npor. Václav Krejčí
Future Forces Forum World CBRN & MEDICAL Congress (CEBIRAM) 2018 Výstava Future Forces 2018
Ústřední vojenské nemocnice – Vojenské fakultní nemocnice Praha
Robotic Surgery in Military Medicine Past and Future
The robotic surgery is currently the most sophisticated medical technology in surgical medicine. Integration of contemporary computer technologies, digital imaging and robotic technologies are now bringing opportunities to improve results of surgical procedures. One of the greatest advantages of robotic surgery is that the image of the operation field is three-dimensional and magnified in combination with robotic instruments themselves, which perfectly surpass the movements of a human hand up to the very tip of instruments. This greatly enhances surgeon dexterity and precision of surgery. A clear benefit for the patient and health care insurance is a reduction of the tissue traumatization during surgery, complications, blood loss and transfusion requirements, postoperative pain and discomfort, shorter hospital stay with quicker recovery and return to normal activities of life. Robotic surgery brings a clear benefit to reconstructive and oncological procedures in abdominal, thoracic, cardiac, vascular, orthopaedic, urologic, gynaecologic, otorhinolaryngologic or bariatric surgery.Throughout the past two decades, there has been tremendous change with the advent and proliferation of robotic surgery.Technologies have been developed by computer science and robotics departments, which might improve minimally invasive techniques. A new concept of cyber therapies is emerging through the development of computer and robotic sciences aiming at human–machine integration. Additionally, the convergence of surgery, endoscopy, and interventional radiology toward a hybrid therapeutic modality, namely image-guided minimally invasive procedures, holds promises insofar as they could well maximize benefits in terms of efficacy and iatrogenic impact.Continued advances in robotic and computer technology are especially pertinent in the military setting, given the potential for therapeutic applications to restore soldiers after combat injury, and for the evolving use of robotic devices in military operations and to performance enhancement.Robotic surgical system including navigation and simulation environment will be integrated into the structure of strategic military missions and combat operations in the future.