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Prof. Alper Toker:机器人手术在胸外科应用前景光明

Published at: 2015年第1卷第S1期

杨璐璐
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编者按: 9月28日,丹桂飘香的杭州城迎来了第六届国际胸部肿瘤西子论坛暨多学科加速康复、胸部微创及介入治疗新技术研讨会。来自全国各地的著名胸外科医生云集杭州洲际酒店,借此高级别、大规模、多层次的宝贵平台,重点就以肺癌为首的胸部肿瘤治疗进行学术研讨与经验交流,以促进胸外科及相关学科的交流互动。会议间隙,AME有幸邀请到来自土耳其伊斯坦布尔大学医学院的胸外科医生Prof. Alper Toker接受采访。

图. AME编辑和Prof. Alper Toker合影

人物聚焦

Department of Thoracic Surgery, Istanbul Medical School, Istanbul University, Istanbul, Turkey.

Alper Toker received MD degree after completion of Marmara University, School of Medicine (1992). He started the residency program at Istanbul University, Istanbul Medical Faculty, Department of Thoracic and Cardiovascular Surgery (1992). He worked two more years in the same department after completion of residency program (1997) until 1999. He did his military service at the Military Academy at Thoracic Surgery Dept, GATA (1999-2000). He engaged in organization Department of General Thoracic Surgery at Istanbul University, Istanbul Medical Faculty, (2001-on ward ). He is the Professor of Thoracic Surgery and Director from 2009. He observed surgery in Germany, Austria and United States during his thoracic surgery education.

Prof. Toker is a council member of ESTS from 2009 on and the president of the ESTS on 2015, now, the past president. His academic interests include lung cancer extended surgery, Videothoracoscopic surgery (lung cancer and myasthenia gravis), mediastinal surgery and robotic lung cancer operations.

作为一名机器人辅助技术领域的著名专家,Prof. Toker发表了题为“机器人肺癌切除术”的演讲,展示中他详细介绍了机器人技术在肺切除术中的应用与优势。采访期间,Prof. Toker分别从机器人辅助技术的发展现状、明显优势及面临的挑战为我们进行重点介绍。Prof. Toker表示,所谓“机器人技术”并非我们想象中的机器人形象,而是一种可逐步取代胸腔镜微创手术的自动控制机械系统。此种技术具备多种优势:一、机器人可有效地滤除人手的自然震颤,提高稳定性;二、配备高清三维立体成像系统,图像和操控器械在同一方向,符合自然的手眼协调,可以实现精确的组织切割、止血、缝合等基本外科手术动作。三、手术地点将不再传统地局限于手术台边,对于地点的选择可更灵活处理;与此同时,机器人辅助技术也面临较多挑战:一、机器昂贵,维护费用昂贵,目前在医院的总投入量较少,在全球的普及率还不太高。二、操作机器人需手脚并用,操作难度系数较大,外科医生需进行专业系统的培训才能灵活操作此机器,而在现阶段针对机器人技术的培训也较为缺乏。

虽面临的挑战重重,但Prof. Toker对机器人辅助技术的发展前景仍充满期待,他表示随着科技的不断革新,机器人技术目前所面临的成本高、维护费用昂贵等问题会逐一得以解决。等到大时代来临之际,整个外科手术又将面临新的变革。被问到是否认为机器人辅助技术会逐步取代胸腔镜微创技术,Prof. Toker面露微笑,眼神坚定,他表示虽然不确定这一天何时到来,但机器人辅助技术逐步取代胸腔镜微创技术已是大势所趋。关于学术研究重点,Prof. Toker表示目前仍主攻肺癌治疗和淋巴结清扫术。此外,Prof. Toker还向我们介绍了在土耳其当一名外科医生的感受,其中不乏挑战与艰辛。Prof. Toker认为一名好的外科医生不仅要心系病人,更要照顾好自己,合理平衡个人生活和工作,才能称得上一位优秀的医生。

更多精彩内容分享,请观看下方视频。

采访问题

1. Today, Robotic Lung Resection is your topic. As a famous expert in lung cancer research, would you please briefly introduce this promising technology for us, such as its current status, obvious advantages as well as the challenges?

2. Can you share with us your prospect towards the development of Robot-assisted Thoracic Surgery in the coming years?

3. Do you think that traditional VATS (Video-assisted Thoracic Surgery) would be replaced by RATS (Robot-assisted Thoracic Surgery) in the future?

4. What is it like to be a surgeon in Turkey? what is the biggest challenge for you?

5. What sort of ongoing academic projects are you involving now?

6. What is your definitions of an excellent surgeon? How to become one?

精彩回顾:

采写编辑:杨璐璐 AME Publishing Company

视频编辑:麦雪芳 AME Publishing Company

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