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Breast cancer, once a dreaded diagnosis, is now increasingly becoming a manageable condition. With advancements in medical technology and surgical techniques, patients are experiencing better outcomes and improved quality of life. At the forefront of this revolution is robotic surgery, a minimally invasive approach that offers numerous benefits.
In a recent interview with BW Healthcare World during Apollo Cancer Conclave 2024, Dr. Jayanti Thumsi, a leading robotic breast surgeon at Apollo Cancer Centre in Bangalore, shed light on the significance of this groundbreaking technique. She explained how robotic nipple-sparing mastectomy has transformed the landscape of breast cancer treatment, providing patients with a more positive and empowering experience.
Q: As India enters a new era of breast cancer treatment, what is the significance of robotic surgery, and why is it a game-changer?
A: The incidence of breast cancer is on the rise, but advancements in treatment have led to improved survival rates. A significant portion of breast cancer patients in India are young women, often in their 20s and 30s. When planning treatment, it's crucial to consider not only cancer eradication but also the patient's quality of life post-treatment.
Robotic nipple-sparing mastectomy addresses both these concerns. It involves a minimally invasive approach with a small incision, allowing surgeons to preserve the nipple and surrounding healthy tissue. This technique offers several advantages:
Improved surgical accuracy: The robotic arms provide magnified views, enabling surgeons to remove cancerous tissue with precision while minimising damage to healthy tissue.
Q: What are the most significant outcomes you've observed with robotic mastectomy?
A: The most significant outcomes are:
Q: How does robotic surgery address the psychological impact of traditional breast cancer surgery?
A: One of the primary fears associated with breast cancer is the loss of the breast and the impact on body image. Robotic surgery offers a solution by preserving the breast's natural appearance. This can significantly reduce anxiety, depression, and other psychological challenges often experienced by patients undergoing traditional mastectomy.
Q: What is the training journey for aspiring surgeons in robotic surgery, and how is Apollo Hospital supporting this?
A: Robotic surgery requires extensive training. Surgeons undergo simulator training to learn the intricacies of the robotic system. Advanced training programs, such as those offered in Taiwan, provide hands-on experience. Additionally, animal training helps refine surgical skills in a controlled environment.
Apollo Hospital is actively supporting the adoption of robotic surgery by investing in training programs and infrastructure. The hospital's commitment to advanced technology and patient care enables surgeons to stay at the forefront of medical advancements.
Q: How does robotic surgery impact the affordability of breast cancer treatment, and what are the government's role in making it accessible to a wider population?
A: While robotic surgery offers significant advantages, it can be costly. Government initiatives to reduce the cost of essential cancer drugs, such as Herceptin, and medical devices can make these advanced treatments more accessible to a larger population.
Q: What are the future trends in breast cancer treatment, and how can AI revolutionise the field?
A: AI has the potential to revolutionise breast cancer care in several ways:
Q: How are hospitals safeguarding patient privacy and data security in the era of AI?
A: Patient privacy is paramount. Strict data protection measures are in place to ensure that patient information is kept confidential. When using AI for analysis, patient-specific data is anonymized to protect privacy.
Q: What is the role of regulatory bodies like the FDA and EU in the adoption of robotic surgery?
A: Regulatory approval from bodies like the FDA and EU is crucial for the widespread adoption of robotic surgery. Rigorous clinical trials and safety evaluations are necessary to ensure the technology's effectiveness and safety.
Q: How different is the mindset of a patient who emerges as a winner in the cancer battle?
A: In my opinion, I have seen so many patients. Every woman or every person is strong mentally. When you are in crisis, somehow you can muster the courage. That's what I have seen because I know there are families who come and tell me, "Ma'am, please don't tell the diagnosis to my mother or to my wife or to my sister. She is very weak. "But I don't think so; I don’t agree with that. When we give treatment to a woman or to a patient, she has a right to understand what is happening to her body. Yes, knowing that you have cancer is not easy. It’s not easy. But finally, when you counsel them, when you tell them the truth, when you give them a right picture, they do become courageous. The acceptance comes, and then their participation in treatment is much higher, which, in my opinion, is extremely important.
So I don’t think there is somebody who is stronger and somebody who is less strong. It’s not that. Everybody ups their game when the time comes.
Q: What message would you like to convey to patients and the public about breast cancer and its treatment?
A: Breast cancer is a treatable disease. Advancements in medical technology, including robotic surgery, offer hope and improved outcomes. Early detection and timely treatment are key to successful management. It's important to consult with healthcare professionals to understand the available options and make informed decisions.
By embracing innovative technologies like robotic surgery and leveraging the power of AI, we can continue to improve breast cancer treatment, empowering patients to live healthier and fuller lives.
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