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They were operated on in Hungary with the help of a robot: Dr. According to Bella Merkley, this is a huge achievement – Health

A 68-year-old patient who underwent her first cholecystectomy in the country using da Vinci robotic surgery did well. The surgery at Semmelweis University was funded by Social Security.

The advantage of robot-assisted surgical systems is that interventions can be performed more safely and accurately, patients recover faster, so they have to spend less time in the clinic. For the first time in Hungary, the Complex Robotic Surgery Program has been launched at Semmelweis University, expanding its reach to education, research and healing.

It was the first successful robotic operation

Not a single year has passed since the Da Vinci Xi robotic surgical instrument arrived at Semmelweis University in August 2021 for a two-day presentation, which was then tested by university staff at the Department of Surgery I (now called Surgery, Transplantation and Gastroenterology) and students. Nine months later, the university’s device was operational in the clinic, with the first surgery taking place on May 24, followed by two more robot-controlled surgeries the next day. The first patient could have left the clinic on the second day after the operation and she was fine.

Photo: Attila Kovacs / Semmelweis University

As long as the human wrist’s range of motion is limited, the da Vinci system can move its robotic arms up to 520 degrees, allowing it to reach places and small movements that a surgeon can’t make with a free hand or a laparoscope during an open operation. To perform lobotomy – explains the professor who performs the first operations, Dr. Attila Carto.

The director of the Department of Surgery, Transplantology and Gastroenterology explains that the system consists of three main parts: the robot itself with four arms in contact with the patient, the doctor not in contact with the robot sitting in the surgery unit, and controls with similar arms. With this technique, the surgeon sees the surgical area in three dimensions and at a magnification of at least ten times. The third pillar of the da Vinci system is the so-called tower, which allows medical students or colleagues to see the movement of the robotic arms who want to master the new procedure, and the tower also contains important tools responsible for safety in surgery, such as bleeding.

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– In the future, we will be able to surgically treat complex oncological diseases with this device. The professor explains that I can compare the technology the robot controls to when someone could actually drive a car and then learn to control the plane, unlocking new dimensions in 3D.

It works with the latest technology

Although previous generation technology (DaVinci X) is already available at two institutions in Hungary, Semmelweis University is a pioneer in the field of abdominal surgery and has launched a complex robotic surgery program covering education, research and treatment. The fourth-generation robot (DaVinci Xi) in the capital clinic, which has the most advanced technological background known today – with two surgical console solutions enabling education and training – can simultaneously treat patients and best train medical students and young specialists. University in Central and Eastern Europe, while also helping with the effectiveness of clinical research, added Dr. Merkley Bella.

According to the President of Semmelweis University, this new technology opens entirely new horizons not only for surgical colleagues but also for future clinicians, as it is inevitable that robotics will be included in the undergraduate and postgraduate training of physicians over the next 30 to 40 years. Of course, this does not mean that everyone will be working with a robot, but it is a great opportunity in surgery and other specialties alike.

Robotic surgery 4

Photo: Attila Kovacs / Semmelweis University

With the latest technology currently available, surgeons can perform surgeries more accurately and accurately, patients can count on less operative effort, shorter hospital stays and faster recovery, so overall we can do more for patients and be scientifically successful. What will happen in the coming period is that we will be able to build a professional team on a larger scale in the field of robotics and be able to practice, research and teach a full range of robotics at Semmelweis University. The university president added that it is expected that we will be able to perform about fifty new robotic surgeries this summer.

In the clinic, the new system will be used about four hundred times a year in the future, in addition to general surgical procedures, in gynecological, urological and ENT interventions in a form funded by NEAK. As part of the program, ten surgeons will be proficient in performing robotic surgeries for the time being, but as da Vinci will play an important role in education, future surgeons will be able to master the new technology.

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(Photo source: Attila Kovács / Semmelweis University)