전립선 수술의 새로운 발전

조회수 1336 2006-04-03 10:09:58


Tonight
, we are gonna begin a special series about

breakthrough 발전, 약진 treatments that can lead to wrenching <신체적, 정신적으로> 고통스러운 choices for hundreds of thousands of men

diagnosed each year with prostate cancer 전립선암.

One in six American men will have prostate cancer at some point.

There’s a growing number of treatment options, but each has its risks.

Tonight, our medical editor, Dr. Tim Johnson will try to provide a second opinion,

a look at the newest and most advanced surgical option.

 

Lewis Weitzner’s mother died of ovarian cancer 난소암 when she was 57.

Last September at age 51,

Lewis found out he had prostate cancer.

For him, the treatment choice was easy.

"I was already sure that I wanted it removed with surgery. I did not want to play around."

 

Lewis had the newest type of prostate cancer surgery,

a robotic radical 근치적 prostatectomy 전립선 절제수술,

which uses these tiny instruments 도구, seen here picking up a nickel,

to perform the actual surgery.

In contrast to ~와는 현저히 다르게 traditional surgery,

which uses a single long incision 절개<> in the lower abdomen , 복부,

robotic surgery is done through 5 tiny openings,

2 for the arms of the robot,

1 for camera, 1 for an assistant and 1 for suction.

 

The surgeon operates the robotic arms from a console 조작<제어> 테이블 nearby.

The 3-D camera gives a greatly magnified 확대된 view inside the patient.

There is hardly any bleeding because of pressurized gas put into the abdomen.

Dr. Phillips claims it has other advantages for the patient.

"Patients have quicker recovery

and overall 전반적으로 do better, they get out of the hospital faster

and have less pain."

 

There is currently a strong debate between advocates of robotic surgery

and those who say that when traditional open surgery is well done,

the robot’s advantages are insignificant 대수롭지 않은.

“Is it cheaper? No.

Does it get the patient out significantly 상당히 earlier? No.

Does it lead to higher rates of continence 성욕의 절제? No.

Does it improve sexual function afterwards? We don’t think so.

So then the question is, what is the advance?”

 

Experts do agree that robotic surgery is often excessively 지나치게 promoted.

They say picking an experienced surgeon with a proven track record 업적

is more important than choosing between open or robotic surgery.

And they stress 강조하다 that men should take their time

in debating between any surgery

or radiation 방사선 or sometimes no treatment at all.

“This is a slow growing tumor 종양, so there’s no urgency to race off and make a decision.”



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