Urological surgery on awake patient at Molinette Hospital: the contribution of Medics

It’s not the first time that Medics has contributed to the success of a high-risk surgery: since 2016, our patient-specific anatomical reconstructions have been a concrete support in the pre and intra-operative planning of hundreds of extremely complex surgeries.
Chirurgia Urologica su paziente sveglia

However, when a few weeks ago the Urology team of the Molinette Hospital in Turin, led by Prof. Paolo Gontero, used the Robot Da Vinci on an awake patient, our company had the opportunity to contribute to the planning of a really revolutionary intervention.

The patient, a 62-year-old woman from Rome, had malignant kidney cancer and, due to a severely compromised respiratory pattern (she had a lung removed years before), could not be subjected to total anesthesia. The removal of the tumor mass was the only way to save her life, but inducing unconsciousness entailed an 80% risk of death. So, the only chance was to use local anesthesia and despite the fact that the case seemed so risky as to discourage any optimistic prediction, the Molinette team accepted the challenge.

The success of this difficult undertaking is the confirmation of how surgical skills combined with the use of robotics and the support offered by Medics’ 3D models are, even in extreme situations, a winning formula. If the use of the Da Vinci Robot was a sine qua non for the execution of the intervention (as Prof. Gontero explains, laparoscopy was impractical and robotics was the only technology that would have enabled the removal of such a tumor), the involvement of Medics proved to be a very valuable ally. In fact, the complexity of this surgery, characterized by a narrow visual space and by the need to use an unusual anesthesiological system, required rapid action and allowed no margin of error: the use of 3D reconstruction of the kidney in the preoperative phase allowed Prof. Gontero and his team to develop an optimal surgical plan, studying with extreme accuracy the location and extent of the tumor mass in reference to the morphology of the vessels and thus minimizing the risk of unforeseen events or complications.

Today, against all realistic predictions, the patient is well and the tumor that could have been fatal has been completely removed.

Our team is proud to have taken part in this challenge, helping to restore hope to a patient who was about to lose it.



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