Chapter 644: A new era of minimally invasive surgery(1/2)
Clinical trials of surgical robots are in full swing.
From the most basic appendicitis surgery to the extremely difficult heart bypass surgery, all were successfully completed with the assistance of robots.
Needless to say, appendicitis surgery, even coronary artery bypass surgery that required thoracotomy and extracorporeal circulation in the past.
With the assistance of robots, cardiac surgeons can also complete the entire operation by just making a 4-centimeter incision on the patient's chest wall with the help of a 10-fold magnified 3D three-dimensional view of blood vessels.
Not only is the surgical incision small, no blood transfusion is required during the entire process, and there is almost no chest drainage after the operation, the patient can go for a walk the next day and recover and be discharged from the hospital in five days. It can be said to be the best tool for treating diseases and saving lives.
The same miracle happened to a patient with extremely dangerous penetrating injuries.
On a windy and dark night, this patient covered in blood was sent to the emergency department by 120.
The emergency doctor rushed over and was stunned when he saw the patient for the first time.
The patient fell from a high altitude and had two steel bars over half a meter long inserted across his body.
One is inserted horizontally into the pelvis, the other is inserted through the root of the left thigh, and then exits from the root of the right thigh.
The whole scene was extremely dangerous, and even Director Sun of the emergency department who came later and had seen countless big scenes was shocked.
"I haven't seen a penetrating injury of this level for several years. No matter what treatment method is adopted, it is a huge challenge for the hospital, medical care, and patients."
"Two such long steel bars cannot even be placed on the operating table."
Director Sun immediately took a breath of air, feeling deeply troubled, and quickly summoned experts for consultation.
While the hospital was pushing the patient to undergo comprehensive examinations such as CT, ultrasound, and cardiopulmonary examinations to ascertain the extent of the injury, the hospital also sought help from the nearby fire brigade.
After the firefighters arrived, they immediately used hydraulic pressure to cut off the protruding steel bars on the patient's body without affecting the patient's body.
At this time, medical staff can place the patient on the operating table.
At the same time, many experts from the orthopedics, general surgery, urology, anesthesiology, vascular surgery, and imaging departments also fully exchanged opinions with the patient's examination results and formulated the final surgical plan.
"Because such penetrating injuries are very rare in China, the steel bars penetrate the body, large blood vessels and major nerves are densely distributed, and multiple important organs are involved, making treatment extremely difficult."
"How to avoid heavy bleeding during surgery, how to avoid damage to the bladder and ureter, how to prevent intestinal damage during surgery, how to stabilize the patient's blood pressure during surgery, how to prevent postoperative infection..."
"These are issues we need to consider."
"The surgical plan definitely requires multidisciplinary coordination. First, orthopedic and vascular surgeons will conduct vascular and neurological examinations and perform penetrating trauma and foreign body removal."
"Then DSA-guided aortic balloon occlusion was performed, and other surgeons performed penetrating wound debridement."
Director Liu of the Vascular Surgery Department looked at the patient's examination results, talked eloquently, and quickly proposed his own solution, which was unanimously approved.
After the surgical plan was determined, the doctors faced another problem.
During the process of removing the steel bars, the biggest risk is that it can easily damage the arteries and cause massive bleeding.
In addition, there is a steel bar running through the pelvis, and the removal process may cause secondary damage to the bladder, rectum, ureter, and densely packed nerves. A little carelessness may cause the operation to fail.
In this case, the removal of the steel bars must be accurate to the sub-millimeter level, and the hands must not shake.
If your hand shakes or the position is slightly cheaper, big problems will arise.
In this case, doctors immediately thought of surgical robots.
What better option than a robot capable of performing multiple surgeries simultaneously?
Is there any removal tool that is more stable and precise than a robotic arm?
The answer is no.
Using surgical robots, doctors can remove the steel bars from the hip while debriding the thigh and continue debriding and suturing.
Multiple surgeries can be performed at the same time without disturbing each other.
Moreover, if you use a robotic arm to remove steel bars, as long as you set the route and intensity, you can achieve the entire process without any deviation. This accuracy is undoubtedly much better than that of human hands.
Therefore, with the help of Sanqing, the hospital set up the operating room in the shortest possible time.
An additional console is added to the existing surgical robot, so that two doctors can control the robotic arms separately and perform different surgeries at the same time.
The orthopedic surgeon first controlled the robotic arm to remove the steel bars from the patient's left and right thighs, then debrided and sutured.
The operation went very smoothly, with just a little bleeding and it was done.
On the other hand, vascular surgeons are faced with the more dangerous surgery of removing hip steel bars.
In order to prevent massive bleeding during the operation, a surgical robot was used to place a balloon in the abdominal aorta before removing the steel bars.
In this way, once severe bleeding occurs during the operation, the balloon can be immediately expanded to block the blood vessels and block the blood supply, leaving about 30 minutes of prime time for medical staff to provide first aid.
Due to adequate preparation in advance, the risk of vascular and nerve damage to the patient is minimized.
As a result, the robotic arm accurately clamped the steel bars on the patient's abdomen and began to slowly withdraw from the human body along the established route.
Under the dynamic monitoring of the endoscopic navigation system, the steel bar slowly exited the first 1cm.
At this moment, the air in the operating room seemed to freeze.
Everyone subconsciously held their breath and silently stared at the steel bars retreating on the screen.
Although the initial penetrating injury did not cause fatal injuries, as long as the extraction process is slightly careless, the damage caused by excessive displacement may cause secondary bleeding at any time.
However, the robotic arm did not seem to feel this critical pressure. Firmly but slowly, it gradually pulled out the steel bar centimeter by centimeter according to the original injury path.
After 30 minutes, the last 1cm of steel bar completely exited the patient's body.
During the entire process, the robotic arm did not deviate or tremble at all, and completed the task extremely reliably.
There was no major bleeding and no damage to major blood vessels and nerves.
Everyone present immediately breathed a sigh of relief.
Two hours later, with the last suture knot fixed and shortened by the tireless robotic arm, the debridement work was successfully completed.
This four-hour arduous rescue finally came to an end in a thrilling but orderly atmosphere.
The injured person maintained stable vital signs and was finally dragged back from the gate of hell. He successfully recovered that night.
After this battle, Sanqing's full-featured surgical robot has completely captured the hearts of surgeons.
They bid farewell to the era of barbaric disembowelment and magic, and like the first batch of aircraft pilots soaring in the sky in human history, they plunged headlong into the new world of intelligent minimally invasive surgery with an unstoppable attitude.
Of course, if we want to rush into the intelligent era of minimally invasive surgery at high speed, there is another important restriction.
That's the price of a surgical robot.
Prior to this, the high price of the Da Vinci robot, which often cost tens of millions, was the biggest obstacle to the popularization of minimally invasive smart surgery.
Fortunately, this time I met the domestic giant Sanqing.
When it comes to reducing costs, increasing efficiency, and ending sky-high prices, no one knows better than the Chinese.
No matter what it is, when the Chinese cannot produce it, it will be sold very expensively.
Once China can produce it, it will instantly become a cabbage price.
This is true for TBMs, LCD panels, chips, MRI... it's all the same.
Surgical robots are no exception.
******
Kunshi, Sanqing headquarters.
"Mr. Wei, our surgical robot is so popular."
"Doctors from many hospitals come to visit and study, and then they all ask how much does one cost?"
"Look, when will we set the price and announce it?"
Wang Dali pondered his words, tried to keep his tone calm, and asked.
However, his rapid breathing and uncontrollably waving hands still showed his inner excitement.
Wei Kang withdrew his eyes from the clinical experiment report in his hand, thought for a moment, and then gave the answer.
“It’s really time to set a price.”
"I remember that the price of a Da Vinci surgical robot is 30 million, so let's set the price at one-tenth."
"Huh?" Wang Dali was stunned when he heard this.
Although he had already prepared that his own robot would definitely be sold cheaper than Da Vinci, probably in the million-dollar range, he did not expect it to be so low.
After all, they are both priced in the million range, 8 million and 3 million, there is still a big gap.
At this time, he couldn't help but think of some of Lu Tingfeng's complaints, and then he had a personal feeling for the old leader's pain.
Just when he was hesitating about how to express his objections tactfully without making his boss disgusted.
Wei Kang added a few more words, and then suppressed the violent impulse deep in his heart.
"Oh, by the way, this is just the price of the basic model. The standard configuration should be a robotic arm."
Wei Kang said casually: "I remember that the robot should be able to install mechanical arms with various functions, and even be equipped with additional consoles."
"Then these additional features will cost extra."
"Our robotic arms are so sophisticated that selling one for 800,000 yuan is not too much."
To be continued...