Zdaniem ekspertów operacje przeprowadzane z użyciem robota mogą skracać czas hospitalizacji i rekonwalescencji pacjentów. Ponadto do minimum eliminują błędy ludzkie. Dlatego coraz więcej placówek w Polsce inwestuje w najnowsze technologie w chirurgii.
W 2020 r. wartość rynku chirurgii robotycznej w Polsce wyniosła 126 mln zł. Zgodnie z prognozami w latach 2021-2026 wartość ta może wzrosnąć nawet do 680 mln zł – wynika z raportu „Rynek robotyki chirurgicznej w Polsce. Prognozy rozwoju na lata 2021-2026”.
W polskiej chirurgii coraz częściej wykorzystuje się systemy robotyczne
W naszym kraju jest obecnie 15 robotów chirurgicznych da Vinci. W 2020 r. z ich pomocą przeprowadzono 1,1 tys. operacji. Z kolei w samym I kwartale 2021 r. polskie autoryzowane ośrodki zrealizowały 415 takich zabiegów. To o 57 proc. więcej w porównaniu z analogicznym okresem 2020 r.
Na rynku pojawiają też kolejne technologiczne innowacje w chirurgii – m.in. system ExcelsiusGPS, wykorzystywany w operacjach kręgosłupa, system CorPath GRX w zabiegach przezskórnej interwencji wieńcowej (PCI) czy system Versius – robot stosowany w operacjach laparoskopowych. Wprowadzanie chirurgii robotycznej, jak wyjaśniają autorzy raportu, umożliwia większą precyzję zabiegów i zmniejsza ryzyko błędów.
– Robotyka to niewątpliwy triumf technologii chirurgicznej. Zakładając, że obecny trend wzrostu operacji robotycznych utrzyma się na zbliżonym poziomie, można prognozować, że już w ciągu najbliższych kilku lat operacje z wykorzystaniem robotów medycznych staną się w niektórych dziedzinach medycyny najpowszechniejszą praktyką chirurgiczną, wyprzedzając tradycyjne i laparoskopowe metody. Będą się one popularyzować w coraz szerszej grupie specjalizacji, ułatwiając pracę lekarzom oraz zwiększając bezpieczeństwo i komfort pacjentów – podkreśla dr n. med. Paweł Wisz, specjalista w dziedzinie urologii.
Robot da Vinci. Źródło: healthcaremarketexperts.com
Chirurgia robotyczna zyskuje na znaczeniu
Nie tylko w Polsce, ale również na całym świecie chirurgia robotyczna może przynieść wiele korzyści. Znajdzie szerokie zastosowanie w obliczu starzenia się społeczeństwa, upowszechniania się chorób cywilizacyjnych, a w konsekwencji – wzrostu liczby wykonywanych zabiegów. Eksperci raportu podkreślają, że nowe technologie skracają czas hospitalizacji i rekonwalescencji pacjenta. Roboty wpływają również na poprawę bezpieczeństwa pracy personelu medycznego.
– Zapotrzebowanie na małoinwazyjne operacje z wykorzystaniem robotów będzie dynamicznie rosnąć. Nowe technologie stają się coraz bardziej dostępne dla lekarzy, dzięki czemu z benefitów tych technologii mogą korzystać pacjenci. Coraz więcej osób na całym świecie cierpi na przewlekłe schorzenia takie jak chociażby otyłość, co przyczynia się do wzrostu liczby przeprowadzanych planowych operacji. Wielu pacjentów wybiera bardzo precyzyjne procedury z wykorzystaniem robotów, chcąc zminimalizować ryzyko powikłań pooperacyjnych, skrócić okres rekonwalescencji i jak najszybciej powrócić do aktywności życiowej i zawodowej – wskazuje prof. dr hab. n. med. Tomasz Rogula.
Wady technologii robotycznych w chirurgii
Szerokie wprowadzanie robotów do chirurgii wiąże się też z kilkoma problemami. To przede wszystkim koszt instalacji systemów i zabiegów. Chociaż, jak podkreślają eksperci, coraz większe inwestycje w roboty chirurgiczne wpłyną na obniżenie kosztów operacji. Do 2022 r. koszt zabiegu z wykorzystaniem robota może wynosić 40 tys. zł, a do 2026 r. zmniejszy się do 34 tys. zł. Przeszkodami stojącymi przed chirurgią robotyczną są także ograniczenia w systemach refundacyjnych czy ograniczony dostęp do wykwalifikowanego personelu.
8,5 mln operacji przeprowadzonych z użyciem robota da Vinci
Dotychczas ponad 8,5 mln operacji w 67 krajach zostało przeprowadzonych z użyciem robotów da Vinci. Co 25 sekund na całym świecie odbywa się zabieg z wykorzystaniem tego robota. Na świecie jest już 6 142 takich urządzeń, a według szacunków Intuitive Surgical system ten może znaleźć zastosowanie w 6 mln z 20 mln procedur chirurgicznych wykonywanych co roku na całym świecie.
System da Vinci znajduje zastosowanie w wielu dziedzinach medycyny. Szacuje się, że może być skuteczny w około 170 typach zabiegów, m.in. z dziedziny ginekologii, urologii, chirurgii raka jelita grubego, laryngologii, kardiochirurgii czy torakochirurgii. Robot da Vinci składa się z dwóch części – konsoli sterującej i części roboczej. W pierwszej z nich chirurg ma dostęp do układu optycznego, dzięki któremu ma trójwymiarowy widok pola operacyjnego. Część robocza składa się z czterech ramion, które mają bezpośredni kontakt z pacjentem i sterowane są przez lekarza.
Źródło: Raport „Rynek robotyki chirurgicznej w Polsce. Prognozy rozwoju na lata 2021-2026”
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