Look, there's no 'zipper' scar, thanks to robot surgery - KK ...

Surgeons perform about 4,600 open-heart operations - mostly bypass surgery - in Singapore each year. • What it costs. A patient in a private ... 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EASIERTOHEAL:MrDudleyDragon,80,hadaheartbypasslastyear,aminimallyinvasiveproceduredoneusingarobot.Hehasonlythreesmallscarsasaresult-thelongestonly5cm(above,nexttonipple)-insteadoftheusuallongscar(rightphoto)thattakeslongertoheal. RetiredteacherDudleyDragonhadaheartbypasslastJuly,butyouwouldnotknowitfromlookingathischest.Insteadofthelong'zipper'scarthatmarksoutheartbypasssurvivors,allhehasaretwo2cmlongscarsanda5cmlongone.HissurgeonsattheNationalHeartCentre(NHC)usedarobottoperformminimallyinvasive'keyhole'surgery.Thatmeanthewassparedfromhavingtohavehisbreastbonesawnopen-apainfulfeatureofconventionalbypasssurgery.Hisdoctorscouldalsooperatewhilehisheartwasbeating,soitdidnotneedtobestoppedandrestarted.MrDragon,80,whowenthomeafterfivedaysinhospital,said:'Iwassparedallthat,Iwassolucky.Surprisingly,therewasn'tanypainaftertheoperation.'Theuseoftherobot,calledthedaVincisurgicalsystem,hasallowedheartsurgeonsheretoperformheartbypasses,repairheartvalvesandremovechesttumoursinaminimallyinvasiveway.Sofar,theyhavecarriedoutoperationson15patients,includingMrDragon.MountElizabethHospitalhasdoneahandfulofroboticheartprocedurestoo.Asroboticheartproceduresarestillnew,doctorsoperateonlyonpatientswhoseconditionsarenotcomplicated,andwhoagreetotheprocedures.MrDragonrecalledmakingthedecision:'AtfirstIwaspuzzled,andaskedmydoctor:'Howcantherobotdotheoperation?''Butafterhesaidhecontrolsit,andthathehadoperatedonfourpatientssuccessfully,Iwasreassured.'TheNHCstartedathree-yearprogrammein2006toevaluateroboticheartsurgery,fundedby$1.5millionfromitsparentgroup,SingaporeHealthServices.Thetrialwillbeconsideredsuccessfuliftheresultsare'atleastequivalenttoconventionalprocedures',saidAssociateProfessorKohTianHai,theNHC'smedicaldirector.Theroboticprocedureismeanttoresultinlesspain,lessbloodlossandfasterrecoveryforpatients,saidDrC.Sivathasan,whoisleadingtheroboticheartsurgeryprogramme.StudiesintheUnitedStatesshowthatmostpatientsaredischargedtwotothreedaysaftertheoperation,whereasnormalbypasspatientsusuallystaysixorsevendaysinhospital.Mostpatientsherearedischargedafterfourtosixdays,asdoctorswanttobecareful,DrSivathasansaid.Inconventionalbypasssurgery,surgeonsneedtoopenupthechesttoreachtheheart.Theyhookupthepatienttoaheart-lungmachine,whichtakesoverthefunctionsofthoseorgans,andstoptheheart.Theythenattachavein,removedearlierfromthepatient'sthighorchest,totheheartarteriestocreateabypassthatre-channelsbloodawayfromblockages.Inaroboticprocedure,surgeonsnolongerneedtocutopenthechestbecausetherobot's'arms'candothejobwithinthechest,enteringthebodythroughsmallcuts.Seatedataconsole,themainsurgeoncontrolstheroboticarmstogettheworkdone.Fornow,theNHCchargesthesamefeeforroboticproceduresasconventionaloperations,thougheachroboticprocedurecostsfrom$2,500to$5,000more.Anormalbypasstherecostsapatientstayinginaprivatewardabout$24,400.Therobothasalsobeenusedforprostatesurgeryheresince2003.TheNHCmarksits10thanniversarythisyearwithadinnertomorrow.Heartfacts•Whyitmatters AdvancesinhearttreatmentaffectalargenumberofpeopleinSingapore.HeartdiseaseistheNo.2killeraftercancer,accountingforalmost23percentofdeathshere.•Whohasbypasssurgery?Surgeonsperformabout4,600open-heartoperations-mostlybypasssurgery-inSingaporeeachyear.•Whatitcosts Apatientinaprivatewardpaysabout$24,400andstaysinhospitalforaboutninedaysafteropen-heartbypasssurgeryattheNationalHeartCentre.Fornow,robotic-assistedsurgerypatientspaythesame,thoughtheheartcentresaystheiroperationscost$2,500to$5,000morethannormalbypasssurgery. Source: TheStraits 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