Vol. 10, Issue 11 (2021)

Author(s):
A Stasyshyn

Abstract:
We have analyzed the first minimally invasive interventions in the clinic of surgery and endoscopy affiliated to the Faculty of postgraduate training of the Danylo Halytsky Lviv National Medical University and communal non-profit institution "Clinical Hospital of Emergency Aid in Lviv" and the clinical cases associated with first robot-assisted operations.Results and Discussion: Until the early 1990th, the development of surgical technology took place mainly due to the talents of individual surgeons and their persistence in implementing new treatments. The directions of work of our Department of endoscopic surgery included the introduction of minimally invasive (laparoscopic) surgical interventions and endoscopic interventions using flexible endoscopy.Robot-assisted operation of the patient with diaphragmatic hernia using da Vinci surgical system was performed with three 8.5 mm robotic instruments and two 5 mm laparoscopic ones. The operation had been lasting for 6 hours. There were no intra- and postoperative complications. The patient was discharged home on the 3rd post-op day in satisfactory condition. Robot-assisted surgery for complicated gallstone disease was performed with three 8.5 mm robotic instruments and one 5 mm laparoscopic one. The operation had been lasting for 3 hours.Conclusions: 1. The introduction of modern technologies and minimally invasive interventions results primarily from activities of the clinic’s staff, the head of the structural unit and the hospital administration, as well as from the high professional level of surgeons.2. The usage of minimally invasive, laparoscopic, endoscopic techniques, as well as that of da Vinci surgical system in clinical practice will improve therapeutic outcomes and quality of life among patients with surgical disorders.