Yesterday was the 7th day after Mr. Li, who was 46 years old, underwent heart surgery. He didn't even think of it. He was discharged smoothly and went to work like a normal person. A week ago, Mr. Li underwent cardiac surgery at the Nanjing General Hospital of the Nanjing Military Region. What is different is that he is a "robot doctor". This is also the first full-robot heart mitral valvuloplasty in Jiangsu Province, and it is no longer necessary to “open the bellyâ€.
"Minute valve repair" surgery has a high risk factor
Mr. Li told reporters that his feeling of chest discomfort has been around since last year, and he can't do anything. A few steps away will be chest tightness and shortness of breath, especially when you lie down and sleep, it is even more difficult to breathe. This year, the symptoms became more and more obvious. When you walked two steps, your face will be white and your limbs will be weak. After examination at the local hospital, the doctor diagnosed him as a heart disease caused by mitral regurgitation and had to undergo surgery.
"Terminal insufficiency" is a more difficult heart disease. In traditional surgical methods, doctors must open the patient's sternum, which is not only traumatic, but also has a lot of bleeding, and it will have a serious impact on the patient's psychology. In addition, the risk of surgery for "mitral valve repair" is not small, and the accuracy of the surgeon's surgery is extremely high. After hearing that it was necessary to open the sternum to the surgical procedure, Mr. Li was scared to sleep for several consecutive nights. "How can I not afford the courage to undergo surgery, this scene is cruel to think about it." Mr. Li said.
Machine surgery is very traumatic
After admiring the Nanjing Military Region General Hospital, Li Dejun, director of the Cardiothoracic Surgery Department, recommended Mr. Li's "Robot Doctor" - Da Vinci Robot. This is a new type of surgical robot, which has gradually gained a certain popularity among patients due to minimal surgical trauma. "The human heart is a very sophisticated instrument. The mitral valve closure function depends on the complete structure and normal function of the valve leaf, annulus, chordae, papillary muscle, left ventricle, etc., no matter which part is wrong, it will be Lead to mitral regurgitation." Director Li told reporters that the incidence of Mr. Li is due to the partial chordae rupture, the relationship between the leaflets and the chordae is like the parachute's umbrella surface and umbrella rope, if the local rope breaks It is bound to happen that the umbrella "hold" does not live, and blood reflux occurs. At first, patients may have difficulty breathing, severe acute left heart failure, and even cardiogenic shock, which is a serious threat to life.
After repeated discussions before surgery, the experts decided to take a mitral valve repair operation under the full operation robot. On the afternoon of May 13, Mr. Li was promoted to the operating room. After general anesthesia, the expert first intubated the right internal jugular vein, established an extracorporeal circulation to connect the various lines, opened 4 1cm and 1 2cm incision in the space of the front chest rib, and placed the robotic lens, arm and other robot systems. The chief designer of the surgery, Director Li Dejun, controls the "most dexterous wrist" and performs the operation by hand (by operating the two controllers) and by the foot (via the foot pedal). The "arm" of the "Da Vinci" robot, in the heart of a patient who is jumping straight, easily and flexibly completes a series of complex movements: posterior lobe resection, residual suture, upper forming ring, suture knotting ... The surgery lasting 4 hours was declared successful.
The procedure is easy and precise
Director Li Dejun said with emotion that when operating the "Da Vinci" surgical robot for surgery, the doctor seems to be watching 3DIMAX movies, the field of view can be adjusted 10-15 times in size, the angle of view can be rotated 360 degrees, and the manipulator can adjust the direction angle arbitrarily. The “Da Vinci†robot's arm is beyond the imagination's flexibility, precision and stability, making the entire procedure easy and precise. The high-definition and high-magnification effects of the three-dimensional picture make the blood vessels and nerves in the heart clearly visible in front of the eyes, and the visual impact is shocking.
The reporter learned that the traditional cardiac thoracotomy not only left the patient with serious trauma, but also caused the wound healing from 8 to 12 weeks. In recent years, many surgeons used thoracoscopic surgery in cardiothoracic surgery. To assist in surgery. To perform high-precision and complex surgery such as mitral valve repair, the robot is better than the laparoscopic surgery, and the patient can walk down to 2 days after surgery.
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