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  • I'm a cancer surgeon and I do robotic surgeries.

  • How would like to give you a brief perspective about for the cancer?

  • The prevalence in India and hope we manage into turn 12.

  • Earn.

  • One million new cancer patients were diagnosed in India.

  • It is expected to be five million in another 6 to 7 years on fight or six years.

  • Actually, it is underestimated.

  • So it's a grass undressed mate.

  • Unfortunately, one in eight off us.

  • Within 6 to 7 years, we'll have cancers.

  • It is alarming.

  • Approximately 70% unfortunately, are detected in a very late stage and oddly detected cancers are potentially curable and the cost in wall in the management off this athlete humus is literally less.

  • The five years of evil in the developed countries is around 60%.

  • What is the meaning of that?

  • If 100 patients are detected, no, 60% would be alive by the end of five years.

  • Window Western world but is in India.

  • Only 30% would be alive at the end off for years.

  • What is the reason for this?

  • There is no organised screening programmes.

  • We don't have any national national recognized screening programmes.

  • Symptomatic case finding meaning to say patients will go to your doctor whenever they have some symptoms.

  • Ideally, they should go to a couple whenever they don't have any symptoms.

  • If they have symptoms, that means that they have literally advanced age tumors.

  • So once diagnosed with cancer patient go to different hospitals.

  • Undergo treatment without information and quality of the treatment.

  • Our safety and knowledge off standard treatment protocols.

  • I as a soldier, how I used to do surgery 12 decades back.

  • You see, we used to put big cuts in the abdomen.

  • You want to remove a small tumor as a consequence of this big conditions patient used to experience more pain prolongs.

  • Hospital State is to stay in the hospital, and De Laine are going back to the work.

  • These two lost lose lot off bled, and they used to develop a lot off.

  • One complications you can see right inside a big Garnier is there because off big cut in the abdomen, it is not just patients problems.

  • Even surgeons used to suffer while doing surgery.

  • You can make old what sort off positions sergeants usedto result while doing surgery.

  • Because of these corporations, surgeons usedto dollop cervical spawned losses, display, leaped, giant pain and even chronic back pain.

  • So by doing this weapon, Surgery's long major thirties surgeons used to suffer and patients used to suffer because off long cut to reduce this were moved one step ahead, and we started with laparoscopic surgery.

  • Laproscopic surgery means it's a keyhole surgery.

  • Where incident big Gert we put small intuitions are small cuts will be there through that.

  • We put a instrument and we do surgery.

  • By adopting these, we have reduced some off the problems and we reduce the blood loss.

  • We decrease the pain and cost.

  • Mrs was improved by this keyhole surgery.

  • However, even keyhole surgery laproscopic surgery we usedto suffer because off a corporations long surgeries used to take more than 4 to 5 hours.

  • We used to get a lot of giant pains with this, the another biggest disadvantage off this laparoscopic surgeries.

  • The instrument moment had very limitations, so instruments will go inside.

  • It can cut our suitor in only one direction.

  • There was no deflecting ability.

  • So two or come this one we're more from open surgery.

  • Two laparoscopic surgery Now, currently we're doing robotic surgery.

  • Are robotic assisted surgery.

  • You can make out very clearly from this that in robotic surgery patient is not close to the surgeon.

  • An open surgery sergeant is standing next to the patient laproscopic surgery.

  • Suddenly standing next to a patient here, Surgeon is away from the patient and is sitting and performing the surgery.

  • So this is Hope Robotics has really been done.

  • Sergeant will be sitting comfortably on a comfortable chair and patient cart will be there.

  • There it is next to the patient and the instruments will go inside.

  • So these two surgeon council and the patient card are connected through a high speed data transfer.

  • Cable are now It is possible to connect this to even with high speed Internet.

  • We're going to get fighting.

  • Probably each.

  • It is possible to connect this to with high speed Internet.

  • So this is how robotic surgery will be performed.

  • Who exactly does the surgery is?

  • Robot is going to do surgery are suddenly be doing the surgery.

  • Actually, it's a master slave principal.

  • Whatever the surgeon most, the master controls are in lemon stomach and colleges joysticks.

  • Whatever the moments you do, the real time duplication off moments happens within the patient's body.

  • 100% of the times.

  • Whatever you move, it'll happen in say, the body.

  • If you do wrong this mistake, it does the wrong society.

  • So robotic instruments How does it look?

  • This looks exactly like this.

  • These are our small as a pencil.

  • This goes inside Doublemint with a small cut.

  • And the beauty of this instrument is it can brought it in any direction.

  • My wrist rotates about 1 80 degrees but as this protest of 5 40 are some robotic systems even 7 20 degrees.

  • Freedom is there.

  • It rotates.

  • Okay.

  • And Sergeant will be doing surgery comfortably in a sitting bushel.

  • So this moment is called endorsed moment.

  • Mediator instruments will go insane lumberman and it can protect in any direction stayed late and had received leak and switcher in any direction.

  • So to give you a brief perspective how exactly it will be done This short clip will tell you we get our own 50 next magnification we see through this You can see this video and we move This master controls the real time duplication off moments happens and said See how precisely all these moments are transferred into the patient body Here we get three dimensional vision and noticed moment will be their perfect ergonomics to the patient and the surgeon.

  • And it does ultimate position, not off.

  • Safety futures are involved in this to translate this into a better surgery compact, open surgery are robotic surgery.

  • I would like to show you Harvey did on a real patient, this robotic surgery.

  • This patient actually came to me one year back.

  • He was just 23 years with a large kidney tumor.

  • So many doctor said that his kidney has to come out.

  • You're to go for them all of the kidney, with the help of this system, how he preserved the kidney just by removing the tumor.

  • It's a complex surgery you can make out.

  • The robotics instruments are separating the tumor from the kidney, and we preserved the kidney for this impatient, hopeless is, you can cut it, and you can also suitor it.

  • The other biggest advantage of this robotic system for your uncle is like Mieze.

  • Prostate cancer surgery.

  • Prostate cancers are increasing day by day in India, particularly in Delhi and Bang Glor.

  • Prostate cancer is second amongst men, mixto little cancer and lung cancer.

  • So we do a lot off posted Kansas, if you detect early, are if it is confined to the prostate.

  • We generally go for removal of the prostate after removal of the prostate.

  • It's very difficult to establish the integrity are It's very difficult to join the unity system with open surgery because it's very difficult to see that that area with naked eyes it is situated deep inside the abdomen.

  • How robot will help too?

  • A master Most you can make all this this robotic arms bill suitor.

  • We thought any difficulty, we'll have perfect vision and help off his D vision.

  • Three division.

  • We can do this so easily, we can do process.

  • Arrest Moses that prevents complications.

  • And the outcomes would be definitely better when we use this.

  • Navin ji, are any robotic system to do this Surgery to move one step further, you can make out instead of multiple cuts this single port surgery, all the instruments will go through a 25 millimeter board.

  • Just 2.5 centimeter cut will be there.

  • So all these instruments will go inside with 2.5 centimeter cut and it does the surgery.

  • It has a flexible robotic arms where it can bend in any direction.

  • And again we can achieve what were Children of previous generation with this small cut.

  • So these are that renders off robotic surgery.

  • We do precise surgery, which ultimately translates in tow.

  • Best outcomes.

  • Blood loss is almost negligible in our cities 98% of the times when we do radical prostatectomy removal of the prostate surgery 98% of the time we don't transfuse blood.

  • The pain is leased, which translates into faster recovery and less complications.

  • What is the future for one excited?

  • We're doing this robotic surgery Now The future is a little robotic surgery on watch ill robotic surgery.

  • You're placing artificial intelligence, augmented reality and mission learning.

  • Harv, you're going to achieve this.

  • You will see when it comes to telling robotics, I would like to tell you about two things in India right now on 75 to 80 robotic systems have been installed.

  • You can see from this this are concentrated mainly in the city centers, meaning to say daily Monday on the butt Bangla, Hyderabad and question in whole off northeast India, you have won the two systems, so this is not accessible to everyone in India.

  • Moreover, that 75% of these are not making any rough it financially.

  • These are not making any profits.

  • So this is alarming.

  • So how can you work on these things At one end?

  • We have invested for this, but we're under your lazing.

  • On this or not affordable are not accessible for many regions of the India.

  • Another problem.

  • What we're facing is the requirement off Uncle just are insurgents to do these surgeries is almost 20% of the expected numbers.

  • If you need 100 doctors, we have only 20.

  • So this mismatches their own 80% mismatches there when it comes to experts.

  • So we have shortage of experts and accessibility of technology is inferior in India.

  • So what is the solution for this?

  • So this weekend probably balance.

  • Are we cannot you?

  • By utilizing telling robotic surgery meaning to say Instead of buying a entire mission at a very high cost, we can invest partly into patient cards on this patient cards can be kept it remote areas in a probably a distant places are at any given time at our hospital.

  • More than 40 to 50 African patients will come because they don't at this technology.

  • So even in African countries, probably we can keep all this patient cards.

  • And anyway, we have experts available.

  • It cities like Bangor daily.

  • This can be connected true, fighting all through any high speed data.

  • Our transfer technology.

  • When we connect this to probably we can give the similar results, but other lesser cost.

  • So this will make this surgery is cost effective, and we can reach this technology toe all the people across India.

  • The next big thing is watchful surgery.

  • What you ordered the meaning of fortune says three, like in many situations where perfection is achieved after many a times in 100 days may not be possible to achieve perfection.

  • Unfortunately, the can't take second choice second chance while performing surgery on humans.

  • So what, you're really surgery gives us hope in this regard.

  • So how does this work?

  • What your reality.

  • Any patient with cancer will go through a Mars can pet scan on you and see the skulls.

  • So we know we put all this data into a computer computer can generate three D models off the humors.

  • If kidney tumors the prostate tumors there so we can generate three D models easily with the help off software sitting in Bangla.

  • It is a software hub.

  • We can easily gender the three D model.

  • We have less expensive simulators instead off robotic systems.

  • With the help of this simulators, we can do watch l surgery before the patient comes for the treatment.

  • You can do this virtual surgery using this simulator using this software technology the beauty of these technologies you can edit.

  • If you're not comfortable with any particular step of this surgery, you can delete that you can redo.

  • You can edit and number off times Leo to perfection.

  • Once perfection is achieved, all these moments will be captured by the computer once the patient is ready for the admission.

  • At that time, all these sergeants moments will be transferred to the robotics system.

  • Rowboat will do surgery, we told the sergeant, but isn't so what are the radiance of this?

  • This is highly accurate.

  • The time taken to do the surgery will be a little less.

  • It reduced the complications.

  • So with this watch will rarity surgery.

  • We can do all these things and they should be made available in India in the years to come a bank clerk.

  • There are dates off robotic systems at Bangor Toe.

  • Get access to the kidney to remote kidney stones.

  • We have jalape engaged system from come off innovations.

  • I'm one of the co founders off this company.

  • We heard tell of this house in Bangalore.

  • The accuracy of this is just 50 Mike lands.

  • We were expecting fi handed Micron security.

  • Fortunately, we could let you 50 make runs.

  • I couldn't see with this without the help off radiation.

  • Within short period, we can get highly accurate access into the kidney.

  • That's number one.

  • And by changing the in defectors, probably we can take a biopsy from any tumor which is situated in a remote place are greater difficult situations.

  • We can take the body for diagnosis.

  • So this will let you these two objects.

  • If you have technology alone, that is not sufficient.

  • We should get the patients at the wall.

  • Please.

  • We have your own called the Foundation, where all these experts, commander one place and monthly once our once in 15 days we meet.

  • Any patient can register for this.

  • It's free off consultation.

  • They can come and they can take experts at ways they can move in the right direction by placing this technology by, You know are doing this tumor board meetings where all experts comes under one roof.

  • So probably we can change the healthcare land, scuff off landscape off India in the years to come.

I'm a cancer surgeon and I do robotic surgeries.

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ロボット手術、医療の恩恵!| ラグナートSK博士|TEDxDSCE (Robotic surgery, a medical boon! | Dr. Raghunath SK | TEDxDSCE)

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    林宜悉 に公開 2021 年 01 月 14 日
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