My day yesterday was "activating" for two important areas that I have been circling for several years.
I first sat at the console of a daVinci robot in Spring 2003 while doing "Top Gun" advance laparoscopy training with Dr Butch Rosser in NYC. It was very promising, but surgeons weren't ready yet with fully evolved techniques to use the tool.
As of 2012, that is no longer the case.
I got a chance to hear several great lectures and see operative video of Robotic surgery - the tool is useful in ways that have evolved. Got a chance to test drive the SI model that Billings Clinic owns, and plan to move forward with Advanced training.
Our new focus on metabolism has brought the Duodenal Switch operation back toward the mainstream of thought in our society. Many leaders are proceeding into this procedure with care - but more will be offering this. Also, as we see limitations with Sleeve Gastrectomy, and even with Gastric Bypass, alternatives are necessary, and backup options require that we be masters of all approaches.
Much more to come on these subjects - ask if you want more on a particular topic!
INTUITIVE SURGICAL ROBOTIC SURGERY
Duodenal Switch Interest Group Homepage