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Practicum (www.practicum.se) is one of the largest centers for simulated training in Europe with an annual turnover of 16000 students, ranging from students to specialists in all fields of medicine. Practicum is accredited as a level one educational institute by the American College of Surgeons.
Practicum Robotic school was founded in 2009 and offers a da Vinci system dedicated for training in dry lab, simulators and porcine models.
Skane University Hospital Lund/Malmoe has four da Vinci systems, two S and two Si robots and started with robot assisted surgery with a multidisciplinary approach in 2005.
At present they are used for urology, gynecological oncology/gynecology, endocrine surgery, pediatric surgery, ENT surgery and upper GI/HPB surgery
For contact : please click on speciality as link.
Lund hosted for the first European multidisciplinary conference in robotics in 2007 and the second SERGS (Society of European Robotic Gynecological Surgery) conference in 2010 (www.sergs2010.org). At present, the course director in Lund is president for SERGS (www.sergs.org)
Description of robot assisted surgery in Lund
The department of Obstetrics and Gynecology at Skane University Hospital in Lund is a tertiary referral centre for advanced gyne-oncological and benign gynecological procedures covering the 1.7 million population of southern Sweden.
Robotic surgery was introduced for gynecological oncology in 2005 as one of the first centers in Europe. Since then a steadily increased volume of robot assisted surgery for gynecological cancers as well as for various benign gynecological disorders have been performed. At present an annual number of >400 women are treated with this technique at the department. Over the years, the Lund robotic team has been involved in training in robotic surgery of more than 70 teams from all over the world.
The robot is used mainly for surgery for early stage cervical, endometrial and ovarian cancers and since the introduction of robot assisted surgery more than 260 radical hysterectomies have been performed. Staging for high risk endometrial cancer and early ovarian cancer is frequently performed. Sentinel node techniques in conjunction with robotic surgery are routinely performed with radiocolloid for cervical and endometrial cancers. During early 2012 Near Infrared fluorescent techniques will be introduced for detection of sentinel lymph nodes in cervical and endometrial cancer.
The team is one of few routinely performing a total laparoscopic robot assisted vessel sparing radical trachelectomy and was the first worldwide to describe this technique.
The robot is also used for infrequent but advanced procedures as pelvic exenteration or related pelvic cancer recurrence procedures, radical parametrectomy, removal of bulky nodes and staging for advanced cervical cancers.
Advanced benign robotic procedures as surgery for advanced endometriosis, complex hysterectomies, hysterectomy for large uteri, surgery in morbidly obese patients and surgery for genital malformations as well as surgery for myomas, surgery during pregnancy and surgery for various forms of genital organ prolapse and are performed.