By Brian Le Goff
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” The Rennes University Hospital confirms his leadership in robot-assisted surgery. It is in these terms that the Rennes health establishment made the announcementthis Wednesday, September 21, 2022, of the arrival of two new robots for operations.
Indeed, he has just acquired a third Intuitive robot thanks to the fund
Nominoë endowment, the Da Vinci Xand the latest-generation surgical robot HugoTM Robotic Assisted Surgery (RAS) system designed by Medtronic, thus becoming the first CHU in France to be equipped with it.
A first operation at the end of October
Commissioned on September 22, the HugoTM RAS system robot should perform its first procedure at the end of October. This last, a prostatectomywill be preceded by a general repetition.
Radical prostatectomy (or total prostatectomy) is a surgical procedure performed to treat prostate cancer. It consists of completely removing the prostate and the seminal vesicles.
A cost of 3 million euros
The installation of these two robots with the assistance of the cooperative of French hospital buyers UniHA, with a total value of 3 million euros, once again reflects “the dynamism of the establishment and theexcellence of surgical teams in robotic surgery, technological innovation and research” to provide patients with a optimal support.
Benefits for doctors…
For the surgeon, the high precision of these systems combined with the wide possibilities of displacements and movements of the instruments and the 3D vision high quality, contribute to theexpanding its use and the development of new surgical approaches.
Ergonomics of these systems also provides for the surgeons and for the surgical team, a real improved working comfort as well as a reduction of tiredness, crucial point in the quality of patient care.
Teacher at the University Hospital of Rennes, Vincent Lavouespecialist in obstetric gynecologysees these robots, which are increasingly appearing in surgical practices, as a healthy intermediate compared to what was done before. Like laparoscopy, a surgical technique which allows, through a small opening in the wall of the abdomen, to observe the interior of the abdominal or pelvic cavity and to intervene on the organs.
This technique just allowed instruments to be slipped into a patient’s body without being able to articulate them as we wanted. Now, with robots, these much-needed joints are possible.
For him, innovation will continue and he hopes in a few years to be able to work with the augmented reality“that is to say, we could have the copy of a scanner of the part of the body being operated on on the live image that we see thanks to the robot and so intervene with even more precision above “.
… as for patients
For patients, with smaller openings made on the body, the reduction in bleeding during surgery and decrease in postoperative pain are favorable indicators of a shortened convalescence and an earlier return to activity, due to faster healing on small wounds.
The published studies clearly illustrate what the institution observes, in terms of decrease in length of hospitalization and of limitation of side effects.
How many robots does the CHU have?
The robotic surgery platform of the CHU therefore includes to date four surgical robots of the remote manipulator type in addition to the robot dedicated to neurosurgery and a neuroradiology assistance robot interventional and is considering other systems in the near future.
Robotic surgery at the CHU in figures
– 4 telemanipulator surgical robots acquired since 2010
– 6 disciplines use robotic surgery: urology, gynecology, digestive,
thoracic, ENT, pediatrics
– 5,000 patients cared for at the Rennes University Hospital benefited from surgery
– Of the 32,872 surgical procedures performed at the University Hospital in 2021, 731 were robotic
o 360 in urology.
o 90 digestive.
o 62 in thoracic.
o 181 in gynecology.
o 36 in pediatrics.
o 2 in ENT.
– Nearly 50 teams from other establishments have been welcomed and trained in the use of these robots within the Rennes University Hospital and around fifteen training courses have been
provided in support and expertise on other hospital sites.
– 51 scientific publications.
The establishment thus remains one of the best-equipped hospitals in France.
Robotics at the CHU is also:
- Rosa (Medtech), acquired in May 2017, this neurosurgical robot is coupled to the O’ARM intraoperative 3D imaging device. Dedicated to minimally invasive surgeries of the skull and some spinethe equipment brings more precision to surgical procedures while reducing operating time.
- R-One (Robocath)used for nearly a year by the CHU as part of its partnership with Philips, this interventional neuroradiology is the subject of a research and development contract between the CHU and Robocath aimed at broadening the indications of this technology in terms ofassistance with interventional gestures in neurovascular.
- Robotol (Collin Medical), assistive technologyinsertion of implant electrodes
cochlear will enter the CHU by 2023. Here again, this acquisition is based on a partnership approach focusing not only on the quality of care but also on teaching, research and innovation.
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