Laparoscopy & robotics: a historical parallel

Abstract

The evolution of robotic platforms has brought up ethical, economic, educational, and clinical applicability issues that refer to the early 1990s, when laparoscopy began its dissemination as a technology that would revolutionize surgery. Introduced in Brazil since 1990, laparoscopy has received a lot of resistance from different sectors, including the medical academy itself. The technique was considered expensive, complex, poorly available and with limited clinical applications. However, in a short time, it was established as the gold standard for the treatment of most diseases in different organ systems and surgical specialties. At this time, similarly to laparoscopy, robotic surgery is expressed as a disruptive technology, determining an important breakdown of paradigms, and moving the wheel of history forward. The author draws a parallel in relation to the use of both technologies in the surgeon’s armamentarium. The fear of the “new technology”, seen when laparoscopy appeared, is repeated with the advent of robotic surgery. Laparoscopy and robotic surgery, at the same time, imposed new knowledge challenges for surgeons, anesthetists, nurses, engineers - the need to learn again, to develop new skills. The previous experience of implementing laparoscopy should always be remembered and considered, optimizing the current scenario of the robotic platform, in its introduction and dissemination with the surgical community. The advent of the “robotic era” and its evolutionary potential will continue to assist surgeons in their mission to serve their patients with quality and safety.

Incentive Nursing can Effectively Improve the ESCA Level of Patients with Endometrial Cancer after Laparoscopic Hysterectomy

“…Laparoscopy allows for a more open view of the organization of anatomical structures, which facilitates the exposure of blood vessels deep in the occluded fossa, clearly excises the lymph nodes in the area, and avoids extensive damage to blood vessels deep in the occluded fossa. In addition, the construction of the pneumoperitoneum can effectively increase abdominal pressure and avoid damage to small blood vessels [15][16][17][18]. Accordingly, laparoscopic surgery was adopted in the present study.…”

Perspectivas em Cirurgia Robótica – a visão do cirurgião

“…A plataforma robótica não somente oferece todos os benefícios já bem documentados da videolaparoscopia, mas também inúmeras vantagens técnicas em relação a ela. [6][7][8][9][10] .…”

“…Após curto período de execução e observação dos resultados, a cirurgia minimamente invasiva se expressou com inúmeras e incontestáveis vantagens em relação à técnica aberta, tornando-se padrão-ouro no tratamento da maioria das patologias cirúrgicas, eletivas e de urgência, das mais variadas especialidades [3][4][5] . A união -videolaparoscopia e robô -demonstra agregar os já conhecidos benefícios da cirurgia minimamente invasiva com a superioridade técnica que a plataforma robótica proporciona 6,7 . O cirurgião, portanto, trabalha com maior conforto e oferece ao paciente cirurgia tecnicamente superior, com movimentos mais precisos e seguros, garantindo melhores resultados tanto ao paciente quanto ao médico operador [6][7][8] .…”

“…A união -videolaparoscopia e robô -demonstra agregar os já conhecidos benefícios da cirurgia minimamente invasiva com a superioridade técnica que a plataforma robótica proporciona 6,7 . O cirurgião, portanto, trabalha com maior conforto e oferece ao paciente cirurgia tecnicamente superior, com movimentos mais precisos e seguros, garantindo melhores resultados tanto ao paciente quanto ao médico operador [6][7][8] .…”

Minimally invasive surgery with adenocarcinoma of jejunum diagnosed pathologically before surgery: A case report

“…Past laparotomy patients have shown many complications such as high postoperative pain, decrease in ambulation, and increase in hospital stay due to slow wound healing. Recently, laparoscopic surgery has been popularized due to factors such as development of laparoscopic instruments such as automatic linear stapler and 3D-camera and improvement of surgical skills [ 16 , 17 ]. In addition, since the most common purposes of laparoscopic small intestine surgery are to determine the location of the lesion and to confirm additional lesions in the abdominal cavity, conventional multiport surgery as well as single-port laparoscopic surgery are possible [ [16] , [17] , [18] ].…”