|
Replies: 12
| visibility 151
|
All-In [47878]
TigerPulse: 100%
Posts: 21118
Joined: 12/22/98
|
The hits just keep on coming, wife saw gastro doc today
15
15
Feb 22, 2024, 3:40 PM
|
|
Prob getting her gall bladder out in a couple weeks. Don't they say things come in threes?
|
|
|
|
 |
Heisman Winner [119760]
TigerPulse: 100%
Posts: 54503
Joined: 6/24/09
|
Peace be with yall!***
4
Feb 22, 2024, 5:25 PM
|
|
|
|
|
|
|
|
All-In [31520]
TigerPulse: 100%
Posts: 10212
Joined: 1/28/15
|
Re: The hits just keep on coming, wife saw gastro doc today
5
5
Feb 22, 2024, 7:18 PM
|
|
Going to get it done in Aiken or Augusta? Come up the road a little ways and I’ll do it with the robot.
|
|
|
|
|
|
Legend [17805]
TigerPulse: 100%
Posts: 16678
Joined: 9/1/12
|
^^^ This is THE way!!!^^^***
2
Feb 22, 2024, 7:37 PM
|
|
|
|
|
|
|
|
All-TigerNet [12592]
TigerPulse: 100%
Posts: 6313
Joined: 12/24/15
|
Re: The hits just keep on coming, wife saw gastro doc today
4
Feb 23, 2024, 8:22 AM
[ in reply to Re: The hits just keep on coming, wife saw gastro doc today ] |
|
Going to get it done in Aiken or Augusta? Come up the road a little ways and I’ll do it with the robot.
Serious question. What is the advantage of a robotic cholecystectomy over a laparoscopic one?
Lap chole is likewise minimally invasive, I suspect less expensive and isn't there an increased risk of common bile duct injury using the robot? My buds could do an uncomplicated lap chole in 15-20 minutes, so I'm honestly curious, other than the surgeon operating in 3D as opposed to 2D, what's the push for the robot here?
Either way, both are WAY better than the old open choles.
|
|
|
|
|
|
All-In [31520]
TigerPulse: 100%
Posts: 10212
Joined: 1/28/15
|
Re: The hits just keep on coming, wife saw gastro doc today
9
9
Feb 23, 2024, 8:29 AM
|
|
For me it’s precision, stability, and augmented reality with the robot. It has near-infrared light mode that makes indocyanine green light up the biliary tree like a road map. The dexterity of the instruments means I can hit the exact angles I want while dissecting. For really big people, most of my patients, having the robotic fourth arm from way left lateral side functions as my static retraction on a heavy liver, but also holds the falciform up and the quadrate lobe out of the way.
The robot also makes managing difficult gallbladders more straightforward for me too, gives me the option to reconstitute a fenestrated GB for example. Where other surgeons might open, I can stay MIS even on the hardest ones. You can never prove superiority, when you’re dealing w complication rates of 1/1000 like CBD injuries. The time argument is sort of a fallacy, it takes me about 3 minutes to dock and console time for easy ones is sub-20 min.
I’m also a control freak, and for me having four arms with the robot means I don’t have to rely on an assistant at all, meaning fewer variables I have to account for. When the expectation is perfection, everything perfect every time, I feel like the robot is the best tool in my hands.
|
|
|
|
|
|
Oculus Spirit [85339]
TigerPulse: 100%
Posts: 24920
Joined: 5/21/14
|
Re: The hits just keep on coming, wife saw gastro doc today
9
9
Feb 23, 2024, 8:38 AM
|
|
I feel like the robot is the best tool in my hands.
That's what ryanadidas® says too.
|
|
|
|
|
|
All-TigerNet [12592]
TigerPulse: 100%
Posts: 6313
Joined: 12/24/15
|
Re: The hits just keep on coming, wife saw gastro doc today
4
Feb 23, 2024, 8:46 AM
[ in reply to Re: The hits just keep on coming, wife saw gastro doc today ] |
|
Good answer and makes perfect sense.
I guess virtually no one is still doing transgastric or transvaginal cholecytectomies? Now that always seemed to fall into the category of just because you can do something doesn't mean you should.What's a few small visible incisions vs screwing with the stomach or the hoohah?
|
|
|
|
|
|
All-In [31520]
TigerPulse: 100%
Posts: 10212
Joined: 1/28/15
|
Re: The hits just keep on coming, wife saw gastro doc today
2
Feb 23, 2024, 9:50 AM
|
|
Yeah natural orifice extraction never really caught steam, at least in general surgery. Maybe still relevant for gynos?
|
|
|
|
|
|
CU Medallion [60051]
TigerPulse: 100%
Posts: 22507
Joined: 5/24/17
|
|
|
|
|
|
All-In [31520]
TigerPulse: 100%
Posts: 10212
Joined: 1/28/15
|
Re: I dont understand one word of this post
2
Feb 23, 2024, 10:03 AM
|
|
How was the appendectomy?
|
|
|
|
|
|
Hall of Famer [21940]
TigerPulse: 100%
Posts: 8600
Joined: 9/11/11
|
|
|
|
|
|
All-In [47878]
TigerPulse: 100%
Posts: 21118
Joined: 12/22/98
|
|
|
|
|
|
Replies: 12
| visibility 151
|
|
|
50
