Sunday , January 24 2021

More accurate than hands, the robot raises infection and prostate surgery – News



When they arrived in Brazil a decade ago, the three Robots used in surgeries There was a gamble on cardiological procedures. Over the years they have expanded – now number 45 – and eventually gained more in the field of urology, especially in cases of prostate cancer.

Doctors say the robots help in treating the patient because they are more accurate, reducing the time of hospitalization and the side effects, such as erectile dysfunction and incontinence.

"The patient receives better surgical treatment [com robô] And although the risks are not negligible, they are minor, "says the Russian physician, Joseph Roberto, Colombo Junior, urologist and specialist in robotic urology at Albert Einstein Hospital. According to the doctor, the risk of non-flight after robotic surgery ranges from 2% to 3 conventionally, it is 5%.

In relation to erectile dysfunction, they affect factors such as preoperative erectile dysfunction, age, and health – for obese and diabetic patients. "With the robotic operation, the ability to preserve [a função] Is 80%. "

According to Flavio Trigo, president of the Brazilian Society of Urology (SBU), robotic surgery has grown in the country especially in the last two years. Instead of a doctor holding the tweezers, performing the "holes" and drawing the tumor, is the robot that performs the movements. "A faster recovery and hospitalization of time is halved – a day or two at the hospital."

Sao Paulo is the country with the highest number of equipment. Rio de Janeiro, Minas Grace, Rio Grande do Sul, Paraná, Brasília, Pernambuco, Ceará and Pará also have instruments, according to the company H. Strattner, specialized in minimally invasive surgery responsible for the distribution of robots in the country. The robots operating in Brazil must perform 8,500 operations during the year, with 5,000 urologists and 90% of them in the prostate.

The technology is available in private and public networks, in institutions such as the State Cancer Institute of Sao Paulo (Icesp), Hospital de Amor (formerly Barretos Hospital Cancer) and Hospital Clinics of Puerto Alegre, Federal University of Rio Grande do Sul.

After hearing about the diagnosis of prostate cancer in one of the brothers, in 2011, director Jorge Miguel Rebane Neto, 54, decided to take the periodic test. He was 47 years old and he was monitoring since age 45 because his father was ill, but that year he delayed returning to the doctor. That was your luck. "I also had prostate cancer."

Rabin Net underwent surgery on Sunday, on Monday he went and on Tuesday he left the hospital "I underwent the surgery in November and returned to February." I only had good surprises and my satisfaction is 100%, "reports the manager.

Genetic testing

In addition to robotic surgery, the use of genetic screening is growing in the country, suggesting relatives of patients with aggressive forms of the disease. "Even when there is no family history, the chances of finding a genetic mutation can reach 11 percent in men with very high PSA and metastases," says oncologist Maria Nirvana Formiga of the ACCONOMO's oncogenetics department.

After undergoing robotic surgery to remove the prostate in 2012, retiree Francisco Lobianco, 68, received a referral for screening. The test also showed a tendency to cancer of the pancreas, stomach and skin. "I was much more careful. Gastritis appeared in the test and I went to treat it immediately, and I treated the skin more."

On the gland: What is the prostate?

Located between the bladder and the urethra, the prostate is a gland that has the function of producing a lot of semen, which enters the sperm.

Diseases

Two diseases can affect this: benign prostatic hyperplasia (enlargement of the gland, which can occur with aging) and cancer (more rare).

Exams

Prevention tests (PSA and rectal examination) should be done from the age of 50. In the case of family history, monitoring should begin before that at the age of 45. "With early diagnosis, the chance of cure is 90%," says Flavio Trigo, president of the Brazilian Association of Urology.

Treatment

If the cancer is identified, the treatment to be determined will be defined by the doctor. Not all tumors should be removed immediately. "We do not have to take care anyway, blood tests and biopsies are done to track the tumor," explains José Roberto Colombo, a neurologist at Israelite Albert Einstein Hospital.


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