What you need to know about robotic surgery

Written in association with: Mr Pasha Nisar
Published:
Edited by: Conor Lynch

In this article, highly experienced bowel cancer screening endoscopist, Mr Pasha Nisar, provides a comprehensive overview of robotic surgery and how it is used in colorectal surgery.

What are the key advantages and disadvantages of robotic surgery compared to traditional laparoscopic and open surgery?

The advantages of robotic surgery include highly precise surgery with tiny instruments which can be inserted using keyhole incisions. The surgeon operates the robot from a console with 3D magnified views of the body.

 

For which types of surgeries is robotic surgery most commonly used, and why?

It is especially useful in pelvic surgery, hernia surgery, and colorectal surgery. Patients recover faster and have less pain compared to some other forms of standard surgery. In oncology, it allows for excellent visualisation and good cancer clearance. Procedures that would be done open with a big cut can now be done using keyhole precision.  

 

What are the ethical considerations surrounding the use of robotic surgery, such as cost, accessibility, and the potential for overreliance on technology?

Robotic surgery requires a platform, and this is expensive. It requires investment and training, and is therefore not widely available for all surgeries yet, but the transformation is currently ongoing.

 

What are the perspectives of patients and surgeons on robotic surgery? How does it affect their experiences and outcomes?

Surgeons and patients agree that the recovery benefits and high-quality surgery justify the cost, although there are limitations to what the NHS can provide.

 

As systems develop, it is likely that surgeons will be able to operate remotely and AI is likely to play a role. This is some way off though and for the time being, the surgeon is on the console on the operating theatre at all times.

 

To book a consultation with Mr Pasha Nisar, just head over to his Top Doctors profile today. 

By Mr Pasha Nisar
Colorectal surgery

Mr Pasha Nisar is an accredited bowel cancer screening endoscopist and regularly performs advanced colonoscopy procedures. He regularly performs robotic and laparoscopic (keyhole) surgery for complex hernia and bowel conditions such as colorectal cancer, Crohn's and colitis.

Mr Nisar is the lead for colorectal surgery at Ashford and St Peter's Hospitals NHS Trust and lead for endoscopy at Princess Margaret Hospital, Windsor. He studied medicine at Trinity College, Cambridge University and Addenbrooke’s Hospital. He was awarded a doctorate from the University of Nottingham for his thesis at the Academic Surgical Unit.

Mr Nisar’s specialist training was completed in London Deanery, including at St George’s, Frimley Park and Royal Surrey Hospitals. He spent one year at the Cleveland Clinic USA, a world renowned centre of excellence at the Digestive Disease Institute training under Professor Vic Fazio.

Mr Nisar’s focus is on achieving the best clinical outcomes and excellent results for patients with a focus on enhanced recovery. He was the recipient of the Colorectal Surgeon of The Year 2019 by Global Health and Pharma.

He is a high volume surgeon and an expert in keyhole surgery for abdominal and groin hernia and bowel conditions such as colorectal cancer and colitis as well as minimally invasive haemorrhoid treatment including Rafaelo and HALO procedures.

Mr Nisar is skilled and experienced in endoscopy, colonoscopy and polyp removal. He is a specialist in pelvic floor treatment for constipation and incontinence and performs keyhole repair of rectal prolapse. He has extensive experience in managing peri-anal conditions such as fissures, fistulae and rectal bleeding. He also regularly performs laparoscopic bowel surgery for endometriosis. 

 

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