Laparoscopic and Robotic surgery for seniors

On 6 August, 2022 Seniors Today hosted the weekly Health Live webinar. This week we had with us Dr Shalin Dubey who spoke and answered questions on Laproscopic and Robotic Surgery for Seniors. 

 

Dr Shalin Dubey is a Consultant, General,  Robotic and Laparoscopic Surgery at Apollo Hospitals, Mumbai.

 

MBBS,MS (Surgery) Fellow in Laparoscopic Colorectal Surgery (South Korea), Fellow in Minimal Access Surgery, Fellow in Hepatobiliary and Liver Transplant Surgery (South Korea), Certified Robotic Surgeon, Expert in Laser Surgery for Piles, Fistulas & Pilonidal Sinus. Dr Dubey has performed over 3000 Laparoscopic procedures, including Laparoscopic Gallbladder, Appendix and Hernia surgeries. Dr Dubey has performed maximum Robotic Hernia Surgeries in India  and is certified Robotic Surgeon. He has  worked with hospitals like the  Apollo, Hinduja and Tata Memorial Hospital .

Dr Dubey has Fellowships in Laparoscopic Colorectal Surgery from Kyungpook National University Hospital, Deagu, South Korea. He has fellowship in advance  Hepatobiliary and transplant Surgery from Asan Medical Center, Seoul, South Korea. He specialises in laser treatment of Piles & Fistula, including treatment of complex and recurrent Piles & Fistula. He has done advance-level training in Robotic Colorectal Surgery.

Health Live at Seniors Today - Dr. Shalin Dubey

 

Laparoscopic surgery is a minimal access surgery. Instead of taking a big incision on the abdominal wall to access the abdomen, a smaller access is made. This leads to quicker healing, lesser blood loss, less postoperative pain, quick recovery time; lesser tissue handling and trauma to the adjacent organs. 

In laparoscopic surgery we make small, 1- 2cm cuts through which we introduce our camera and operating instruments inside. We go to the target organ. The cameras help provide a better vision of the insides of the abdominal cavity. 

The vision and advanced instrumentation makes laparoscopic a very advanced option for surgery. 

Robotic surgery is an advanced way of performing minimal access/ laparoscopic surgery. 

In laparoscopic surgery, there were some limitations; limitations such as movement of the instruments, vision. 

In robotics surgery, we have 3 sets of instruments: 

  1. Robot proper 
  2. Vision cart 
  3. Surgeon console  

The robot has 4 arms- one is for the camera and the other 3 for instruments and their mounting. 

Advantages of robotic surgery over laparoscopic surgery- it has better vision, dexterity, precision and range of movement which gives a distant edge in difficult surgeries where the visual field is limited. 

Your weight gain after a surgery has nothing to do with the surgery. Any weight gain is a reflection of what you’re eating and your exercise and lifestyle. 

 

Dr Noor Gill
Dr Noor Gill, MBBS, deciphers the space between heartbeats, figuratively and literally. Powered by frequent long naps and caffeine, she believes that “knowledge without giving back to society is meaningless” and works to make caring cool again.

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