{"id":18641,"date":"2026-06-03T11:01:08","date_gmt":"2026-06-03T09:01:08","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=18641"},"modified":"2026-06-03T11:01:08","modified_gmt":"2026-06-03T09:01:08","slug":"cum-schimba-chirurgia-robotica-abordarea-unor-interventii-chirurgicale-complexe","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/cum-schimba-chirurgia-robotica-abordarea-unor-interventii-chirurgicale-complexe\/","title":{"rendered":"Cum schimba chirurgia robotica abordarea unor interventii chirurgicale complexe"},"content":{"rendered":"

Pe 2 iunie, Spitalul MONZA<\/a> a organizat Ziua Portilor Deschise \u2013 Chirurgia Robotica<\/strong>, un eveniment dedicat aplicatiilor chirurgiei robotice in tratamentul unor afectiuni complexe din ginecologie, chirurgie toracica, chirurgie bariatrica si chirurgie oncologica. Participantii \u2013 elevi, studenti, pacienti si persoane interesate de tehnologie \u2013 au ocazia sa vada indeaproape sistemul robotic da Vinci Xi, sa interactioneze direct cu acesta si sa discute cu chirurgi care utilizeaza aceasta tehnologie in practica lor curenta.<\/p>\n

Evenimentul este gazduit de dr. Alin Constantin<\/strong> (ginecologie si endometrioza), dr. Veronica Manolache<\/strong>, dr. Alin Burlacu <\/strong>si dr. Bogdan Tanase<\/strong> (chirurgie toracica), dr. Bogdan Smeu<\/strong> (chirurgie bariatrica si digestiva) si prof. dr. Octav Ginghina<\/strong> (chirurgia sanului si chirurgie oncologica).<\/p>\n

\"\"<\/a>Initiativa are loc intr-un moment in care chirurgia robotica isi extinde constant aria de utilizare, fiind folosita tot mai frecvent in interventii complexe, in care precizia, vizualizarea si controlul gestului chirurgical sunt esentiale. La Spitalul MONZA, sistemul robotic da Vinci Xi este utilizat in specialitati precum ginecologie, chirurgie toracica, chirurgie generala, chirurgie bariatrica si urologie.<\/p>\n

Endometrioza si chirurgia robotica<\/strong><\/p>\n

In ginecologie, una dintre indicatiile importante este reprezentata de formele complexe de endometrioza, in special atunci cand boala afecteaza structuri precum ureterul, intestinul sau alte organe pelvine.<\/p>\n

\u201eIn chirurgia moderna, intrebarea nu este daca folosim sau nu robotul, ci care este cea mai buna solutie pentru pacient. Exista cazuri care pot fi rezolvate excelent prin laparoscopie conventionala si exista cazuri complexe in care chirurgia robotica ofera avantaje suplimentare prin precizia si controlul pe care le pune la dispozitia chirurgului\u201d, explica dr. Alin Constantin, medic specialist obstetrica-ginecologie in cadrul MONZA ARES si Vicepresedinte al European Endometriosis League.<\/p>\n

Potrivit acestuia, beneficiile devin vizibile in special in situatiile in care interventia necesita disectii fine in vecinatatea unor nervi, vase de sange sau organe care trebuie protejate.<\/p>\n

Chirurgia toracica: atunci cand provocarea este anatomia<\/strong><\/p>\n

In chirurgia toracica, dificultatea unei interventii nu este data doar de diagnostic, ci si de anatomia regiunii in care chirurgul trebuie sa lucreze. Toracele gazduieste intr-un spatiu restrans structuri precum plamanii, esofagul, traheea, vasele mari si numeroase structuri nervoase.<\/p>\n

\u201eNu tehnologia in sine este miza, ci ce iti permite ea sa faci mai bine pentru pacient. Sunt situatii in care dificultatea vine din anatomie, din localizarea leziunii sau din interventiile anterioare. In astfel de cazuri, platforma robotica ne poate ajuta sa pastram o abordare microinvaziva si sa lucram cu mai mult control\u201d, explica dr. Bogdan Tanase, medic primar chirurgie toracica in cadrul MONZA ARES.<\/p>\n

Potrivit acestuia, una dintre schimbarile importante aduse de chirurgia robotica este posibilitatea de a aborda anumite tumori mediastinale, afectiuni esofagiene complexe sau patologii pulmonare cu un grad ridicat de dificultate tehnica prin aborduri care altadata erau dificil de realizat.<\/p>\n

O perspectiva suplimentara este oferita de dr. Veronica Manolache, medic specialist chirurgie toracica MONZA ARES, cu expertiza in chirurgie toracica robotica si bronhologie interventionala.<\/p>\n

\u201eChirurgia toracica a fost una dintre specialitatile care au beneficiat semnificativ de evolutia tehnologiilor microinvazive. Platforma robotica ne permite sa abordam anumite patologii pulmonare si mediastinale prin interventii mai putin traumatizante pentru pacient, fara a compromite complexitatea gestului chirurgical atunci cand cazul o impune\u201d, explica dr. Veronica Manolache.<\/p>\n

Dr. Alin Burlacu, medic specialist chirurgie toracica in cadrul MONZA ARES, completeaza perspectiva asupra beneficiilor tehnice ale platformei robotice.<\/p>\n

\u201eCea mai buna indicatie pentru chirurgia robotica este reprezentata de situatiile in care avem nevoie de o disectie foarte fina. Robotul ofera un grad de articulare si o libertate de miscare pe care instrumentele conventionale nu le pot reproduce complet si permite o vizibilitate excelenta in zone anatomice foarte inguste\u201d, explica dr. Burlacu.<\/p>\n

Acesta considera ca patologia mediastinala si anumite forme de patologie pulmonara complexa reprezinta unele dintre indicatiile cele mai relevante pentru utilizarea tehnologiei robotice, datorita preciziei si controlului pe care le ofera in timpul interventiei.<\/p>\n

Chirurgia bariatrica si digestiva<\/strong><\/p>\n

In chirurgia bariatrica si digestiva, robotica este utilizata in interventii complexe precum tratamentul obezitatii, herniile hiatale si abdominale sau patologia de reflux gastroesofagian.<\/p>\n

\u201eIn chirurgia bariatrica si digestiva, robotica devine relevanta mai ales in cazurile complexe, in care avem nevoie de precizie, control si o abordare cat mai putin traumatica pentru pacient. Nu vorbim doar despre reducerea ponderala, ci despre tratamentul unor afectiuni care pot avea impact major asupra calitatii vietii si asupra comorbiditatilor asociate\u201d, explica dr. Bogdan Smeu, medic primar chirurgie generala si chirurgie bariatrica in cadrul Spitalului MONZA.<\/p>\n

Tehnologia ca extensie a experientei chirurgicale<\/strong><\/p>\n

Pentru prof. dr. Octav Ginghina, chirurg oncolog si specialist in chirurgia sanului, discutia despre robot depaseste dimensiunea tehnologica.<\/p>\n

\u201ePlatforma robotica nu este un laparoscop mai sofisticat. Este o extensie a mainii si a ochiului chirurgului, care ofera libertate de miscare, vizualizare si control intr-un mod diferit fata de tehnologiile conventionale. Beneficiile apar atunci cand aceste avantaje sunt puse in slujba pacientului si integrate intr-o strategie chirurgicala corecta\u201d, explica prof. dr. Octav Ginghina.<\/p>\n

Acesta subliniaza ca rezultatele nu sunt generate de tehnologie in sine, ci de combinatia dintre experienta echipei medicale, selectia corecta a cazurilor si utilizarea instrumentului potrivit in momentul potrivit.<\/p>\n

Mai mult decat tehnologie<\/strong><\/p>\n

Sistemul robotic nu opereaza autonom si nu ia decizii medicale. Interventia este realizata integral de chirurg, care controleaza in permanenta instrumentele si fiecare etapa a procedurii. Ceea ce aduce in plus tehnologia este o combinatie de vizualizare tridimensionala de inalta definitie, instrumente articulate si un grad ridicat de control al miscarilor, caracteristici care devin relevante in special in interventiile desfasurate in apropierea unor structuri anatomice sensibile.<\/p>\n

Pentru pacientii eligibili, chirurgia robotica poate permite realizarea unor interventii prin aborduri mai putin invazive, cu trauma operatorie redusa si recuperare mai rapida, in functie de tipul interventiei si de particularitatile fiecarui caz. Totusi, medicii subliniaza ca succesul tratamentului nu depinde exclusiv de platforma utilizata, ci de modul in care aceasta este integrata intr-o strategie terapeutica mai ampla.<\/p>\n

Pentru echipele medicale MONZA ARES<\/a>, chirurgia robotica nu reprezinta o alternativa la experienta chirurgului, ci un instrument suplimentar utilizat atunci cand complexitatea cazului o justifica. Din aceasta perspectiva, evolutia chirurgiei robotice nu este despre tehnologie in sine, ci despre extinderea posibilitatilor de tratament pentru pacientii care au nevoie de interventii dintre cele mai dificile.<\/p>\n","protected":false},"excerpt":{"rendered":"

Pe 2 iunie, Spitalul MONZA a organizat Ziua Portilor Deschise \u2013 Chirurgia Robotica, un eveniment dedicat aplicatiilor chirurgiei robotice in tratamentul unor afectiuni complexe din ginecologie, chirurgie toracica, chirurgie bariatrica […]<\/p>\n","protected":false},"author":6,"featured_media":17548,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-18641","post","type-post","status-publish","format-standard","has-post-thumbnail","category-stiri-noutati"],"yoast_head":"\nZiua Portilor Deschise \u2013 Chirurgia Robotica<\/title>\n<meta name=\"description\" content=\"Sistemul robotic nu opereaza autonom si nu ia decizii medicale\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/cum-schimba-chirurgia-robotica-abordarea-unor-interventii-chirurgicale-complexe\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ziua Portilor Deschise \u2013 Chirurgia Robotica\" \/>\n<meta property=\"og:description\" content=\"Sistemul robotic nu opereaza autonom si nu ia decizii medicale\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/medici\/cum-schimba-chirurgia-robotica-abordarea-unor-interventii-chirurgicale-complexe\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - 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