Esophagectomy Yoyamba Yama Robotic Yatha

Ndi njira yatsopano, ya robotic, madokotala a opaleshoni ku St. Joseph's Healthcare Hamilton asintha momwe opaleshoni ya khansa ya m'miyoyo imachitikira. Ndiko kupita patsogolo kwakukulu kwa opaleshoni ya khansa ya esophageal ku Canada pazaka zopitilira makumi awiri.

Dr. Waël Hanna, dokotala wa maopaleshoni a chifuwa cha St. Joe's komanso mkulu wa kafukufuku pachipatala cha Boris Family Center for Robotic Surgery anati: “Ndi zakupha kwambiri chifukwa kummero kwake kuli mkati mozama m’khosi ndi pachifuwa ndipo m’mbiri yakale zakhala zovuta kuzipanga opaleshoni pogwiritsa ntchito njira zachikale.”

Chiwopsezo cha omwe akuchitidwa opaleshoni yachikhalidwe (njira yochotsera gawo la khansa ya kummero kwinaku akukokera m'mimba m'chifuwa kuti alumikizanenso) ndi okwera kwambiri mpaka 60 peresenti. Izi zimachitika chifukwa cha kung'ambika kwa dzanja, kuvulala komwe kumachitika pachifuwa cha wodwalayo, komanso kuchira kwanthawi yayitali kumafunika pambuyo pa opaleshoni mu ICU zomwe nthawi zambiri zimabweretsa kulimbana ndi chibayo, matenda ndi zovuta zamtima.

Palibe amene akudziwa bwino kuposa Georgetown, Ont., wokhalamo a Jackie Dean-Rowley. Mwana wake wamkazi Rachel Chuvalo anapezeka ndi khansa ya m’mero mu 2011 ali ndi zaka 29 zokha. Panthaŵiyo, opaleshoni yamwambo ndiyo inali njira yokhayo.

Dean-Rowley anati: “Zimakhala zovuta kwa ine, ngakhale panopo, kuganiza za thupi lake laling'ono lokongola lomwe likukumana ndi zoopsa zotere. Koma Rachel anali wankhondo.” Chuvalo anakumana ndi zovuta pambuyo pa opaleshoni yake ndipo pamapeto pake anadwala matenda ake mu 2013.

Patatha zaka zisanu ndi zitatu Chuvalo atalandira chisamaliro ku St. Joe's kuti Dean-Rowley adaphunzira za lonjezo la opaleshoni ya robotic pochiza odwala matenda osiyanasiyana a khansa. Anakumana ndi Dr. Hanna ndipo adaphunzira kuti akufufuza momwe angapangire njira yatsopano yothandizira anthu omwe ali ndi khansa ya m'mimba. Dean-Rowley adadziwa kuti wapeza njira yolemekezera kukumbukira kwa mwana wake wamkazi ndikupanga kusintha m'miyoyo ya omwe ali ndi khansa yakum'mero.

Dean-Rowley adapereka mphatso ya $ 10,000 kuti athandize Dr. Hanna ndi anzake ochita opaleshoni ya thoracic kuti alandire maphunziro apadera a momwe angagwiritsire ntchito robot yopangira opaleshoni kuti achite opaleshoni pakhosi. Pa March 30, 2022, maphunzirowa anagwiritsidwa ntchito pamene Dr. Hanna ndi Dr. John Agzarian anachita opaleshoni yoyamba ya robotic esophagectomy ku Canada kwa Burlington, Ont., wazaka 74, yemwe amadziwika kuti David Paterson khansa mu October 2021.

"Opaleshoniyo inatenga pafupifupi maola asanu ndi atatu kuti ithe ndipo inkachitidwa kudzera m'magawo ang'onoang'ono kuyambira 12 mpaka XNUMX mm pamimba ndi pachifuwa cha wodwalayo," adatero Dr. Hanna. "Anatuluka m'chipatala patatha masiku asanu ndi atatu. M'malingaliro athu, zonse zidayenda bwino kwambiri. Koma chomwe chili chofunika kwambiri kwa ife ndi momwe odwala athu amamvera atachitidwa opaleshoni, komanso ngati tinakwanitsa kuchita opaleshoni ya khansa yomwe tinkafuna. "

Patangodutsa milungu itatu kuchokera kuchipatala, Paterson ali kunyumba ndipo akuti akuchira. “Ndi chisamaliro ndi chichirikizo cha Dr. Hanna, ndine wokondwa kuti ndinapanga chosankha cholandira opaleshoni yoyamba ya robotiki ya mtundu umenewu wa khansa ku Canada. Poyamba zinkandivuta kudziwa kuti ndinu munthu woyamba kuchita opareshoni motere. Koma Dr. Hanna atafotokoza mmene lobotiyo ingasonyezere kuti ikuchotsa mbali ya khansa ya kum’mero kwanga, komanso kundipangitsa kuti ndisamavutike kuchira, zinaoneka ngati chisankho choyenera. Sindikudziwa kuti opaleshoni yachikhalidwe ikanamveka bwanji, koma malinga ndi zomwe ndamva, zikadakhala zowawa kwambiri komanso zolimba pathupi langa. Ndikumvadi mwayi kukhala ndi mwayi umenewu. Tikukhulupirira, zikutanthauza kuti odwala ena ngati ine adzakhala ndi moyo wabwinoko pambuyo pa opaleshoni. ”

Kuphatikiza pa maphunziro a opaleshoni ya robotic Dr. Hanna ndi Agzarian analandira, St. Joe's adapempha chivomerezo kuchokera ku bungwe la zamakhalidwe abwino komanso Health Canada asanayambe ntchitoyi. Opaleshoniyi inayendetsedwanso ndi Dr. Daniel Oh wochokera ku yunivesite ya Southern California, malo ochita bwino kwambiri mu robotics. Opaleshoni ya roboti sinalipirebe ndalama ndi OHIP ndipo imatheka chifukwa cha kuwolowa manja kwa opereka chithandizo m'deralo ndi ndalama kuchokera ku Chipatala monga St. pa dongosolo lazaumoyo.

“Kuno ku St. Tikugwiritsa ntchito kupititsa patsogolo chisamaliro cha odwala. Kusintha njira zogwirira ntchito. Kupanga njira zatsopano zothandizira anthu omwe kale anali kuganiziridwa kuti khansa yawo sikugwira ntchito,” akutero Dr. Anthony Adili, Chief of Surgery ku St. Joe’s. "Tikusintha ndikuwongolera chisamaliro cha odwala ngati Rachel ndi David, ndi omwe adzatsatira mtsogolo. Tikuthokoza onse amene apereka chithandizo chamtunduwu m’dera lathu.”