At the ISMETT in Palermo performed the first fully robotic esophagectomy with Da Vinci

PALERMO (ITALPRESS) – ISMETT expands the offer of robotic surgery and performs the first intervention of fully robotic esofagectomy. The Da Vinci platform was used for the operation, which was used in high complexity mini-nvasive surgery. Esophagus tumors are rare diseases that require an integrated and multidisciplinary therapeutic approach, which involves specialists in endoscopy, gastroenterology, surgery, oncology and radiotherapy. “The investment in cutting-edge technologies, combined with the expertise of our professionals – explains Angelo Luca, Director of ISMETT – allows us to concretely transform the treatment paths. For ISMETT to innovate means to bring in Sicily advanced treatments, strengthen specialized skills and offer patients quality responses, avoiding that they have to look elsewhere what we can guarantee here. This really reduces passive health mobility.”.

From the surgical point of view, esophagectomy is one of the most complex and long interventions of oncological surgery, since it requires access to different bodily districts (addomen, chest and neck). The technique involves the removal of the esophagus and the reconstruction of the digestive transit. This is a complex procedure since it affects more body districts, especially abdomen and chest. Robotic esophagectomy has several advantages, among others: the reduction of complications, a faster postoperative course, a better surgical prognosis. The robot-assisted operation takes place in two sequential phases, performed entirely through small engravings, avoiding the wide chest and abdominal openings of traditional surgery. The surgeon operates from a technological console that transmits hand movements to flexible robotic arms, equipped with a mobility greater than that of the human wrist and able to filter the physiological tremor.

The operating field is displayed through a 3D high-definition endoscopic camera (3D-HD) with a magnification up to 10 times, which allows a sharp distinction of blood vessels and nerve structures. “The first patient subjected to this procedure had an excellent post-operative course and was resigned after a few days – says Alessandro Bertani, Director of Thoracic Surgery of ISMETT – Robotic technology has allowed us to optimize the phases of structurally complex intervention and to offer our patient a better offer by improving the accuracy of lymphadenectomy for the benefit of the oncological result. This method allows Sicilian patients to offer advanced surgical treatment directly on the regional territory, reducing the need for displacement outside the region. Although we have been doing this for many years with the classic mini-invasive approach, the robot allows us to add additional precision and accuracy in surgical gestures.”.

– photo print office ISMETT –

(ITALPRESS).

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