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Scientific library
Cardiosurgery
A medical speciality dealing with cardiac and vascular disease such as e.g. coronary artery disease or heart valve defects. Today, medicine has at its disposal a number of methods to help patients with cardiac and vascular disease- these include mini or micro-invasive surgical procedures.
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ENT
A field specialising in the diagnosis and treatment of ear, nose and throat diseases. Apart from these, it also deals with head and neck diseases. The complete name of this medical field is thus oto-rhino-laryngology and head and neck surgery.
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General surgery
This term covers the whole spectrum of surgical procedures that involve the opening of the abdominal cavity. Surgery of each abdominal organ is resolved separately depending on the given organ (stomach, kidney, liver etc.). It also deals with diseases of the abdominal cavity (e.g. appendicitis).
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Gynaecology
A medical sub-field dealing with the prevention and treatment of female reproductive system diseases and which is part of the speciality correctly termed obstetrics and gynaecology.
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Others
Articles dealing with robotic surgery in general and not with clinical procedures per se.
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Paediatrics
In other words the branch of internal medicine dealing with medical care for infants, children and adolescents. The upper age limit of patients varies in different countries and ranges from 14 to 21 years. In the Czech Republic, this age limit is the day preceding the patient's 19th birthday (in justified cases, this age may be higher).
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Technologies
Articles dealing with the technologies of robotic surgery.
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Thoracic surgery
This provides surgical care to patients with tumours and inflammatory diseases of the lungs, mediastinum, chest wall and diaphragm including TBC. It concentrates patients with pneumothoraxes, chest empyema and performs volume-reducing surgery in life-threatening cases of pulmonary emphysema. It treats congenital or acquired deformities of the chest wall. It deals with tracheo-bronchial reconstructive surgery and broncho-plastic operations.
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Urology
Thus is a surgical field dealing with the diagnosis and treatment of diseases of the urinary system and of male reproductive organs.
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Vascular surgery
Vascular surgery is a relatively young surgical field that deals with the treatment of advanced forms of vascular disease, namely that involving veins such as varicose veins or severely diseased arteries affected in the modern age predominantly by atherosclerosis.
Press articles
SRCH is a voluntary association of physicians and other healthcare employees who are interested in actively participating in the development of medical science and in improving their professional knowledge, especially in the field of multidisciplinary reference and training centres for robotic surgery.
The web site of the manufacturer of the Da Vinci robotic system, Intuitive Surgical
Press materials
Cancer of the uterus
Life runs its routine course and it seems that there is nothing in its daily events that can surprise us or take us unawares. Nonetheless, one day we receive unexpected news. We refuse to believe it at first and we keep repeating to ourselves that it can't be true. "It's just not possible. Why me of all people?" The diagnosis, though, is merciless: endometrial cancer.
Rectal carcinoma
Colorectal cancer remains the second most frequent malignant disease in Europe and the USA. Rectal carcinomas are tumours whose upper margin is located 16 cm from the transition zone between the rectal mucosa and skin around the anus. Unfortunately, most patients initially have no warning symptoms. Only when the tumour grows larger do they experience pain in the left lower abdomen or on defecation, their stools become irregular (and may contain blood and mucus), they develop anaemia and lose weight.
Prostate cancer
Prostate cancer is of great interest to urologists, as its incidence is continually on the rise due to the aging population. Early diagnosis is of utmost importance for the successful treatment of prostate cancer. Unfortunately, this malignant disease in many cases has few alarming symptoms. This is why medical science in this field focuses on uncovering this disease as soon as possible and then treating it.
Materials for specialists
Robotic assisted surgery (RACH) is another level of treatment for a number of diseases affecting the abdominal, thoracic and oral cavities. RACH represents a continuation of laparoscopic or thoracoscopic procedures, commonly termed minimally invasive surgery. At the beginning of the 3rd millennium, it has been possible to apply the principles of laparoscopy and mini-invasiveness in connection with a telemanipulator and thus create a unique device that facilitates robotic minimally invasive procedures. This technological device, originally developed in the USA, has been christened „da Vinci".
The „da Vinci" technology is currently routinely used in several fields of surgery and the procedures thus performed are termed by specialists "da Vinci surgery".
What the outpatient gynaecologist should know about robotic surgery
All the principal oncological treatment modalities- surgical treatment, radiotherapy, pharmacotherapy including chemotherapy and hormonal therapy, biological therapy- play a role in the treatment of malignant tumours of the reproductive organs. Nonetheless, surgery remains the main therapeutic approach in the case of all pelvic gynaecological tumours. Surgical procedures in gynaecology may basically involve two approaches. The first involves classical gynaecological surgical procedures on the open abdomen, so-called laparotomy. The second, one could say more modern approach, involves endoscopic procedures, i.e. laparoscopy. Each approach has its merits but also certain disadvantages and limits. The method that represents a continuation of laparoscopy enhanced by the most modern robotic technology called „da Vinci" opens up new and unforeseen possibilities of radical minimally invasive treatment of gynaecological malignancies.
What the outpatient urologist should know about robotic surgery
Robotic assisted surgery is a new method of prostate cancer surgical treatment. All the principal oncological treatment modalities- surgical treatment, radiotherapy, pharmacotherapy including chemotherapy and hormonal therapy, biological therapy- play a role in the treatment of prostate cancer. Nonetheless, surgical treatment is still considered to be the most radical solution in early stage disease. This may take the form of two approaches. The first is the classical laparotomic approach and the second is the alternative, more sparing minimally invasive laparoscopic approach. The latter has been enhanced in the past years to robotically assisted procedures. Most of the disadvantages of laparotomy and classical laparoscopy in the treatment of prostate cancer are avoided when robotic assisted surgery is used.
What the outpatient surgeon should know about robotic assisted surgery
The increasing number of malignant tumours in general represents an important impulse for searching for new diagnostic methods that would enable their early and precise diagnosis. It is also represents an impulse for the pharmaceutical industry to produce more modern and effective drugs and it is also naturally an impulse for developing new technologies. Thanks to new devices and instruments, treatment efficacy of oncological diseases is continually improving and thus patient survival is increasing. Surgical removal of tumours is an integral component of complex oncological care in the case of solid tumours. The patient's fate depends on how radical the surgical procedure is. In the late 1980s and early 1990s, laparoscopy began slowly gaining in importance in the field of surgery. The beginning of the millennium saw the introduction of laparoscopic technology linked with sophisticated telemanipulators, which gave rise to robotic assisted surgery (RACH). The device providing RACH was christened the „da Vinci" robot. Procedures performed using this device are routinely termed today „da Vinci surgery".