ADVANCES IN SURGERY

SALMAN FAIZ

MEDICAL INFORMATICS

TELESURGERY

• DYNAMIC OR

• ALLIANCE BETWEEN COMPETENCIES

• FUTURE SURGEONS

• REMOTE LOCATIONS

TELESURGERY

• PROVIDE EXPERT ADVICE– TELECONFERENCING– TELERADIOLOGY– TELEPATHOLOGY

• ROBOT PERFORMANCE

• 5 FT. DISTANCE• 4k MILE DISTANCE

TELESURGERY

• ADVANCEMENT OF TELECOMMUNICATIONS AND ROBOTICS– TELECOMMUNICATIONS

• EXTENDED NETWORK

• BETTER EQUIPPED FACILITIES

• RECOGNITION OF NEED

– ROBOTICS• ACADEMIC PROGRESS

• GOVERNMENT SECTOR– NASA

• PRIVATE SECTOR– DA VINCI

PRE ROBOT-ASSISTED SURGERY

• Tremors– Dexterity– Precision

• OR Time

• Patient Recovery Time

• Resource Management– Expertise

POST ROBOT-ASSISTED SURGERY

• PRECISION PACKED– SCARRING

• TIMELINESS– OR TIME– PATIENT EXIT

• GLOBAL ASSISTANCE– TOP SURGEONS– TOP SPECIALISTS

ROBOT-ASSISTED SURGERY• Thoracic• Epicardial lead Placement • Chondroma • Esophagectomy • IMA Harvest • IMA Takedown • Lobectomy • Lung Biopsy • Nodulectomy • Thymectomy • Tumor resection

• Urology• Donor Nephrectomy • Prostatectomy • Ureter Harvest

• Vascular• Aortic Abdominal Aneurysm • Vena Cava Tumor

• Cardiac*• Atrial Septal Defect Repair  • Mitral Valve Repair • TECAB - Totally endoscopic coronary artery

bypass

• General• Adrenalectomy • Cholecystectomy • Esophagatomy • Gastric Bypass • Heller Myotomy • Nissen Fundoplication

• Gynecology• Cystocele Repair • Hysterectormy • Tubal Ligation • Tubal Reanastomosis

DA VINCI SYSTEM

• FDA-cleared• Insite Vision System• Endowrist

Instruments• Video Tower• 210 +• Certification

DA VINCI CART

•ENDOWRIST INSTRUMENTS

•4 ROBOTIC ARMS

DA VINCI CONSOLE•3-D VISION

•MASTER CONTROLS

•CAMERA CONTROL

• surgery example

LINDBERGH OPERATION

• Laparoscopic Cholecystectomy

•Zeus Robotic Surgical System

COST•DA VINCI SYSTEM

•800k SYSTEM COST

•100K/YEAR MAINTENANCE

•2K EXTRA PER OPERATION

•LINDBERGH OPERATION

•1 MILLION +

•The operation lasted 45 minutes, drawing on the combined skills of a tightly coordinated team of 40 people

•Medical Team

•France Telecom Engineers

•Robotic System Specialists from Computer Motion.

TRANSMISSION

• 200 MILLESECONDS

• SAFE LAG-TIME 330 MS<

• FIBRE-OPTIC CONNECTION

• SATELLITE TECHNOLOGY

• ATM

SWOT

• STRENGTHS

• WEAKNESSES

• OPPURTUNITIES

• THREATS

• tele-companionship/scenario