When they arrived in Brazil a decade ago, three robots used in operations they were old for cardiac procedures. In recent years it has spread – now number 45 – and at the end of the day it has become more important in the urological field, especially in cases prostate cancer.
According to doctors, robots help to respect treatment: because they are more accurate, they reduce hospitalization time and adverse effects such as erectile dysfunction and urinary incontinence.
"The patient receives surgical treatment better [com robô] and although the risk is nothing, they are small, "says José Roberto Colombo Júnior, an urologist and specialist in robotic urological surgery at Israeli hospital Albert Einstein. According to the doctor, the risk of incontinence after robotic surgery ranges from 2% to 3 In a conventional way, 5 %.
In terms of erectile dysfunction, factors such as the erectile function itself prior to surgery, age and health status – have a greater likelihood of having more obesity and diabetic patients. "With robotic action, the ability to conserve [a função] is 80%. "
According to Flavia Trigo, president of the Brazilian Association for Urology (SBU), robotic surgery has grown in the country over the past two years. Instead, the doctor holds the tweezers, performs "holes" and draws a tumor, is a robot that carries movements. "The recovery is faster and the time for hospitalization is halved – one or two days in the hospital."
São Paulo is the country with the largest number of equipment. Rio de Janeiro, Minas Gerais, Rio Grande do Sul, Paraná, Brasília, Pernambuco, Ceará and Pará have devices, according to H. Strattner, specializing in minimally invasive surgery and responsible for distributing robots in the country. The robots operating in Brazil have 8,500 operations this year, of which 5000 are urological and 90% prostate.
The technology is available in private and public networks, such as the Institute of Cancer São Paulo (Icesp), de Amor Hospital (former Barretos Cancer Hospital) and the Porto Alegre Clinic Hospital, the Federal University of Rio Grande do Sul.
When examining the diagnosis of prostate cancer in one of the brothers and sisters, in 2011, the guardian Jorge Miguel Rebane Neto decided on a regular review. He was 47 years old and had been following him for 45 years because his father had a disease, but this year he delayed his return to the doctor. It was your luck. "I also had prostate cancer."
Rebane Neto operated on Sunday, on Monday he walked out and left the hospital on Tuesday. "I reviewed the operation in November and I returned in February. I had only surprises and my degree of satisfaction was 100%," the administrator reported.
In addition to robotic surgery in the country, the use of genetic screening is also indicated, which is indicated for relatives of patients who have had aggressive forms of the disease. "Even if there is no family anamnesis, there is a possibility of genetic mutation of 11% for men with very high PSAs and metastases," says Oncologist Maria Nirvana Formiga, oncology department at the ACCamargo Cancer Center.
After a robotic surgery to remove the prostate in 2012, pensioner Francisco Lobianco, 68, received a referral for review. The test also showed the tendency to pancreas, stomach and skin cancer. "I was much more cautious, the gastritis appeared during the examination, and immediately I was treated, and I was more concerned with the skin."
About the gland: what is prostate?
It is located between the bladder and urethra, as it is a prostate of the gland, which has the function of producing most of the seminal fluid that stores the sperm.
Two diseases can be affected by this: benign prostatic hyperplasia (enlargement of the gland that can occur during aging) and cancer (less common).
Preventive examinations (PSA and rectal examination) should be performed from the age of 50 years. In the case of family history, observation should have started before 45. "An early diagnosis is a treatment option of 90%," says Flavio Trigo, president of the Brazilian Urological Society.
If cancer is detected, the doctor who will take it will determine the doctor. All tumors need not be removed immediately. "We do not have to cure every case. Blood tests and biopsies are made to follow the tumor," explains José Roberto Colombo Júnior, an urologist at Israelita's Albert Einstein Hospital.
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