Three kinds of antihypertensive drugs explode carcinogens! It is estimated that "1.23 million" was taken off the shelf, and the strongest superbug actually appeared in the Arctic! Fearing the death of thousands of people, the Health Bureau offered purchase suggestions. Beijing Medical University confirmed that air pollution will affect memory! The first ROSA sipne robotic arm in Taiwan Province can perform spinal surgery, and 6 cases of spinal surgery have been completed in Taiwan Province province. Ms. Yang, who is about 60 years old, has long-term sore feet and numbness in her legs, which seriously affects her sleep and daily walking. She relies on her family to push a wheelchair to Shuanghe Hospital for medical treatment. Under the diagnosis and treatment of Lin Ganmin, vice president of Taipei Neuromedical Center, Rosa Sipner's robotic arm was used for surgery, and the postoperative recovery was better than that of traditional spinal surgery. She can get out of bed three days after the operation. At present, Ms. Yang Can can walk independently without the help of others.

Lin Ganmin said that in the past, traditional spinal surgery was traumatic, with a large amount of bleeding, much damage to the spine and muscle fascia, high infection rate and long recovery time for patients. Taking "Lumbar Nerve Decompression and Bone Graft Fusion Surgery" as an example, it is necessary to remove the bone spurs and intervertebral discs that compress the nerves through minimally invasive surgery to realize nerve decompression, and then implant an intervertebral cage and bone nails to rebuild the stability of the lumbar spine. When traditional surgery is performed in clinic, the risk of placing bone nails is the greatest. If placed in a bad position, it may cause permanent nerve damage. ROSA spine manipulator can plan the best position of bone nail placement during the operation, accurately locate the path and position of bone nail placement, and avoid permanent nerve damage caused by bone nail placement.

Liu Hengwei, a surgeon at Shuanghe Hospital, said that the biggest difference between Rosa manipulator and Da Vinci manipulator lies in the different purposes of use. Leonardo da Vinci's mechanical arm is mainly controlled by remote control, just like a bicycle is operated by people. Because of its large rotation range, it can be used for urinary or deeper surgery. ROSA manipulator is mainly based on real-time dynamic navigation system and optical navigation system. Just like Google Maps, you can automatically correct your position. The X-ray machine with O-arm model can track the ups and downs of the patient's body caused by breathing, help the medical team to obtain 3D reconstructed images, adjust the position of the mechanical arm in real time, and prevent the deviation of the placement position of bone nails. Wu Maisi, president of Shuanghe Hospital, pointed out that ROSA robot was introduced into Shuanghe Hospital on 20 18, and its accuracy is like GPS mapping system, which plans the most suitable surgical incision path for patients, thus improving the surgical accuracy of surgeons, making patients recover well after operation and reducing the occurrence of sequelae.

Lin Ganmin said that after examination and diagnosis, Ms. Yang found that the fourth and fifth lumbar spondylolisthesis was accompanied by nerve compression. Such patients usually have symptoms such as low back pain, numbness and weakness of lower limbs. When walking, the numbness is aggravated, leading to intermittent claudication. The distance of continuous walking is getting shorter and shorter. After walking for a while, you need to have a rest before you continue walking. In severe cases, you may be paralyzed in the lower limbs and unable to urinate. The patients with lumbar spondylolisthesis were found to have severe nerve compression by lumbar magnetic resonance examination, and the effect of drugs and rehabilitation treatment was not good. After evaluation, surgery is needed to decompress the lumbar nerve and rebuild the stability of the lumbar spine.

Du Yongguang, president of Taipei Neuromedical Center, pointed out that the navigation system of ROSA manipulator changed the software and medical equipment, uploaded the brain surgery plan to ROSA manipulator, and used it for brain surgery, providing accurate treatment for cerebral hemorrhage and brain tumor slicing, providing deep brain surgery for Parkinson's disease and stereotactic EEG implantation for intractable epilepsy. So far, 22 cases of brain surgery have been completed. Rosa's mechanical arm can automatically move and locate, so that brain surgery will no longer get lost. Compared with traditional surgery, Rosa manipulator can overcome the errors caused by manual operation, improve the success rate of surgery, shorten the hospitalization time, reduce the risk of bleeding, infection and pain, greatly shorten the operation time and achieve better medical care.

Topic: ROSA manipulator, brain surgery, spinal surgery, Shuanghe Hospital.