Surgeons from the Moscow City Hospital No. 31 have recently performed for the first time in Russia a robotically-assisted Beger procedure with the help of the Da Vinci surgical system. The Beger procedure is a duodenum-preserving pancreatic head resection used to treat patients with severe chronic pancreatitis. It is usually performed without any robotic assistance.
“Successfully performing an operation like this with the help of a robot is something unique in Russia,” said Alexei Khripun, Moscow Government Minister and the Head of the Department of Healthcare. “Today, over 70 percent of all operations performed at Moscow city hospitals are conducted in a minimally invasive way. We are striving to make high-tech medical assistance more accessible, as well as to introduce new methods to the Russian clinical experience. Today, people in Moscow have access to all types of high-tech medical aid within the framework of their mandatory medical insurance.”
The patient we are referring to was admitted to hospital with acute pancreatitis. A further medical examination found evidence of characteristic changes in the pancreatic head, including multiple gallstones. This condition was caused by sticking to the wrong diet for too long.
One year of non-surgical treatment did not yield any results, so the doctors decided to opt for the Beger procedure. Its main advantage is that the surgeons only remove the gallstone-affected head of the pancreas, saving three other organs (including duodenum, pancreatic head, gallbladder, and even parts of the section of the bile duct, stomach and small intestines). To reduce the extent of the injuries caused by the operation and to ensure the patient’s speedy recovery, the doctors used the Da Vinci surgical system.
Beger procedure is considered to be one of the most radical among abdominal surgeries, said Igor Andreitsev, one of the surgeons and head of the first surgical unit at Moscow City Hospital No. 31. This robotically-assisted operation took five hours. With the help of the Da Vinci system, surgeons could get enlarged 3D visualisation of the area operated on in real time, and perform the procedure with the highest level of accuracy. This type of operation is minimally invasive; it does not cause any loss of blood and allows a reduction in rehabilitation time. Having been declared to be in a stable condition the patient was discharged from hospital on the sixth day after the operation. The procedure was performed within the framework of the patient’s mandatory medical insurance.
This is not the first such unique operation performed by Moscow’s medical professionals. Recently, a video-assisted sympathectomy was performed on a 20-year old patient diagnosed with a rare type of tachycardia. Moreover, the Sklifosovsky Research Institute of Emergency Medicine has recently conducted for the first time in Russia a robotically-assisted neurosurgical procedure.