La Ukuhlinzwa kwerobhothi kuthathe igxathu elifanele ETeruel, irobhothi iVersius seliqalile ukusebenza e-Obispo Polanco University Hospital. Emasontweni ambalwa nje, isikhungo iTeruel sesiqalile ukusebenzisa lobu buchwepheshe ku-General Surgery saya ekuhlanganiseni nezinqubo zezifo zabesifazane kanye neze-urological, nemiphumela eqala ukubonakala emisebenzini yansuku zonke.
Lokhu kuthunyelwa kubeka isibhedlela njenge umholi ekuhlinzeni okungadingi ukungenelela okuningi ngaphakathi kohlelo lukahulumeni lwase-AragoneseLokhu akuvamile esifundazweni esiphakathi nendawo. Ukuhlanganiswa kokuhlela kwangaphambilini, ukuqeqeshwa okujulile, kanye nokukhethwa ngokucophelela kwamacala okuqala kuye kwavumela ukufakwa kancane kancane nangokuphephile kwamarobhothi, kokubili kochwepheshe kanye neziguli.
Indlela ukuhlinzwa kwerobhothi okuye kwenziwa ngayo e-Obispo Polanco
Le nqubo yaqala ekuqaleni kukaDisemba, lapho Irobhothi laseVersius lafika esibhedlela sase-Obispo Polanco UniversityEzinsukwini eziyishumi nanhlanu nje kuphela, ithimba le-General and Digestive Surgery lase livele lisebenza nale nkundla entsha, ngenxa yokuthi ochwepheshe abaningana babenolwazi lwangaphambilini ku- ezinye izinhlelo zamarobhothi.
Ngokusho kwenhloko yomnyango wokuhlinzwa ojwayelekile, uJosé Francisco Noguera, Lolu shintsho lugxile ekuqondeni kahle imininingwane yeqembu elishaUkuqeqeshwa kwakuhlanganisa izikhathi zemfundiso, ukuqeqeshwa kokulingisa, umkhuba wokuqapha egumbini lokuhlinza kanye ukuvakashela ezinye izibhedlela zaseYurophu onolwazi ekuhlinzeni ngamarobhothi, esekelwa ngabasebenzi bezobuchwepheshe kanye nodokotela abangochwepheshe.
Kulezi zinyanga ezimbalwa zokuqala, okulandelayo sekuvele kwenziwe cishe ukungenelela kwamarobhothi angu-25Ezinye zalezi zinqubo ziyinkimbinkimbi kakhulu, futhi zonke zenziwa ngaphansi kokuqapha okujulile kwemiphumela, izinkinga, ubude bokuhlala, kanye nezenzakalo ezimbi. Umgomo uwukuqinisekisa eTeruel izinzuzo ezichazwe ezincwadini zesayensi zezinye izikhungo eSpain naseYurophu.
Ukuqaliswa kwayo kube nesici sokuhlela: ukubuyekezwa kweshejuli, ukuphathwa kwegumbi lokuhlinza kanye nokulungiswa kwesekethe ukuhlanganisa amarobhothi ngaphandle kokuphazamisa umsebenzi ojwayelekile. Isibhedlela siye sandisa kancane kancane ubunzima bamacala, siqala ngezinqubo eziyinkimbinkimbi kakhulu futhi siqhubekela phambili ekuhlinzeni umdlavuza wokugaya ukudla, wezifo zabesifazane, kanye nowe-urological.
Lonke lolu hlelo luyingxenye yesu elibanzi lokwenza uhlelo lwezempilo lwase-Aragonese lube sesimanje, lapho I-Teruel izibeke endaweni yayo yesikhulumi samarobhothi, ivumelane nobukhulu besibhedlela kanye nokuthuthela esibhedlela esisha esikhathini esizayo.
I-Versius: irobhothi eliyimodeli neliguquguqukayo elenzelwe izibhedlela eziphakathi nendawo
Imodeli ekhethelwe uTeruel kube yiVersius, ipulatifomu yerobhothi ehlanganisiwe eyakhiwe ngezingalo eziningana ezizimele ezibekwe zizungeze itafula lokuhlinza. Ngokungafani nezinhlelo ezinkulu, kulokhu ingalo ngayinye ifakwe kukholomu yayo, okuvumela ukuthi ithuthwe isuka kwelinye igumbi lokuhlinza iye kwelinye kalula.
Lokhu kulungiselelwa kwenza kube lula kurobhothi ivumelana nezindawo ezahlukene zokuhlinza kanye nobuchwephesheLokhu kubalulekile esibhedlela esinenani elilinganiselwe lamakamelo okuhlinzwa kanye nokuthuthelwa ezindaweni ezintsha okuhleliwe. Imishini ingasetshenziswa kuphela ezinqubweni ezidinga ngempela, ihlanganisa amasu avamile e-laparoscopic nosizo lwerobhothi uma kudingeka.
Esinye isici esibalulekile kube yizindleko. Njengoba odokotela abahlinzayo besho, Inkinga yezomnotho ayigcini nje entengo yokuthenga irobhothi.kodwa kunalokho kuncike ezindlekweni ezihambisana nenqubo ngayinye (izinsimbi, izinto ezisetshenziswayo, ukulungiswa, njll.). I-Versius inikeza isakhiwo sezindleko esilawuleka kalula ngenqubo ngayinye, into ebalulekile yokuzinza esibhedlela sikahulumeni.
Ezingeni lobuchwepheshe, uhlelo lunikeza umbono owandisiwe wensimu yokuhlinzaUkuhlunga ukuthuthumela kanye nobubanzi obukhulu bokunyakaza kwezinsimbi kunesandla somuntu. Lokhu kuhumushela ekuqondiseni okunembe kakhudlwana ezindaweni ezivalekile, into ebaluleke kakhulu ethangeni. i-prostate noma ukuhlinzwa kwe-colorectal.
Ngaphezu kwalokho, udokotela ohlinzayo usebenza esebenzisa ikhonsoli ye-ergonomic elawula izingalo zerobhothi, kuyilapho abanye eqenjini behlala nesiguli. Lokhu kulungiselelwa, osekuvele kwamukelwa yizikhungo eziningi zaseYurophu, kuvumela umsebenzi ohlelekile kanye nohlelo lokufunda olufanele kodokotela ababulala izinzwa, abasebenzi abahlengikazi, kanye nabanye ochwepheshe abathintekayo.
Ukuhlinzwa kokuqala ku-Gynecology: ukulimala okuncane kanye nokululama okusheshayo
Ngemva kokuqala ngokuhlinzwa okuvamile, isinyathelo esilandelayo kube ukufakwa kwe Ukuhlinzwa kwerobhothi emnyangweni we-GynecologyKuleli sonto, kwenziwa izinqubo zokuqala ezisebenzisa i-Versius: ukususwa kwamapayipi e-fallopian nama-ovari amathathu ngenxa yesifo esingenabungozi, okukhethwe ngokusekelwe ezindinganisweni eziphansi noma eziphakathi zobunzima.
Inhloko yenkonzo, uDkt. Marta Garcés Valenzuela, ugcizelela lokho Okubaluleke kakhulu kube ukuqala kancane kancane nangokuphephilengokukhetha izimo ezifanele ukuze uthole ulwazi ngaphandle kokuthatha izingozi ezingadingekile. Umqondo uwukuqala ukuhlanganisa izinkomba ezivame kakhulu, njenge-myomectomies, i-hysterectomies, noma ukuhlinzwa kokuncipha kwezitho zangasese.
Kulo mkhakha, amarobhothi avumela ukusikwa okuncane, ukulimala okuncane kwezicubu, kanye nokulawulwa okuhle kakhulu kokusikwa kwezicubuKonke lokhu kuholela ekunciphiseni ubuhlungu ngemva kokuhlinzwa, ukopha okuncane, kanye nokuhlala esibhedlela isikhathi esifushane, okungenzeka ukuthi iziguli eziningi zingaphindela emisebenzini yazo yansuku zonke ngokushesha.
Ngokombono wezokunakekelwa kwempilo, ukuba nalobu buchwepheshe obutholakala eTeruel kuqinisa isimiso sokulingana: Abesifazane esifundazweni akudingeki baye kwezinye izibhedlela zokudlulisela. ukufinyelela lawa masu athuthukile. Lokhu kugwema izindleko ezengeziwe ngesikhathi kanye nokuhamba, into ebaluleke kakhulu ezindaweni ezihlakazekile ngokwendawo.
UDkt. Garcés ngokwakhe ugcizelela ukubaluleka kokuba nerobhothi lokuhlinzwa esibhedlela esinobukhulu obungaka. Futhi kusebenza njengento ekhangayo kochwepheshe abasha.Kwabadokotela bezifo zabesifazane abaqeqeshwayo noma abasizi abancane, ukusebenza ngokuhlinzwa kwerobhothi kuyisikhuthazo esicacile lapho ukhetha indawo oya kuyo.
Ukuhlinzwa kweRobotic ku-Urology: gxila ekususweni kwe-prostate okunamandla
Okwamanje, insizakalo ye-Urology iqalile nge i-robot yakhe yokuqala esizwa yi-robotInhloko yenkonzo, uDkt. Pedro Giral, uveza ukuthi ukususwa ngokuphelele kwe-prostate mhlawumbe kungenye yezinqubo lapho umehluko uma uqhathaniswa ne-laparoscopy evamile ubonakala khona kakhulu.
Kulolu hlobo lokuhlinzwa, ukufinyelela ezindaweni ezijulile zomzimba ezizungezwe izakhiwo ezibucayi kudinga ukunemba okukhulu. Ngerobhothi, amathuluzi Ziyakwazi ukuhamba kahle kakhulu futhi zivumela ukunyakaza okuhlesengathi udokotela ohlinzayo wayenesandla sakhe ngaphakathi emzimbeni wesiguli. Lokhu kwenza kube lula ukuhlukaniswa kwezicubu ezindaweni eziyinkimbinkimbi futhi kuthuthukisa induduzo kadokotela ohlinzayo ngesikhathi sokuhlinzwa isikhathi eside.
Ukususwa kwe-prostate okunamandla kuyindlela ebalulekile yokwelapha umdlavuza we-prostate osendaweni noma ezinye izimila eziyingozi kakhulu. Okuhlangenwe nakho kwamazwe ngamazwe kubonisa ukuthi amarobhothi angasiza ukulondoloza kangcono ukusebenza komchamo kanye nocansi Kwezinye izimo, ngokuvumela ukuhlinzwa okulawulwa kakhudlwana kuma-neurovascular bundles.
ETeruel, uDkt. Giral ube ngowokuqala ukuthatha isinyathelo sokuhlinzwa okusizwa yirobhothi ngaphakathi kwe-Urology, kodwa umgomo ukuthi abanye odokotela be-urologist abasenkonzweni bafake kancane kancane lezi zinhlobo zezinqubo, belandela izindlela zokuqeqesha ezifana nalezo ze-General Surgery kanye ne-Gynecology.
Njengakwezinye izinto ezikhethekile, isu lihilela ukwandisa kancane kancane iphothifoliyo yokungenelela kwe-urological kufanelekile ekwelashweni kwerobhothi, kusukela ku-prostate pathology kuya ekuhlinzweni kwezinso okuyinkimbinkimbi, okuhlala kusekelwe ezimisweni zokubonisa, ukuphepha kanye nokusebenza kahle.
Izinzuzo zeziguli kanye nokuqapha imiphumela
Ngaphandle kokukhanga kwayo kwezobuchwepheshe, ukuthunyelwa kwamarobhothi eSibhedlela i-Obispo Polanco kufaneleka ngenxa yomthelela wayo ekhwalithini yokunakekelwa. Ochwepheshe bayavuma ukuthi Izinkinga zangemva kokuhlinzwa zivame ukuba zincaneIsikhathi esijwayelekile sokuhlala esibhedlela sincishisiwe futhi isiguli singabuyela empilweni yaso yomuntu siqu neyomsebenzi ngokushesha.
Ekuhlinzeni kwabesifazane okungengozi, lokhu kusho ukuthi Ubuhlungu buncane, isidingo esincane semithi yokubulala izinhlungu, kanye nokubuyela emsebenzini ngokusheshaEkuhlinzweni kokugaya ukudla kanye nohlelo lomchamo, inzuzo ibonakala ngokunemba kokubhekana nezimila kanye nezakhiwo zemithambo yegazi ezibucayi, kunciphisa umonakalo ezicutshini ezinempilo.
Isibhedlela sisungule uhlelo lokuqapha oluqhubekayo, oluqopha Izinkomba ezifana nezinsuku zokungeniswa esibhedlela, izinga lokungenelela kabusha, ukopha, noma izenzakalo ezimbiInhloso ukuqhathanisa lolu lwazi nolwazi lwe-laparoscopy kanye nokuhlinzwa okuvulekile, ukuqinisekisa ukuthi ukwethulwa kwe-Versius kunikeza inani langempela nelilinganiswayo.
Nakuba izindleko zokuqala ngokuhlinzwa ngakunye, ngokomthetho, ziphakeme kunezo zenqubo ye-laparoscopic kuphela, labo abaphethe uhlelo bakhomba ukuthi Imbuyiselo ibonakala ekunciphiseni izinkinga, ukubuyiselwa emsebenzini, kanye nezikhathi ezinde zekhefu lokugula.Ngamanye amazwi, ukutshalwa kwezimali kuncishiswa kakhulu yizinzuzo zezokwelapha nezenhlalo.
Ngokuphathelene nenhlalakahle, iziguli eziningi zikwazisa kakhulu ukuthi ukuze ukusikwa kube kuncane futhi kungabonakali kalulangomphumela omncane wobuhle kanye nomuzwa wenduduzo enkulu esikhathini esilandela ukuhlinzwa.
Isikhungo esincane ebalazweni lomhlaba wonke lokuhlinzwa kwamarobhothi
Esinye sezici ezihlaba umxhwele kakhulu ohlelweni lokuhlinzwa kwamarobhothi eTeruel ukuthi, ngesikhathi esifushane kakhulu, Kuvuse isithakazelo sodokotela abahlinzayo abavela kwamanye amazwe aseYurophu.Ngomhlaka-22 Januwari, iqembu lochwepheshe abavela ePortugal laya e-Obispo Polanco Hospital ukuyobona izinqubo eziningana ezenziwa nge-Versius.
Inhloso yalokhu kuhambela ukubona ukuthi isibhedlela esiphakathi nendawo sihlelwe kanjani ukuze ukuhlanganisa cishe ipulatifomu yerobhothi ye-modularukuhlola umugqa wokufunda nokuhlola ukuthi lo modeli uyahambisana yini nezikhungo zawo. Ukushintshisana ngolwazi kuqondiswa yizinhlangothi zombili, njengoba amaqembu avela kuTeruel nawo eqoqa imibono evela kozakwabo bangaphandle.
Ngaphezu kwalokho, isibhedlela silungiselele ukusakaza ukungenelela kwerobhothi bukhoma engqungqutheleni yamazwe ngamazwe mayelana nokuhlinzwa okuncane okungenelisi ukuhlinzwa eSeville. Nakuba uMbhishobhi Polanco esevele ehlanganyela njalo ekuhlinzeni okubukhoma kwe-laparoscopic, lokhu kuzoba okokuqala enza kanjalo ngokusekelwa yirobhothi.
Lokhu kuba khona ezinkundleni ezikhethekile kusho ukuthi Ukuqashelwa komsebenzi owenziwe amaqembu esibhedlela futhi kunegalelo ekutheni iTeruel ifakwe kumanethiwekhi aseSpain naseYurophu ezikhungo ezabelana ngamacala, amasu kanye nemiphumela yokuhlinzwa okuyinkimbinkimbi kakhulu.
Kwabahlali kanye nochwepheshe abasebasha, ukubamba iqhaza kulezi zinhlobo zezinhlelo kumelela inzuzo enkulu yokuqeqeshwa, njengoba kubavumela ukuthi qhathanisa umkhuba wabo wansuku zonke nowezinye izibhedlela ezihamba phambili ngaphandle kwesidingo sokushiya uhlelo lwezempilo lomphakathi lwase-Aragonese.
Umthelela enhlanganweni kanye nasekutholakaleni kwamakhono
Ukufika kokuhlinzwa kwerobhothi nakho kube nemiphumela yangaphakathi. Ngakolunye uhlangothi, kuye kwaphoqa ukucabanga kabusha ngokuhleleka kwamagumbi okusebenzela, amashejuli kanye namashifuLokhu kwethule imisebenzi emisha ehlobene nokuhlanganiswa, ukulinganiswa, kanye nokugcinwa kwerobhothi. Ngaphezu kwalokho, kushukumisele ochwepheshe abaningi ukuba bavuselele amakhono abo futhi baqeqeshwe kwezobuchwepheshe obusha.
Ezifundweni ezikhethekile ezifana ne-Gynecology, lapho enye yezinselele iwukuthi qedela futhi uzinzise amathempulethiUkuba nepulatifomu yerobhothi kusebenza njengento ehlukanisayo uma kukhulunywa ngokuheha ochwepheshe. Ithuba lokuqala kusenesikhathi ngamasu athuthukile liyaziswa kakhulu odokotela abanquma ikusasa labo lomsebenzi.
Kwenzeka okufanayo nge-General Surgery kanye ne-Urology: ukufinyelela kumarobhothi kuvimbela abanye ochwepheshe ukuthi kufanele uthuthele emadolobheni amakhulu noma ngisho nakwamanye amazwe ukuthuthukisa imisebenzi yabo kulo mkhakha. Lo mphumela wokugcina ubaluleke kakhulu ezifundazweni ebezinobunzima bokuheha nokugcina ithalente lezempilo ngokomlando.
Amarobhothi aphinde aqinise umsebenzi wokufundisa wesikhungo. Isibhedlela sase-Obispo Polanco University siqinisa isikhundla saso njenge indawo yokubhekisela yokuqeqeshwa kwezakhamuzi ngezindlela ezingangenisi kakhulu, okuhlanganisa ukulingisa, ukuhlinzwa okuxubile (i-laparoscopy kanye nerobhothi) kanye nokusakaza bukhoma.
Konke lokhu kusekelwe esimisweni esicacile: sebenzisa ubuchwepheshe ngendlela efanele nenengqondoukukhetha ngokucophelela amacala azosiza kakhulu futhi ugweme ukwenza izinqubo ezilula zibe nzima noma ukwenza kube nzima ngokungadingekile.
Amathuba esikhashana naphakathi okuhlinzwa kwerobhothi eTeruel
Uma sibheka phambili ezinyangeni ezizayo, umnyango we-General Surgery, Gynecology, kanye ne-Urology usebenza ku- ukuhlanganisa imisebenzi yamanje nokwandisa inani lochwepheshe abagunyaziwe ukusebenzisa irobhothi iVersius. Umqondo uwukuthi akuxhomekile kudokotela oyedwa ohlinzayo ngochwepheshe, kodwa kunalokho kuncike ekutheni kube nethimba elikhulu nelizinzile.
Ku-General Surgery, inhloso ukuqhubeka nokwandisa izinkomba ku- i-pathology ye-gastrointestinal oncological (ikholoni, i-rectum, isibindi, isisu, noma i-pancreas) kanye nasezimweni ezithile eziyinkimbinkimbi zokuhlinzwa okungenabungozi. Noma nini lapho indlela yerobhothi inganikeza ukunemba okukhulu noma ukulimala okuncane kunezinye izindlela ezikhona, ukusetshenziswa kwayo kuzocatshangelwa.
Ku-Gynecology, lolu hlelo luhilela ukwandisa kancane kancane inani le-myomectomies, i-hysterectomies, kanye nokuhlinzwa kwe-robotic genital prolapse, ukulungisa ukukhethwa kwesiguli kanye ukuhlaziya njalo imiphumela yezokwelapha kanye nokwanelisekaKu-Urology, inhloso ukwandisa inani le-radical prostatectomy kanye nokuqhubekela kwezinye izinqubo eziyinkimbinkimbi kakhulu.
Ukukhetha uhlelo oluyi-modular noluthuthwa kalula kuzokuvumela, uma isikhathi sifika, hlanganisa irobhothi esibhedlela esisha Ngaphandle kwezinguquko ezinkulu zesakhiwo, into ebilokhu icatshangwa kusukela ekuqaleni. Ngaphezu kwalokho, kucatshangwa ukuthi le nkundla ingasetshenziswa ezinhlelweni ezithile zemfundo kanye nasekusebenzisaneni nezinye izikhungo esikhathini esizayo.
Ngalezi zinyathelo, i-Obispo Polanco University Hospital ihlanganisa umugqa womsebenzi ohlanganisa Ukusungula izinto ezintsha kwezobuchwepheshe, umbono wohlelo lomphakathi, kanye nokunakekelwa kwendawoUkuhlinzwa kwerobhothi, okwakubonakala sengathi kuyinto ekude kakhulu esifundazweni esifana neTeruel, manje sekuyingxenye yenqubo yokuhlinzwa yeminyango eminingana, okunomthelela obonakalayo kokuhlangenwe nakho kweziguli nochwepheshe.
Ukuqaliswa kwe-Versius esibhedlela saseTeruel kukhombisa ukuthi isikhungo esiphakathi nendawo singasifaka kanjani Ukuhlinzwa kwerobhothi okusezingeni eliphezulu ngaphandle kokulahlekelwa umbono wokuphepha, ukulingana kanye nokusimamaukuthola ukuncintisana kwezokunakekelwa kwempilo nokuqeqeshwa, kanye nokuletha amasu eduze komphakathi abekade ehlotshaniswa nezinkampani ezinkulu kuze kube muva nje.
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Konke ukukhiqizwa kabusha akuvunyelwe ngaphandle kwemvume ebhaliwe yenkampani, ngokwe-Article 32.1, isigaba sesibili, soMthetho Wempahla Yobuhlakani.
