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Prof. Abbas E. Abbas: 做好一台机器人手术离不开熟练的技术和专业的团队

Published at: 2015年第1卷第S1期

赵淑娇
关键词:

编者按:9月27日-29日,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在浙江省杭州市隆重召开。会议间隙,AME有幸邀请到美国胸外科专家Abbas E. Abbas教授(图1),对食管机器人手术的相关进展作简要介绍。

图1. Abbas教授接受AME采访

人物聚焦

Dr. Abbas E. Abbas is Surgeon in Chief and Professor of Thoracic Medicine and Surgery at the Lewis Katz School of Medicine of Temple University in Philadelphia, Pennsylvania. He is the Surgical Director of the Lung Cancer, Thoracic Malignancy and Foregut Disease Programs. Board certified in both General Surgery and Cardiothoracic Surgery, Dr. Abbas earned his MD from Ain-Shams University School of Medicine in Cairo, Egypt. He completed a General Surgery residency at Pennsylvania Hospital, and a fellowship in Cardiothoracic Surgery at the Mayo Clinic in Rochester, Minnesota.  Since then, he has held several leadership positions at different academic institutions including the Ohio State University, Ochsner Clinic, Tulane University and Temple University. Dr. Abbas is one of the earliest adopters of robotic thoracic surgery and has extensive expertise in robotic surgery for mediastinal, esophageal and lung disease. His center is active in providing training for robotic thoracic surgery. He has authored and edited numerous publications in the fields of thoracic surgery and minimally invasive surgery and is frequently invited to speak at National and International meetings. His research includes ongoing studies in robotic thoracic surgery, adopting new technologies to robotic surgery.

Abbas教授是美国宾夕法尼亚州费城天普大学刘易斯-卡茨医学院(Lewis Katz School of Medicine of Temple University)胸部医学和胸外科教授和主任,在机器人手术方面有着非常丰富的经验。28号上午,Abbas教授在他的精彩报告 “Robotic Esophageal Surgery”中,充分表扬了机器人手术视野广、缝合力精准等优点,同时也提到了时下开展中的诸多困难。采访中,Abbas教授对他的报告进行延伸,并根据他多年的从业经验,对如何做好机器人手术给出建议。

图2. Abbas 教授精彩报告“Robotic Esophageal Surgery”

食管手术过程复杂、涉及部位多,是机器人手术中的难点。Abbas教授谈到,食管机器人手术的范畴非常广泛,针对不同病灶,操作的难度也各有不同。因此,初涉机器人手术的医生可以从相对简单的手术开始。食管机器人手术对技术的要求很高,医生要对控制台非常熟悉才能胜任。Abbas教授也是在有了3年机器人手术经验后,才开始涉猎食管机器人手术领域。谈到目前机器人手术开展的困难,Abbas教授说,首要的难点是让机器人手术得到广大医生认可,让医生们相信相较于传统外科手术和胸部微创手术,机器人手术更具优势,是未来的发展趋势。另一个困难则是专业医生的培养需要时间和精力。普及机器人手术需要有大量经验丰富的医生,如果以后医生们操作机械臂做手术比其他手术都要熟练的话,机器人手术的普及将不是问题。因此专业医生的培养迫在眉睫。

一名医生想要做好一台机器人手术,面临的挑战很多。熟练的操作与经验尤为重要,专业的团队也必不可少。要能熟练操作机器人,需要有经验丰富的导师“领进门”,在初学时就用正确的学习方式,避免重复同样的错误。此外还要能够全身心的投入,投入足够的时间和精力,不断锻炼自己的技术。做一台成功的机器人手术不能只关注医生,而要着眼整个团队。手术中的每个环节都很重要,一个专业的团队通力合作,才能完成复杂的食管机器人手术。机器人手术比传统外科手术和VATS都要好入门。其双控制台系统的设计非常利于学习。Abbas教授介绍到,双控制台让教学很好开展,像学开车一样。例如,他在教助手时,可以和助手看到同样的视野,清楚的知晓助手是如何操作的,从而作出指导。虽然学习起来较其他手术容易,但是机器不会教人做手术,医生需要通过自己的努力熟练操作。

最近,Abbas教授还参与了AATS机器人手术过程命名准则的制定。Abbas教授介绍到,为了不让机器人辅助手术像VATS一样概念模糊,他们希望能够制定一个简单灵活的命名系统,让全球的医生交流经验时,描述起手术过程来更简单,也不会产生歧义。谈到对机器人手术未来的期待,Abbas教授信心满满。“技术的革新日新月异,未来值得期待”。例如可以使一个约3厘米的小孔同时容纳4个器械进入的“机器人单孔手术”,能帮助医生更容易发现肿瘤的“机器人导航系统”,还有更先进的图像技术等等,许许多多新的技术正在路上,让人惊喜。机器人手术的发展尚在早期阶段,今天的成绩已非常喜人,日后一定还会有更大的发展。

更多精彩内容分享,请观看下方视频。

采访问题

1. Could you tell us the current status of Robotic Esophageal Surgery?

2. What is the major challenge for a surgeon to do a perfect robotic-assisted esophageal surgery?

3. What is the key difficulty that restricts the development of Robotic Esophageal Surgery?

4. Why does the nomenclature matter in robotic-assisted surgery as you proposed in your recent article?

5. Do you have any suggestions for the training of young surgeons in RATS?

6. What are your expectations on the future of robotic-assisted surgery?

7. How do you arrange your time in the busy schedule?

精彩回顾:

采写编辑:赵淑娇 AME Publishing Company

视频编辑:麦雪芳 AME Publishing Company

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