Replies to post #795 on Titan Medical Inc (TMDIF)

[Daktari3]

Robs911 is a gynecologist and does hysterectomys, not cholecystectomys It would be hard to explain how to do it in a post. I did three on Thursday. I am sure there are videos on YouTube. Many experienced general surgeons can do straight forward, uncomplicated laparoscopic cholecystectomies with 2, instruments and a camera. They take 30 minutes or less.
I am not as invested as a lot of you all are because I need more proof that this is going to work. Please refer to some of my previous post about the questions I posed to the company.
If a SPORT cholecystectomy is not at minimum as quick and easy as a traditional laparoscopic cholecystectomy, it will not fly with general surgeons IMHO.
I am hopeful that it will since a general surgeon is the co-inventor of the technology. I just need more evidence.

[Robs911]

As was noted in previous post, I am an OB/GYN and do not perform cholecystectomies. However, good surgical techniques are shared in all specialties - having watched my colleagues perform bedside laparoscopic cholycystectomies they usually use a 10 mm umbilical port and either 2or3 additional 5mm ports. When the anatomy dictates and the gb is easy to visualize and resect, 2 instrument ports are used. In more challenging cases, especially those with adhesion/ inflammation , 3 instrument ports are required.
Regardless of the type of surgery, the robotic arms are able to isolate/ self retract while working. Analogous to using your elbow to hold up your car hood while you use both hands to work. Not ideal, but it works.
Titan may have an added advantage here in that the snake arms may be able to self retract even better as they can actually be placed at 90 degree angles further away from the target anatomy than DaVinci- see above elbow analogy.
I can't say in the cartoon illustration from titan if this is poetic license, an assistant port or what I just described.
I only get 3 posts a day so sorry for delay.