Robotik Mikrocerrahi Prof Dr Ahmet GMEN mraniye Eitim

Robotik Mikrocerrahi Prof. Dr. Ahmet GÖÇMEN Ümraniye Eğitim ve Araştırma Hastanesi

Robotik Cerrahinin Tarihçesi HWR Schreuder Robotic surgery BJOG 2009 � 1985 First robot used for stereotactic brain surgery � 1989 PROBOT, first robot used for prostatectomies � 1992 ROBODOC use for hip replacement � 1993 AESOP, first commercially available robot approved by the FDA � 1998 ZEUS robotic system commercially available � 2000 da Vinci robotic system FDA approved

FDA Onayları § Genel laparoskopik cerrahi (2000) § Radikal prostatektomi (2001) § Thorakoskopik yardımlı kardiotomi işlemleri (2002) § Intrakardiyak işlemler (2002) § Koroner revaskülarizasyon (2004) § Ürolojik cerrahi (2005) § Jinekolojik cerrahi (2005)

Robotics in Gynecology History � 1999 First reported case – tubal anastomosis � � 2002 Falcone, et al. Hyst/bso (n=10) and nodal dissection (n=1) � � 2003 Diaz-Arrastia, et al Ovary transposition (n=1) � � 2004 Molpus, et al. Myomectomy (n=35) � � 2004 Advincula, et al. Sacrocolpopexy (n=5) � � 2005 Di. Marco, et al. FDA approval for gynecologic procedures Vesicovaginal fistula repair (n=1) � 2005 � � 2006 Melamud, et al. Radical hysterectomy (n=1) � Sert, et al.

� 2002 � 5/22/07 � 11/6/07 � 1/15/08 � 7/8/08 � 8/5/08 � 10/21/08 � 10/23/08 � 1/13/09 � 3/11/09 � 7/7/09 � 8/19/09 � 11/10/09 � 3/4/10 First attempt (USO) Endometrial cancer staging Radical hysterectomy Cerclage Sacrocolpopexy Tumor cytoreduction (debulking) Radical trachelectomy for cervical stump cancer Ovarian cancer staging Sentinel lymph node mapping Radical trachelectomy for fertility preservation Combined thoracic and pelvic tumor cytoreduction Extraperitoneal lymph node dissection Ventral mesh herniorrhaphy Radical parametrectomy after simple hyst

Reprodüktif Cerrahide da Vinci �Myomektomi �Tubal cerrahi �Trakelektomi �Endometriozis �Sakroservikopeksi �Abdominal servikal serkülaj �Presakral nörektomi �Over transpozisyonları