How robot assisted surgery works (as explained by a surgeon)
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- เผยแพร่เมื่อ 24 ก.ค. 2024
- What exactly is robot assisted surgery, and what does the (human) surgeon actually do? In this video, I take you inside the operating room with Dr. Sanghyun Kim, one of the chiefs of colorectal surgery at Mount Sinai Hospital. He explains how he operates using a robot, and also shares insights into his background and life as a surgeon.
0:00 Start
0:37 What is robot assisted surgery?
2:24 Advantages
3:32 Challenges
4:13 Artificial intelligence?
4:54 Life as a surgeon
The patient shown in this video provided written consent for their surgery to be filmed and posted on TH-cam.
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
#Anesthesiology #Residency #MedicalSchool - วิทยาศาสตร์และเทคโนโลยี
A colorectal surgeon gave me my life back from crippling Crohn's disease. They are incredible
As a pharmacy technician that restocks the operating rooms, I can confirm that the anesthesiologists have excellent chairs.
I have a question if you don’t mind how many times a day is an operating room restocked….?
What a fun video, I can see you and Dr Kim have a great rapport. On the topic of robotic assisted surgery, it is absolutely fascinating. Around 4-5 years ago my brother needed a CABG procedure and he turned out to be a great candidate for the robotic assisted surgery, which he received. His recovery was amazing, he was up and going barely a week following the surgery with nothing but a small scar under his left pectoral.
I’m a registered nurse in Australia 🇦🇺 and live for your vids 🤟 you're the best - I wish all Anestesiologists had your ethics and knowledge
Which part of Australia may i ask?
Thanks for this video! Love seeing the different aspects of the OR.
Amazing!!! Thank you to all the Doctors, Nurses, and all the staffs of the hospitals saving people’s lives every ❤
Max!! Thank you! I just had a robot partial nephrectomy 3 weeks ago. I was really hoping to SEE the OR but I was out shortly after leaving pre-op! I forgot to ask!
Loving your videos Max, please keep them going! As an oropharyngeal cancer patient who’s recently had TORS, it’s clearly such a revolutionary innovation, making access to the back of tongue and throat possible without breaking jaws etc. The gaming chairs though…
Max, please don't stop offering these videos that are informative, approachable and inclusive of humor. Well done! You remain my anesthesiologist of choice.
That was very informative, thank you for your video's!!!
This was so interesting, and fun to watch you guys banter 😆
Love your videos!
Thanks, Dr. Kim!
Great vid as I prepare for my own first surgery, robotic prostatectomy. Thank you both!
Been consulting- not clinical - to the anesthesiology dept at a teaching hospital in NYC for several years. About a year into my assignment, I was struck by lightening : these people keep you alive while you’re basically being tortured to death, and make sure that not only are you not aware of it, you won’t remember it! Full Respect.
Robotic laparoscopy is used in the NHS here in the UK. I had a right side hemicolectomy done last August. That operation went brilliantly. Unfortunately I picked up a blood clot in the left subclavian vein which happened to be the arm the post op patient controlled analgesia was going in to. As a result I don’t think the pain relief helped that first night. If you’ve ever had kidney stones, the post op discomfort is easy anyway! Pretty much well healed by 8 weeks and at 8 months some of the smaller incisions are fading away! My situation has been an unfortunate rare event, otherwise, a complete success!
Our hospital just got a DiVinci about 8 months ago. It was interesting to do the demo of moving tiny bands from 1 place to another
so cool! :D i look forward to more surgeries being robot assisted
great post
Okay, so I have a question for any anesthesiologists here, completely unrelated to this video.
When patient have a sudden, unexpected big blood loss during operation, of course blood, various blood products or saline are administered, but these products do not contain any anesthetics, so in chemistry terms you're basically diluting the solution of various medications in patient's body. Does this affect the maintenance of general anesthesia and/or the level of other medications you administer? And if so, I was also thinking if this problem would be more serious with pediatric patients? You know, because of smaller volume of blood in their bodies.
if a patient is losing a lot of blood quickly, replacing volume will actually help to perfuse these medications throughout the body. a low cardiac output due to the loss of volume make the heart much weaker, and perfusion time of these medications takes longer. if a patient does get excessive fluids, it is possible to dilute the electrolytes through out the body, but with blood samples you can get a picture of what electrolytes are imbalanaced, and if if they need to be supplemented.
@@kingtrevi So there is no need to increase flow rate of such drugs or even preadminister them to blood bags directly? Cool, I guess human body is much more complicated than flasks and tubes :D Thanks for your answer!
Hospital Playlist is *much* better than Grey's Anatomy! 😁
you are awesome.
I had robot surgery to remove part of colon. Surgery was on Monday I did not remember anything till Thursday. I was under for five hours.
they used 4 robots in my esophageal surgery......took them over 4 and half hours to do all the stitching of my shredded esophagus.....i ate tostadas, and hot sauce for years, my surgeon explained it was like eating crushed glass that's why the esophagus was shredded to pieces....i do not eat tostados or any crispy corn chips of any kind since learning all this.....people don't know how bad processed chips cause damage on the insides......i never felt pain, the surgeon explained the esophagus as well as other organs inside our bodies do not feel any pain, so the brain is unaware of the damage going on internally.....
Excellent video. I was just wondering what kind of procedure was the patient having in the video? Thinking of another comment -- I am sure that there is a possibility of something going wrong with robotic surgery. But there is a possibility of something going wrong with any kind of surgery. I hope I don't need any surgery, but if the case every came up, I would think that the doctor would be considering if the risk of robotic surgery is more or less than the risk of the alternative (laproscopic or whatever).
That was so cool and amazing and awesome!! Love it!!! My stepdad is getting colonoscopy on Friday, he has a lot of symptoms of colon cancer, I hope he doesn’t have colon cancer! I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be a anesthesiologist physician
So who gets to be the first 30-50 cases the surgeon practices on?
Really odd seeing the controller facing at the wall and away from the patient. I go into ORs to refill meds and it seems like it would make directing others more difficult.
Max, do you think this will allow doctors to perform surgeries on a patient that's at a different hospital from where the doctor is?
it's not only possible, it's been done quite a few times by now. i believe the term was remote surgery
I got to try a davinci robot at my med school. It was soo fucking cool. It was such and incredible piece of tech.
2:40 it was almost as good as asking the surgeon about his work-life balance lol
I was curious do you have a relative that does American ninja warrior has similar name and resemblance
Robotic surgery has no significant advantages vs standard laparoscopic case (exception: robotic prostatectomies help with nerve sparing). The way the procedure is done still with laparoscopic principals and instruments. as far as “Seeing better”, it’s a lot more feasible to buy a better laparoscopic camera and monitor vs a robot which is upwards of $1M new. The instruments also cost more and require longer washing/sterilization times. The robot, unlike laparoscope equipment, is highly recommended to stay in one OR which limits turnover times and available use.
When the surgeon talks about ‘’articulating arms like wrists,’ this is easily overcome by a competent surgeon. There’s a saying in ORs: ‘robots make a bad surgeon ok, and a good surgeon good.’’
So why would a hospital pay for a huge expense + ongoing servicing? Bc at the moment insurances reimburse more for robotic procedures. Why? Idk. But again, no improved outcomes vs standard laparoscopy 9outside of one case type).
When ur surgeon talks about recovery times for robotic surgery, they’re essentially the same as…wait for it….laparoscopic cases. And when a colorectal surgeon goes to remove a piece of bowel they’ve rejected, there’s still a decent size minilaparotomy incision they have to make to get the bowel out.
Don’t be fooled into paying more for same results.
Having crashed a CNC machine I just... nope not going under that. You've almost definitely got far more protection precenting it from trying up pust push through my chest. This just goes against deeply infrained safety rules in me head.
There is nothing I don't love about this channel...except the garbage snacks. Can't y'all get a veggie platter?
I quit watching greys anatomy after 3 season to much drama and to much of a soap series. I like House, the Good Doctor, Chicago Med en Strong Medicine more.