Transcript Slide 1

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
First reported case – tubal anastomosis
 1999

 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
DiMarco, 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