Practicum Robotic School
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 (www.practicumroboticschool.org) was founded in 2009 and offers a da Vinci system dedicated for training in dry lab and porcine models as well as live surgery demonstrations and a lecture program with educational videos of av wide variety of procedures. 14 masterclasses in gynecology/ gyneoncology with delegates from more than 20 countries all over the world have been arranged so far.
Skane University Hospital Lund/Malmoe has five da Vinci systems, one Xi, three Si and one S- robot and started with robot assisted surgery with a multidisciplinary approach in 2005. At present they are used for , gynecological oncology/gynecology,urology, endocrine surgery, pediatric surgery, ENT surgery, colorectal surgery and upper GI/HPB surgery
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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 . The headmaster of the robot school and course director for gyneoncological and gynecological surgery, Dr Jan Persson, is past president for SERGS (www.sergs.org)
Description of robot assisted gyneoncological / gynecological 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 350 women are treated with this technique at the department. Over the years, the team has been involved in training of more than 140 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 350 radical hysterectomies have been performed. The team have access to an Xi as well as an Si system.
The team is one of few routinely performing a total laparoscopic robot assisted vessel sparing radical trachelectomy and was the first to describe this technique worldwide.
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 procedures as surgery for endometriosis, complex hysterectomies, surgery in morbidly obese patients and surgery for genital malformations as well as surgery for myomas and genital organ prolapse and are performed. More than 20 scientific papers in peer reviewed jorurnals have been published.