Utyando lweRobhothi luzimise ngokukhawuleza kwinkqubo yokhathalelo lwempilo, nge Ngaphezulu kwe-150 iirobhothi zotyando ezisebenza kwizibhedlele zikawonke-wonke kunye nezibhedlele zabucala kunye noluhlu oluhlala lusanda lweengcali ezibandakanyekayo. Oku kusetyenzwa kuvumela iinkqubo ezincinci ezinokuthi, ngokwemiqathango ngokubanzi, ukunciphisa ukopha, izifo, iingxaki kunye nokuhlala esibhedlele, ngaphezu kokukhuthaza izibazi ezilumkileyo kunye nokuchacha ngokukhawuleza.
I-Robotics ayithathi indawo yengcali, kodwa kunoko iphindaphinda ukuchaneka kwakho kunye nolawulo, ukukhulisa uluhlu lwentshukumo yesandla somntu kunye nokubonelela ngembono eneenkcukacha ezintathu-ntathu kwindawo yokusebenza. Ngokusekelwe koku, iteknoloji iye yadityaniswa kumaqela ahlukeneyo kunye neeprothokholi zokhuseleko eziphambili, ezinamava aqokelelweyo akhula ngokukhawuleza kulo lonke elaseSpain.
Ukwandiswa kunye nenkqubela phambili yotyando lwerobhothi eSpain
Ukwamkelwa kwala maqonga kweli lizwe izigqubuthelo Urology yerobhothi, i-gynecology, utyando jikelele kunye nokwetyisa, i-thoracic, i-ENT, i-cardiac kunye ne-orthopedic, phakathi kwabanye. Ubungqina bemihla ngemihla kwigumbi lokusebenza bubonisa ukuphuculwa kwe-ergonomics kumaqela kunye iinzuzo ezibonakalayo kwizigulane, kunye neentlungu ezingaphantsi kokuhlinzwa kunye nokubuyisela kwangaphambili.
Iziganeko zamva nje kwizibhedlele zaseSpain
EMadrid, iKliniki yeCEMTRO ibandakanyiwe Isibhakabhaka, isisombululo se-robotic edolo esinika ukucwangciswa kwedijithali, ukulungiswa kwe-anatomy yesigulane kunye Umbono we-3D wokwandisa ulungelelwaniso oludibeneyo kunye nokulinganiselaLe nkqubo ihlangana kunye Mako SmartRobotics, apho iziko lingaphezulu kwe-3.000 yotyando lokufakelwa kwerobhothi noluvumele izinto ezibalulekileyo ezifana idolo lokuqala unicompartmental ESpain nasePortugal, i i-robotic hip prosthesis yokuqala kweli lizwe okanye ukwaziswa kwesoftware I-Mako Iyonke Idolo 2.0 Ukuhamba okubonakalayo ngakumbi kunye novavanyo loxinzelelo lwe-ligament ngexesha lokwenyani. Isicwangciso se-3D kunye nohlengahlengiso lwangaphakathi ukuphucula ukuchaneka kunye nokukhumbula.
KwiiCanary Islands, uGqirha José Molina Orosa University Hospital (Lanzarote) uye wasungula a UDa Vinci Xi (utyalo-mali olumalunga ne-1,7 yezigidi), kunye ne-console yogqirha, inqwelo yengalo kunye Inqaba yombono ye-3DUtyando lokuqala kummandla jikelele kunye nokugaya ukutya lugqityiwe ngempumelelo, kwaye isicwangciso kukwandisa I-urology kunye ne-gynecology, ukuphepha ukuhamba kwezinye iziqithi kunye nokukhuthaza ubulungisa ekufikeleleni.
E-Soria, iSibhedlele seYunivesithi yaseSanta Bárbara siqalise inkqubo yaso Da Vinci (ukususela ngoJuni 20, 2025), kunye nokungenelela kwe-12 kukuhlinzwa ngokubanzi, i-9 kwi-urology kunye ne-5 kwi-gynecology kwiinyanga zokuqala. Ngokutsho kweqela lakhe, usebenza kwi ezintathu-dimensional kunye neentshukumo zendalo ngaphezulu ngaphakathi kwintsimi yokusebenza iququzelela iindlela ezinzima, kunciphisa intlungu kunye kunciphisa ukuhlala esibhedlele, ukongeza ekutsaleni italente eyodwa kweli phondo.
I-International Telesurgery: iSpain-Belgium
Isigulana kwiSibhedlele se-HM Sanchinarro (eMadrid) siye satyandwa ngokusebenzisa i-telesurgery yokuqala yerobhothi yamazwe ngamazwe phakathi kweSpain kunye nelizwe le-EU. Ugqirha wotyando ophambili, osuka kwi Orsi Academy (Ghent), elawulwa kude iqonga le-robotic radical prostatectomy, eququzelelwa yi inkomfa yevidiyo yexesha lokwenyaniIsixhobo saseMadrid sasinerobhothi yesibini elungele ukuthatha indawo xa kukho naziphi na iziganeko kunye neqela lobunjineli elibeka iliso kunxibelelwano; ngokweqela, akukho kusilela kobugcisa kurekhodiweyo kolu hlobo lwenkqubo ukuza kuthi ga ngoku. Ukupheliswa kokungcangcazela kunye nokufikelela kwiindawo ezinzulu ukwandisa ukuchaneka kunye nokhuseleko, kunye nokopha okuncinci kunye neentlungu ezincinci emva kokuhlinzwa.
ICatalonia, iindleko kunye nokhuphiswano lwezobuchwepheshe
ECatalonia, amaziko afana ne Isibhedlele iClÃnic de Barcelona Basebenza ngeerobhothi ezininzi (iinkqubo ezintathu ze-da Vinci plus UROSA, uCORI kunye noHUGO) ngokubanzi, i-urology, i-gynecology, i-thoracic, i-ENT kunye ne-cardiac. Ezinye izibhedlele ezifana IVall d'Hebron, iSant Pau okanye iSant Joan de Reus Baye bawuqinisa ngakumbi umsebenzi wabo, kunye neziganeko ezibalulekileyo ezifana nofakelo lwemiphunga yerobhothi. Nangona kunjalo, umngeni wezoqoqosho usahleli: irobhothi yokulinganisa idlula i-2,5 yezigidi ze-euro kunye nokugcinwa kwayo ngonyaka kunokusukela phakathi kwe-150.000 kunye ne-300.000 ye-euro. Ngo-2024, iKliniki yaqhutywa Ngama-1.060 otyando lwerobhothi (i-12% ngaphezu kwe-2023), ngenjongo yokufikelela kwi-10% yokungenelela kwayo phantsi kolu hlobo kwi-2030.
Amaqela afuna izixhobo ezikhaphukhaphu kunye neengalo ezincinci, kunye neteknoloji ye-haptic ukuhlawulela ukulahleka kokuchukumisa. Irobhothi ayizimelanga: inceda kwaye inyuse isakhono sogqirha wotyandoImarike ikhula kunye nezindululo ezifana HUGO (Medtronic), Versius (CMR Surgical) okanye TouMai (isetyenziswa eBellvitge), ngelixa isiCatalan Rob Utyando iqinisekisa eyakho Inkqubo yeBitrack (iingalo ezine, iingalo ezimbini, umbono oqhelekileyo kunye neetrocars, ikhonsoli ye-3D enezidanga ezisixhenxe zenkululeko). Kwihlabathi jikelele kukho ngaphezu 7.500 iinkqubo da Vinci, malunga ne-1.700 eYurophu nangaphezulu Ngama-410.000 otyando ngo-2024 kwilizwekazi.
Iingcali, ukhathalelo lwezempilo kunye neziphumo zonyango
Indima yobunesi kwigumbi lokusebenza irobhothi
UMongikazi wotyando udlala indima ebalulekileyo kwi ukulungiswa nophuhliso lwenkqubo: ukuqinisekiswa kwezixhobo kunye nezinto eziphathekayo, ukulungelelaniswa notyando kunye nokulawulwa kweziganeko ze-intraoperative. Ngokutsho kweengcali ezinamava amaninzi, ukongeza kwizakhono zobugcisa, oku kulandelayo kubalulekile: izakhono ezingezizo ezobuchwephesha (unxibelelwano olusebenzayo kunye nokusebenza kweqela). Isigqubuthelo esingenazintsholongwane serobhothi (ebizwa ngokuba igqunyiwekunye inkqubo ethile yesixhobo Ekuvaleni inzala, ezi ziinkqubo ezithe ngqo kolu qeqesho. Amaqela afumana uqeqesho olucwangcisiweyo Ngenkxaso evela kubathengisi abanamava kunye nokujikeleziswa kwamaziko, amaxesha okulungiselela ayancipha njengoko ijiko lokufunda lisanda.
Umahluko xa kuthelekiswa utyando lwemveli
Iirobhothi zicinezela i ukungcangcazela komzimba, inikeza umbono we-3D owandisiweyo kunye ne-360 ° i-forceps ejikelezayo, okwenza kube lula ukufikelela kwiikona ze-anatomical eziyinkimbinkimbi. Ezi zakhono ziguqulela kwi iinkqubo ezincinci ezihlaselayo kunye neentlungu ezincinci emva kokuhlinzwa. Imigangatho yobunyumba iyagcinwa, kodwa i ukuhlamba kunye nokuvala inzala yezixhobo zerobhothi zifuna iisekethe ezithile kunye neeprothokholi.
Ubuncinci botyando lwebariatric
ISibhedlele seYunivesithi yaseVillalba sidibanise inkqubo ebanzi apho I-100% ye-gastric bypasses Yenziwa ngoncedo lwerobhothi kunye nokufa kwe-zero utyando, oluxhaswa yi-Endocrinology, ukuHlaziya, i-Psychiatry, i-Psychology kunye neZondlo. Awona maqhinga axhaphakileyo (kuhamba y sleeve) umnikelo amanxeba amancinci, iintlungu ezincinci, kunye nokuchacha ngokukhawulezaKwiimeko ezininzi, isifo seswekile okanye i-hypertension iyeza iyancitshiswa okanye iyekwe emva kotyando.
Kwiminyaka emibini edlulileyo, iziko liye laqhuba 40–45 utyando ngonyaka, kunye nelahleko ephakathi kwe-95% yobunzima obugqithisileyo ngonyaka kwaye uphawulwe luyancipha kwi-comorbidities (isifo seswekile ukusuka kwi-29,4 ukuya kwi-2,9% e Uxinzelelo lwegazi ukusuka kwi-58,8 ukuya kwi-8,8%). Ubuncinci bokulandela (iminyaka emibini kuTyando kunye nemihlanu kwi-Endocrinology) idibanisa iziphumo zexesha elide, ehambelana ne-GIRO 2024 Isikhokelo sokuthunyelwa kwezigulane ezinezinga le-II / III lokukhuluphala.
Ukuqhubela phambili kotyando lwerobhothi eSpain idibanisa amaqonga amatsha, izigaba zeklinikhi kunye neeprothokholi ezinamandla ngakumbi, enamaqela aqeqeshwe ngcono kunye ne-ecosystem yobuchwepheshe ekhuphisanayo etyhala amaxabiso, iimpawu, kunye nezalathiso. Ukusuka kwi-telesurgery ukuya kwi-orthopedics kunye ne-bariatrics, umkhwa ukhomba ukuchaneka ngakumbi, ukungahlaseli okuncinci kunye nokhuseleko olukhulu, kunye nomngeni wokwandisa ezi zibonelelo ngendlela elinganayo nezinzileyo.
