When they arrive in Brazil a decade ago, the three robots used in surgeries is a bet for cardiological procedures. Over the years, they expanded – now no. 45 – and it became more prominent in the urological area, especially for cases of prostate cancer.
According to doctors, robots help to stick to the patient: because they are more precise, they reduce the period of hospitals and side effects, such as erectile impairment and incontinence wrinol.
"The patient is better equipped with the surgical procedure [com robô] and although the risks are not zero, they are small, "said José Roberto Colombo Senior, a spokeswoman and specialist in robotic urological surgery at the Albert Einstein Israelite Hospital. According to the doctor, & # 39; The risk of incontinence after robotic surgery varies from 2% to 3 In the conventional way, it is 5%.
In terms of erectile dysfunction, they influence factors as an erectile function before surgery, age and health status – obese and diabetic patients have more chances. "With the robotic operation, the ability to keep [a função] is 80%. "
According to Flavio Trigo, the president of the Brazilian Frolegology Association (SBU), spatial surgery has grown in the country especially during the last two years. Instead, a doctor holds the twews, performs the "holes" and pulls the tumor, that is the robot that performs the moves. "Recovery is faster and hospital time has halved – one or two days in hospital."
São Paulo is the state with the highest number of equipment. Rio de Janeiro, Minas Gerais, Rio Grande do Sul, Paraná, Brasília, Pernambuco, Ceará and Pará also have devices, according to the company H. Strattner, who specializes in less intrusive surgery and responsible for distributing robots in the country. the robots in Brazil have to carry out 8,500 surgeries during this year, 5,000 urology and 90% prostate.
The technology is available in private and public networks, in organizations such as the São Paulo State Cancer Institute (Icesp), Ysbyty de Amor (formerly Barretos Cancer Hospital) and the Porto Alegre Clinic Hospital, the Federal University of Rio Grande for Sunday.
After hearing a prostate cancer diagnosis of a siblings, in 2011, the administrator Jorge Miguel Rebane Neto, 54, decided to take the periodic examination. He was 47 years old and had been monitoring since 45, because his father had the disease, but that year he had deferred to return to the doctor. It was your luck. "I also had prostate cancer."
Rebane Neto held a surgery on Sunday, on Monday he was walking and on Tuesday, he left hospital "I went through the campaign in November and I was back in February. It's just a good surprise and I & # 39; n satisfied that 100% ", reports the server.
As well as robotic surgery, the use of genetic screening is growing in the country, identified for relatives of patients with the abusive forms of the disease. "Even when there is no family history, the chance to find a genetic organization can reach 11% in men with PSA and very high metastasis," said Maria Nirvana's oncologist Formation of the Oncogenetics Department of ACCamargo Cancer Center.
After a robotic surgery to eliminate prostate in 2012, the retirement of Francisco Lobianco, 68, received a referral for screening. The test also showed a presumption for pancreas, stomach and skin cancer. "I was much more careful, gastritis appeared on an exam and went to the procedure immediately, and I took more care on the skin."
About the gland: what is the prostate?
After locating between the bladder and the urethra, the prostate is a gland that has the function of producing many seminal fluids, which can feed & # 39 ; r sberm.
It can affect two diseases: inadequate prostate hyperplasia (enlargement of the gland, which can occur with aging) and cancer (more likely).
Preventative exams (PSA and rectal examination) should be done 50 years. In the case of family history, the monitor should start in the next, in 45. "With an early diagnosis, the opportunity to improve is 90%," said Flavio Trigo, president of the Brazilian Physiology Society.
If the cancer is detected, the treatment that is adopted will be defined by the doctor. All ticks do not need to be removed immediately. "We do not have to treat all the cases. Blood tumors and biopsies are carried out to follow the tumor," explained José Roberto Colombo Junior, urologist at the Albert Einstein Israelite Hospital.
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