefit to this patient, ‘real robotic surgery’ will revolutionize the results of gastrointestinal surgery, most importantly oncology-bariatric surgery. Add to this the hat of Dr. Raj Palaniapan, the first surgeon to introduce robotic bariatric surgery in India in 2011. the use of this new additional robotic stapler in other professions in the future to improve the outcome of surgery for the needy Indian population. ”
After the operation, the patient feels well, his weight is reduced by 4 kg, which allows him to move without any support. This is a remarkable achievement, as weight gain has limited her in a wheelchair over the past few months. The patient’s blood sugar և blood pressure is now being monitored. The procedure will allow him to lose about 40 kg in a year, walk comfortably, and return to full normalcy after almost a decade.
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