The hospital Valdecilla is improving the recovery and quality of life of patients with cancer of the rectum thanks to a technique of its own and pioneer-only downtown in Florida uses a similar system-, which increases the possibility of maintaining bladder or bowel control, and even sexual function in men.
What makes the hospital cantabria is to combine the robotic surgery via the abdominal with a tool specifically designed in Valdecilla which allows to act also via anal, watching from within the location of the tumor.
The surgeon Marcos Gómez and a group of engineers cantabrians have designed this instrument, which is attached to the Da Vinci robot and can also be applied to other interventions that require you to operate via anal.
After a year using this technique, used already in a number of patients, Marcos Gómez, and those responsible for General Surgery and Colon and Rectal Surgery de Valdecilla have its advantages in an interview with Efe.
According to Manuel Gómez Fleitas, chief of General Surgery, the purpose of this technique “it is not only cure the disease, but to cure it without the bondage, or the cost of a mutilation functional”.
two decades Ago, if a patient had a rectal cancer less than six inches from the anus, extirpaba this whole area to ensure healing, even if that required him to carry a life-long colostomy bag, ” says the responsible of the Unit of Colon and Rectal Surgery, July Castle.
The progress of the surgery and the techniques robot have allowed it to be more accurate and to remove tumours closer to the anus while preserving this area.
And now, with the technique-driven Valdecilla, you can eliminate tumors one centimeter from the anus without removing it, and the patient only has to wear the colostomy bag for a few months.
For the moment, the technique is being applied in patients with a tumor in the middle third under the rectum, no other organs are affected, and when the previous study indicates that this intervention cannot remove all the tumor without leaving any residue, since the “priority” continues to be to cure the disease.
Valdecilla began using this system in August of 2013 with the anticipation to apply it in the five patients in the first year. But there are already eleven people treated and the preliminary results confirm the starting hypothesis.
Among other things, this technique facilitates a more rapid recovery and comfortable for the patient, that in a week, or even before, you can leave the hospital.
it has Also been noted, in a preliminary way, which is better preserved sexual function in men, because when you see better the area that is to be operated, can be observed the nerves.
But in addition, it is believed that this technique may improve oncologic outcomes and reduce the possibility of recurrence of the cancer, to select with greater precision the part which is removed.
in order To confirm these results we will have to wait, because some cancers of the rectum are played until four or five years after the intervention.
In the words of dr. Gómez Fleitas, the use of this new technique places to Valdecilla in a “line of avant-garde”. The hospital gives a step more in the robotic surgery, which is not very usual. In fact, in Spain there are only 21 robots Da Vinci, two of them in Valdecilla (one for surgery and another in the Virtual Hospital).
computers are expensive, but, according to the chief of Surgery, is an investment “absolutely cost-effective” because, in the long run, the treatment of the patient is cheaper, by reducing the admission time, complications and expense of carrying a colostomy bag for life.
That, without counting the social profitability for the patient, people as a Pillar, operated with the Da Vinci (although not with the new technique by way of the anal), that after three days of intervention was at home, and five days after walking along The Sardinero.
“even in my best dreams would have thought that this was going to go so well”, underlines the return to a follow-up consultation.
For the doctor Gómez Fleitas, “the times are going out there”, by larobótica, and “giving up that is such as giving up” the drilling and building tunnels, “pick and shovel”.
In Valdecilla was made a bet by this and by the advance in minimally invasive surgery, which now accounts for 70 % of the interventions practiced by the hospital, versus 30 % on average in Spain or in the united States.