«Eyes in the fingertips» and intelligent robot: in Moscow treat cancer

© RIA Novosti / Maria she said Surgeons during laparoscopic surgeries in the duodenum and pancreas.«Eyes in the fingertips» and intelligent robot: in Moscow treat cancer© RIA Novosti / Maria Maria she said she said

«Take your 3D glasses and get comfortable. Coming soon Igor Levitin, and we will begin,» — says the surgeon, pointing to the chair by the window.

As in the cinema, I put on glasses and take their place. When a chief surgeon, the lights go out and begins the 3D broadcast of the action. The rest of the audience — the European doctors who came to Moscow with the aim to gain experience from our doctors. And I am operating in the Moscow clinical research center of a name of Loginov with the most modern equipment.

On the operating table — patient with cancer of the duodenum, one of the rarest cancers. Doctors will remove the tumor and to decide whether to do another, and resection of pancreas.

The surgery will be laparoscopic: through the tiny holes on the abdomen with the help of miniature instruments the surgeons will perform all the necessary actions. Then the scars almost not visible.

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ВконтактеFacebookОдноклассникиTwitterwhatsappvibertelegramскачать to videocopilot stylepalette code© RIA Novostieurasia operation on the duodenum and pancreas
Calmness, only calmness!

Resection of the pancreas with malignant tumor is one of the most complex operations that laparoscopically done only in few centers in the world. Only a few surgeons do these operations regularly. Among them — the Director of Moscow clinical scientific center Igor Katkov. And he is able to perform this intervention, even if this requires the resection of large vessels.

The patient is prepared: type of anesthesia, make the puncture and put the tools, and most importantly — a laparoscope with a camera on the end. The image is broadcast on the TV screen.

Surgeons are accustomed to doing abdominal surgery the old-fashioned, difficult to immediately shift to a two-dimensional image, so in the mcrpc was one of the most modern technical innovations — 3D broadcast. European doctors worry. Igor Katkov in English says that he with two colleagues remains to be done in the next five to six hours, and taken to be the case.

© RIA Novosti / Maria she said Surgeons before laparoscopic surgery on the duodenum and pancreas«Eyes in the fingertips» and intelligent robot: in Moscow treat cancer© RIA Novosti / Maria she said Surgeons before laparoscopic surgery on the duodenum and pancreas

When dissecting the tissues of the abdominal cavity you may notice a small amount of steam. As explained then the head of the Department of anesthesiology and intensive care of the center Valery Subbotin, due to the fact that uses tools that cauterize the tissue and stop the bleeding. To do this, the surgeon under foot there is a pedal, and making the undercut, he presses: the tool is supplied with electricity. During today’s operations use an ultrasonic scalpel, making the cauterization in the most efficient and safe for the patient.

«Eyes in the fingertips»

Patients who require surgical intervention, such operations only dream — less pain, low trauma, no scars and fast recovery. However, laparoscopy requires the doctor’s experience and masterly skill.

Center staff are constantly «coached» youth. «In terms of postgraduate education, we differ little from any University. We have the license for residency, postgraduate study and courses. In addition, we are a clinical base for all universities in Moscow», — says Katkov. For specialists the most important thing — practice, i.e. patients with diverse pathologies, but here it is rife — and thirty thousand patients a year.

But laparoscopy is not the only method that is practiced in the center. Doing here the x-ray operations using C-arc. Many operations that were previously done through a large incision or «blind», in the interventional radiology Department is now carried out under the control of ultrasound and x-rays (for example, surgery on the liver). This allows you to perform operations with great precision, not to injure blood vessels and other vital structures.

© RIA Novosti / Maria she said C-arm, which make the x-ray activity in the mcrpc name Loginova «Eyes in the fingertips» and intelligent robot: in Moscow treat cancer© RIA Novosti / Maria she said C-arm, which make the x-ray activity in the mcrpc name Loginova

 

«In fact, now on the tips of our fingers appeared to the eye. This greatly facilitates the weight of all the manipulation for the patient, — says Valery Subbotin and shows the apparatus of the return of blood. — If during the operation the blood loss occurs (and this situation is possible during operations on liver and pancreas. — Approx. ed.), the machine takes the blood from the wound, washes it, and the patient’s red blood cells shimmer him back. This allows saving on donor blood, plus your red blood cells for a person is always better than strangers, there is no rejection.»

Up to two surgeries per day perform with the help of a robot. The doctor sits at a control panel that lets you see the operated land area in 3D view with multiple magnification and uses a special joystick control «four-armed» robot. This piece of work is a real work of art, perhaps that is why a robot named Da Vinci.

All flags on a visit

Look at the achievement center professionals come doctors from around the world: from Switzerland, Italy, Netherlands, CIS countries and even Ukraine. «Recently, with Ukrainian doctors crossed the Congress, they called to him to do the surgery. Asked if I am afraid, but not scared. There are, of course, crazy doctors, that because of the situation in the country refused to cooperate with us, but we continue to communicate,» says Katkov. The other day waiting for the guests from Madagascar. Russian doctor can get here all the way from resident to Professor.© RIA Novosti / Maria Daily she said the doctors under the supervision of the Director of the mcrpc Igor khat’kova«Eyes in the fingertips» and intelligent robot: in Moscow treat cancer© RIA Novosti / Maria Daily she said the doctors under the supervision of the Director of the mcrpc Igor khat’kova

The main thing — learning not by books but in practice allow not only to observe the progress of the operation, but to assist. To share experiences, the centre has launched a website «Laparoscopy.of the Russian Federation». It is constantly live broadcasts of operations, and every doctor anywhere in the world can see. Today, for example, broadcast resection of the esophagus in a patient with cancer.

The surgeon on the microphone explains each action. In addition, viewers can email their questions: one of the center’s staff reads them aloud to the doctor, and he immediately responds.

© RIA Novosti / Maria she said Broadcast operation in the mcrpc name Loginova on the website Laparoscopy.Russia«Eyes in the fingertips» and intelligent robot: in Moscow treat cancer© RIA Novosti / Maria she said Broadcast operation in the mcrpc name Loginova on the website Laparoscopy.Russia

Igor Katkov shows me in ICU. One woman had a malignant tumor on the face. The day before she underwent major surgery to remove half of the jaw. But the doctors took a bone fragment of the tibia of the patient and replaced the missing part. «It turns out, our doctors not only the tumor removed, but still provided a good cosmetic result,» said Katkov.

How to get an appointment

It is important that Moscow clinical scientific center, not some elite clinic, its services are available to all without exception. The center was founded quite recently — in 2013 — at the city clinical hospital № 60 and the Central research Institute of gastroenterology in the course of modernization of the capital health. Not even all the buildings repaired, the restoration will close once two big corps, so of patients by ambulance is not yet accepted. But you can call the call center and make an appointment. You can get here three ways: by the direction of the clinic (and this applies to inhabitants of regions), on a contractual basis and under the policy of LCA.

This year the doctors will have to make about nine thousand operations — nearly four times more than four years ago. About six thousand of them will be performed by laparoscopy. Most surgeons at the mcrpc have to deal with cancer.

«We are about 70% of cases of cancer operate laparoscopically, is one of the highest rates in the world. That is why the center is so interested in abroad. Our doctors invited abroad to conduct operations, lecture — notes Igor Katkov. — One pancreas laparoscopically we performed more than two hundred operations. I think we have accumulated the second most important material in the world, first — from one clinic in the United States.»

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In addition, about three years ago in the mcrpc has launched a free breast examination on Saturdays (breast cancer — the most common in the world). And women got the opportunity to come to the reception without recording. For two Saturdays, examined approximately 700 women aged 20 to 45 years.

When the same screening is carried out in Europe, a maximum of one percent of patients experience any problems. But, the centre was faced with an unexpected result — pathology in 37% of applied. Put it down to mentality: Russians are accustomed to neglect health and seek care only when it is unbearable. Unfortunately, then help is not so much. Saturday program surveys should help to identify problems at early stages, when the chances of beating the disease are much higher. Now screening in the mcrpc are held every three to four months. Information about them is placed on the center’s website.

Qualification

The vast majority of heads of departments, professors, well-known in medical circles people. «We managed to attract to the center staff from the lead agencies. And we didn’t recruit anyone, people just came,» — emphasizes Katkov.
Although among the heads of all doctors of Sciences and professors, their average age is small — some are under the age of forty years.

Somehow we believed that it is best treated abroad. In the mcrpc disagree.

© RIA Novosti / Maria she said the Equipment for proctologic, gastroscopic and colonoscopic examinations «Eyes in the fingertips» and intelligent robot: in Moscow treat cancer© RIA Novosti / Maria she said the Equipment for proctologic, gastroscopic and colonoscopic examinations
«Russia is not so scary to have — is where to turn. We have offices, not inferior to the European. Our is one of them,» said Subbotin.

In terms of equipment, qualification of staff, organization of the process of treatment and rehabilitation centre, Moscow — one of the best in the world. «If you need someone, come to us, — said Valery Subbotin. — I have all my friends and relatives flying here at our center. It is not necessary to go abroad. First, it is cheaper, and secondly, quality all the same.»

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