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Videos

“Patients and doctors are not always aware of the treatment options”

The following topics come from the program “News Hour” on March 26. Patients and physicians are not always aware of the treatment options for the treatment of cancer . Specialized centers such as the UMC Utrecht have through their experience the possibility of curing patients with liver tumors. Possible Source: missed broadcast, here is also available throughout the broadcast.

Exit UMC – Colon cancer with liver and lung metastases

Excerpts from the television series “Exit UMC” on the treatment of colorectal cancer with liver and lung metastases.

Exit UMC – Esophageal

An episode of Exit UMC on the treatment of esophageal cancer.

With the aid of a robot operation , the esophagus is resected. The esophagus is reconstructed by means of a stomach tube.

Exit UMC – Esophageal

An episode of Exit UMC on the treatment of esophageal cancer.

With the aid of a robot operation , the esophagus is resected. The esophagus is reconstructed by means of a stomach tube.

Exit UMC – Pancreatic

An episode of Exit UMC about a patient with pancreatic cancer.

New surgical robot in operation for esophageal cancer

An episode of ‘ Healthy You ‘ on the third generation of the da Vinci surgical robot that UMC Utrecht has taken recently in use.

In the UMC Utrecht surgeons use robotic surgery for complex operations such as the removal of the esophagus or the removal of liver tumors. In addition in the UMC Utrecht surgeons use the robot particularly for gynecologic and urologic procedures. In the UMC Utrecht, approximately 200 operations performed with a surgical robot annually.

Benefit
Prof. Dr. Richard Hillegersberg used the robot especially for esophageal operations. ” The advantage of the new robot is that it can perform more movements and can be controlled by two surgeons to act as a pilot and a copilot. Difficult procedures can be performed together, or surgeons can be trained on the spot.” Another great benefit is the additional surgery arm. In total, the new four robot arms’, one for the camera and three to control instruments.

Robotic Arms
The surgical robot is intuitive to operate because the computer translates the surgeons movements to the robotic arms. The robotic arms have mechanical wrist joints with the same degrees of freedom as human wrists . Through the control console ( ‘cockpit’ ) , the surgeon also has a ten times magnified image while the computer corrects muscle tremors. The latest version of the robot has two cockpits and makes it possible to project X-ray or CT images on the screen.

Keyhole surgery
The surgical robot also offers the same benefits as minimally invasive surgery through keyhole surgery. Patients lose less blood, have less pain , shorter hospital stay, recover faster and have smaller scars. Keyhole surgery is more difficult to perform because the surgeon works with rigid instruments and he only has a two-dimensional image.

For patients with esophageal cancer, the UMC Utrecht offers a ‘one stop shop’ program where patients undergo all necessary investigations in a day. It saves the patient extra visits to the hospital and treatment can begin immediately after diagnosis . Ther is a multidisciplinary outpatient clinic where patients are seen by the surgeon, radiotherapist and medical oncologist at the same time.

DaVinci surgical robot
UMC Utrecht in 2000 was the first center in the Netherlands with DaVinci robotic surgery. In the Netherlands, 18 hospitals offer a Da Vinci robotic surgery mainly in Urology.

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