IRobot-Assisted Fundoplication Surgery

IRobot-Assisted Fundoplication Surgery

I-fundoplication esizwa ngamarobhothi iyinqubo emisha ephatha ngempumelelo isifo se-reflux se-gastroesophageal (GERD), ikakhulukazi ezigulini ezine-paraesophageal hiatal hernias enkulu. Lo mhlahlandlela ophelele uhlola izici ezihlukahlukene ze-fundoplication esizwa ngamarobhothi, okuhlanganisa izindlela ezihlukene zokuhlinza, izidingo zokulungiselela, okulindelwe ukubuyisela, kanye nezinzuzo ezingase zibe khona ezigulini ezicabangela lesi sixazululo sokuhlinzwa esithuthukisiwe.

Kungani izibhedlela ze-CARE Group ziyisinqumo sakho esiphezulu sokuhlinzwa kwe-Fundoplication okusizwa ngamarobhothi e-Hyderabad

Izibhedlela ze-CARE ziphambili ekwakhiweni okusha kokuhlinza e-Hyderabad ngamakhono ayo athuthukisiwe okuhlinza okusizwa ngamarobhothi. 

• Ubuchwepheshe obuthuthukisiwe: Isibhedlela siphakamise izinsizakalo zaso ezikhethekile ngokuhlanganisa ubuchwepheshe obusezingeni eliphezulu bokuhlinzwa kwerobhothi (i-RAS)—ikakhulukazi i-Hugo kanye ne-Da Vinci X yezinhlelo ezisizwa ngamarobhothi. Lezi zinkundla eziyinkimbinkimbi zibeke Izibhedlela ze-CARE esicongweni sokusebenza kahle kakhulu ekuhlinzeni, zinikeza ukunemba okungenakuqhathaniswa kwezinqubo ezifana ne-fundoplication esizwa ngamarobhothi.
• Ubungcweti Obuphawulekayo: Lapho ufuna ukuhlinzwa kwe-fundoplication okusizwa ngamarobhothi, ubuchwepheshe bethimba lakho labahlinzayo bubalulekile. Izibhedlela ze-CARE ziqhayisa ngodokotela abahlinzayo abaqeqeshwe kakhulu abanolwazi olumangalisayo lwezinqubo ezisizwa ngamarobhothi. Laba chwepheshe bangochwepheshe ekuhlinzeni amathumbu, okubenza bafaneleke kakhulu ukwenza i-fundoplication esizwa ngamarobhothi enemiphumela ephakeme.

Ukuzibophezela kwezibhedlela ze-CARE ekusebenzeni kahle kudlulela ngalé kobuchwepheshe kuya ezikhungweni zokunakekela eziphelele:

• I-Exclusive operation theatre complex edizayinelwe kabusha ngokukhethekile ukuhlinzwa okusizwa ngamarobhothi
• Ukuthwebula izithombe ubusuku nemini, ilabhorethri, kanye nezinsiza zebhange legazi
• Izinqubo zamazwe ngamazwe zokulawula ukutheleleka ziqinisekisa ukuphepha kwesiguli

Izindlela Ezithuthukile Zokuhlinza Ezibhedlela ze-CARE

Izikhali zobuchwepheshe ezibhedlela ze-CARE zimelela isiqongo senqubekelaphambili yokuhlinzwa, equkethe izinhlelo zesimanje ezisizwa ngamarobhothi eziguqula izinqubo zokuhlinza emathunjini. Isibhedlela sihlanganise izinhlelo ezisizwa ngamarobhothi i-Hugo kanye ne-Da Vinci X emsebenzini waso wokuhlinza, sizenza umholi ekuhlinzweni kwe-fundoplication okusizwa ngamarobhothi.

Lezi zinkundla ezisizwa ngamarobhothi zinikeza izinzuzo ezingakaze zibonwe ezigulini ezithola i-fundoplication esizwa ngamarobhothi:

• I-high-definition 3D imaging systems ihlinzeka odokotela abahlinzayo ngokubona okuthuthukisiwe phakathi nezinqubo eziyinkimbinkimbi, okuvumela ukunemba okucophelela lapho welashwa. i-hernia yokubeletha nokwenza i-fundoplication
• Izingalo eziyisipesheli ezisizwa ngamarobhothi zinikeza ukuguquguquka okudlulele kanye nokusebenziseka kalula, okwenza odokotela abahlinzayo bafinyelele ezindaweni ezinzima ze-anatomical ezinokuphazamiseka okuncane kwezicubu.
• Izinhlelo zokuqapha ezisezingeni eliphezulu ziqinisekisa ukuphepha okuphelele kuyo yonke inqubo ye-fundoplication esizwa ngamarobhothi.
• Amasu amasha e-fundoplication asebenzisa amadivaysi e-cutting-edge suturing adala ukulungisa okuphephile nokuqina.
• Izinto eziyisipesheli ezinezikhala ziqinisa ukulungiswa ezimweni eziyinkimbinkimbi, zithuthukisa imiphumela yesikhathi eside

Imibandela Yokuhlinzwa Kwe-Fundoplication okusizwa ngamarobhothi

I-fundoplication esizwa ngamarobhothi inconywa ngokuyinhloko ezigulini ezithola izimpawu ezinzima ze-GERD eduze nenye yalezi zimo:

• I-aspiration pneumonia ephindaphindiwe noma i-asthma ehlobene ne-reflux
• I-Barrett esophagus (nakuba lesi sibonakaliso sihlala siphikisana)
• Imizamo yokwelashwa ephezulu yehlulekile
• Ukungakwazi ukuphuza imithi ngenxa yezinkinga zokuthobela imithetho noma imiphumela engemihle
• Iziguli ezisencane ezifisa ukugwema ukusetshenziswa kwemithi isikhathi eside ngenxa yemiphumela emibi engase ibe khona kanye nezindleko eziqhubekayo

Izinhlobo Zezinqubo Zokuhlinza I-Fundoplication ezisizwa ngamarobhothi

Izindlela zokuhlinza ze-fundoplication esizwa ngamarobhothi ziyehluka ngokuyinhloko ngokuya ngezinga lokugoqa kwesisu okudalwe eduze komminzo. Izinqubo ezintathu eziyinhloko zizisungule njengezinketho ezijwayelekile, ngayinye inezinhlelo zokusebenza nezinzuzo ezithile:

• I-Nissen Fundoplication: Le nqubo yegolide ejwayelekile yokusiza irobhothi ifaka ukugoqa okuphelele okungu-360 ° kwe-fundus yesisu ezungeze umminzo.
• I-Toupet Fundoplication: Idala ukugoqa okungemuva okungama-270°
• I-Dor Fundoplication: Le nqubo yakha ukugoqa kwengxenye yangaphambili kwe-180°. Kule nqubo, imiphetho esemaceleni yejika elikhulu lesisu ixhunywe ku-crura yesokudla nesobunxele. 

Yazi Inqubo Yakho

Ukuqonda uhambo oluphelele lwe-fundoplication esizwa ngamarobhothi kudinga ulwazi lwalokho okwenzekayo ngaphambi, phakathi, nangemuva kwale nqubo yokuhlinzwa enembile. Ukulungiselela kahle kanye nolwazi lokululama lusiza iziguli ukuthi zisondele ekuhlinzweni kwazo ngokuzethemba.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

• Udokotela wakho ohlinzayo uzo-oda izivivinyo ezimbalwa ezibalulekile zokuxilonga ukuze ahlole umphimbo wakho nokusebenza kwesisu. Lokhu ngokuvamile kufaka:
• I-Esophagogastroduodenoscopy (EGD) - isibopho sokuhlolwa kwe-esophagitis kanye ne-gastroesophageal junction
• Ukuqapha kwe-pH ye-ambulatory - kubhekwa njengokufanelekile ekuqinisekiseni ukuxilongwa kwe-GERD
• I-Barium swallow - iwusizo ekuhloleni i-anatomy, kuhlanganise nokuba khona kwe-hernia yokuzala
• I-Oesophageal manometry - ithola ukuphazamiseka kwe-motility okungase kube nomthelela endleleni yokuhlinzwa
• Ngosuku olwandulela ukuhlinzwa, kufanele ugweme ukudla noma ukuphuza noma yini ngemva kwamabili. 

I-Robot-assisted Fundoplication Surgical Procedure

Ngemva i-anesthesia ukungeniswa, udokotela ohlinzayo uhlanganisa umphimbo nesisu ngokuhlakaza ngokucophelela izicubu ezizungezile. Imikhumbi emifushane yesisu ihlukaniswa ukuze ivumele ukuhamba kahle kwe-fundus. Ngemva kokudala "ifasitela" ngemuva kommizo, okungenani u-3 cm we-intra-abdominal esophagus uyasungulwa.

Udokotela ohlinzayo usondela emiculweni ye-crural nge-sutures enzima ehlala njalo. Ekugcineni, i-fundus isongwe ngomminzo kusetshenziswa imishudo emithathu kuya kwezine ye-seromuscular ebekwe ubude obungu-3 cm kumphetho we-gastroesophageal, okwenza ukugoqa okuvikelekile.

Ukubuyisela ngemva kokuhlinzwa

Ukululama kokuqala kuhilela ukuqhubekela phambili kokudla okuneziqu, kuqala ngoketshezi olucacile ngosuku lokuqala. 

• Iziguli eziningi zihlala esibhedlela izinsuku ezingu-1-3 kulandela ukulungiswa kwe-hiatal hernia esizwa ngamarobhothi nge-Nissen fundoplication.
• Ngokuvamile, iziguli zibuyela emsebenzini phakathi kwamaviki angu-2-3 ngemva kokusizwa nge-fundoplication okusizwa ngamarobhothi. 
• Ukululama okuphelele, okuhlanganisa ukuxazululwa kokuqunjelwa kanye nezimpawu zegesi, ngokuvamile kwenzeka phakathi nezinyanga ezingu-2-3.

Izingozi Nezinkinga

Ezinye zezinkinga ezijwayelekile yilezi:

• Ukutheleleka
• ukopha 
• I-Esophageal perforation

Ngaphandle kwalokhu, izinkinga eziqondene nendlela yokusiza amarobhothi zihlanganisa:

• I-Pneumothorax 
• Ukulimala kwe-splenic ngesikhathi sokuhlanganiswa kwe-fundus
• Flatulence
• Uhudo 

Izinzuzo Zokuhlinzwa Kwe-Robot-Assisted Fundoplication

Izinzuzo ezibonakalayo zeziguli ezithola i-fundoplication esizwa ngamarobhothi zihlanganisa:

• Ubuhlungu obuncane ngemva kokuhlinzwa
• Ukunciphisa ukuhlukumezeka kwezicubu zomzimba
• Ukuncipha kwezibazi
• Ukuhlala isikhashana esibhedlela
• Ukuncipha kwegazi
• Ukululama ngokushesha futhi ubuyele emisebenzini evamile

Usizo Lomshwalense Wokuhlinzwa Kwe-Fundoplication okusizwa ngamarobhothi

Izinhlelo zomshwalense wezempilo eziphelele zivame ukumboza izindleko ezahlukahlukene ezihlobene nokuhlinzwa kwe-fundoplication okusizwa ngamarobhothi, okuhlanganisa:

• Izindleko zokulaliswa esibhedlela
• Izimali zenqubo yokuhlinzwa
• Izimali zikadokotela ohlinzayo
• Izindleko ze-ICU
• Izindleko zokuya esibhedlela
• Izindleko zokutholwa ngemuva kokulaliswa esibhedlela
• Izinsizakalo ze-ambulensi, ezimweni eziningi

Umbono Wesibili Wokuhlinza I-Fundoplication okusizwa ngamarobhothi

Imibono yesibili ibonakala ibalulekile kakhulu kulezi zimo ezithile:

• Izimo eziyinkimbinkimbi noma ezingajwayelekile, njengezinkulu noma eziqhubekayo i-hernias
• Lapho ucubungula ukungenelela okukhulu kokuhlinzwa okufana ne-Nissen fundoplication esizwa ngamarobhothi
• Uma uhlangabezana nokungaqiniseki mayelana nokuxilongwa kwakho kokuqala noma isincomo sokwelashwa
• Lapho unezimo eziningi zezokwelapha ezingase zandise izingozi zokuhlinzwa

Isiphetho

I-fundoplication esizwa ngamarobhothi imile njengentuthuko emangalisayo ekwelapheni i-GERD kanye ne-hiatal hernia, enikeza iziguli imiphumela engcono ngokunemba okuthuthukisiwe kokuhlinzwa.

Izibhedlela ze-CARE zihola lolu hlelo olusha lokuhlinzwa e-Hyderabad ngezinhlelo ezisizwa ngamarobhothi ezisezingeni eliphezulu kanye namaqembu okuhlinza anolwazi. Indlela yabo ebanzi ihlanganisa ubuchwepheshe obusezingeni eliphezulu nokunakekelwa kochwepheshe, okuholela ekuhlaleni okufushane esibhedlela kanye nezikhathi zokululama ngokushesha ezigulini.