Hellow guys, Welcome to my website, and you are watching Robotic Thoracic Surgery at Wake Forest Baptist. and this vIdeo is uploaded by Atrium Health Wake Forest Baptist at 2013-07-22T15:40:42-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Robotic Thoracic Surgery at Wake Forest Baptist |
| Video Uploader | Video From Atrium Health Wake Forest Baptist |
| Upload Date | This Video Uploaded At 22-07-2013 22:40:42 |
| Video Discription | Dr. L. James Wudel is one of just a handful of surgeons in the country performing robotic thoracic surgery. Here, he describes the procedure and the team approach to patient care in the thoracic oncology (lung cancer) clinic. Learn more at http://www.wakehealth.edu/Comprehensive-Cancer-Center/Thoracic-Oncology.htm. TRANSCRIPT: Robotic thoracic surgery is an emerging technical field. Not only does it improve the visibility- because we're using now a 3-dimensional camera, but we also have much more range of motion inside of the chest. We have now two arms instead of one long instrument, and the arms have wrists that move just like my wrists at 360 degrees. So that enables me to work inside the chest naturally- to mimic what a thoracotomy incision would do for that patient. But the benefits are much more far-reaching. We now have much less pain because we're making 8 mm incisions on the side of the patient- which certainly is much better than a 6 inch or 12 inch thoracotomy incision. There's much less blood loss with this technique. Patients recover much faster. The hospital stay is much, much shorter. Their back-to-work time is also markedly reduced. We're now talking about 10 days to two weeks when a patient is fully recovered from one of these operations versus four-to-six weeks from a camera operation and versus three months or more from a traditional thoracotomy operation. We can do everything inside the chest that you can do with any other approach, that would be a lobectomy, that would be a bi-lobectomy- you're taking two lobes out- a pneumonectomy- meaning that we’re removing an entire lung. We can work on the diaphragm, if there are any diaphragm abnormalities. We can work in the center of the chest, or do mediastinal work for tumors. We can also work with the esophagus. The patient is positioned on their side- just as they would be if we were going to use a camera- or if we were going to do a traditional or an old-fashioned thoracotomy incision. We traditionally make four small incisions in the patient's chest. There's an 8 mm incision for my right arm and the right arm of the robot, there's an 8 mm incision for my left arm which is the left arm of the robot. And there's an accessory incision which is 15 mm, that's the smallest incision that we make, it's about half an inch- and that's for my assistant to pass things in and out of the chest to me. The robot is then connected to these small ports and the instruments go through and we do the operation- where I'm sitting about 20 feet away from the patient and I'm controlling the machine- what it's doing inside of the chest- with controllers and a periscope that has a 3-D viewer on it. Traditionally this is an operation that takes about two hours to perform and the recovery is very, very quick. Most patients are up and walking that afternoon or that evening in the hospital. If you look at the distribution of how thoracic surgery is performed across the United States, about 68% of the surgeons who are currently performing this type of operation do so through a thoracotomy or an open incision. About 32% perform this with cameras routinely. And less than 1% of us across the country use a robot. There are only a handful, i.e., perhaps five or six other surgeons in the country, that carry the experience that I do with this particular procedure. I've performed well over 300 of these operations in the last two years. So, like anything else, the more you do it, the better you become at doing it. This is one of the nation's leading Thoracic Oncology programs. There are only 41 designated NCI cancer centers in the United States. We also provide a very unique experience for the patient that is the Thoracic Oncology Program Clinic. So when you come to see us, you will not only see one physician, you will see four or five physicians all at the same time. Then your particular situation- or clinical case- will be discussed at a conference that same day. And a management plan will be developed for you based on the opinion of five or six physicians- which we think is a better way to do things- that way you're not running back and forth between office visits. You're not waiting for physicians to call you. You're not waiting for physicians to talk about you and come up with a treatment plan. And it's not disjointed at all. We have the most advanced radiation center here. We have all of the clinical protocols here for research and gene testing. So there's no reason that you should be going anywhere else for your thoracic oncology care. |
| Category | Science & Technology |
| Tags | thoracic oncology | Surgery (Medical Specialty) | wake forest baptist health | Wake Forest Baptist Medical Center (Hospital) | Academic Medical Center (Location) | Winston-Salem (City/Town/Village) | North Carolina (US State) | Health Care (Industry) | Health (Industry) | Cancer (Disease Or Medical Condition) | Oncology (Medical Specialty) | Cardiothoracic Surgery (Medical Specialty) | Lung Cancer (Disease Or Medical Condition) | dr. james wudel |
