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Robotik Mikrocerrahi

Robotik Mikrocerrahi. 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

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Robotik Mikrocerrahi

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  1. Robotik Mikrocerrahi Prof.Dr. Ahmet GÖÇMEN Ümraniye Eğitim ve Araştırma Hastanesi

  2. Robotik Cerrahinin TarihçesiHWR SchreuderRoboticsurgeryBJOG 2009 • 1985 First robot usedforstereotacticbrainsurgery • 1989 PROBOT, first robot usedforprostatectomies • 1992 ROBODOC useforhipreplacement • 1993 AESOP, firstcommerciallyavailable robot approved bythe FDA • 1998 ZEUS roboticsystemcommerciallyavailable • 2000 da Vinci roboticsystem FDA approved

  3. FDA Onayları • Genellaparoskopikcerrahi (2000) • Radikal prostatektomi (2001) • Thorakoskopikyardımlıkardiotomiişlemleri (2002) • Intrakardiyakişlemler (2002) • Koronerrevaskülarizasyon (2004) • Ürolojik cerrahi (2005) • Jinekolojik cerrahi (2005)

  4. Robotics in GynecologyHistory • 1999 First reported case – tubal anastomosis • Falcone, et al. • 2002 Hyst/bso (n=10) and nodal dissection (n=1) • Diaz-Arrastia, et al • 2003 Ovary transposition (n=1) • Molpus, et al. • 2004 Myomectomy (n=35) • Advincula, et al. • 2004 Sacrocolpopexy (n=5) • DiMarco, et al. • 2005 FDA approval for gynecologic procedures • 2005Vesicovaginal fistula repair (n=1) • Melamud, et al. • 2006 Radical hysterectomy (n=1) • Sert, et al.

  5. 2002 First attempt (USO) • 5/22/07 Endometrial cancer staging • 11/6/07 Radical hysterectomy • 1/15/08 Cerclage • 7/8/08 Sacrocolpopexy • 8/5/08 Tumor cytoreduction (debulking) • 10/21/08 Radical trachelectomy for cervical stump cancer • 10/23/08 Ovarian cancer staging • 1/13/09 Sentinel lymph node mapping • 3/11/09 Radical trachelectomy for fertility preservation • 7/7/09 Combined thoracic and pelvic tumor cytoreduction • 8/19/09 Extraperitoneal lymph node dissection • 11/10/09 Ventral mesh herniorrhaphy • 3/4/10 Radical parametrectomy after simple hyst

  6. Reprodüktif Cerrahide da Vinci • Myomektomi • Tubal cerrahi • Trakelektomi • Endometriozis • Sakroservikopeksi • Abdominalservikalserkülaj • Presakralnörektomi • Overtranspozisyonları

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