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Á¦¸ñ | Àü¸³¼± ¼ö¼úÀÇ »õ·Î¿î ¹ßÀü ÁÖÀçÇö JFKN | ||
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µî·ÏÀÏ | 2006-04-03 | Á¶È¸ | 1331 |
breakthrough Å« ¹ßÀü, ¾àÁø treatments that can lead to wrenching <½ÅüÀû, Á¤½ÅÀûÀ¸·Î> °íÅ뽺·¯¿î choices for hundreds of thousands of men diagnosed each year with prostate cancer Àü¸³¼±¾Ï. One in six American men will have prostate cancer at some point. There¡¯s a growing number of treatment options, but each has its risks. Tonight, our medical editor, Dr. Tim Johnson will try to provide a second opinion, a look at the newest and most advanced surgical option. Lewis Weitzner¡¯s mother died of ovarian cancer ³¼Ò¾Ï when she was 57. Last September at age 51, Lewis found out he had prostate cancer. For him, the treatment choice was easy. "I was already sure that I wanted it removed with surgery. I did not want to play around." Lewis had the newest type of prostate cancer surgery, a robotic radical ±ÙÄ¡Àû prostatectomy Àü¸³¼± ÀýÁ¦¼ö¼ú, which uses these tiny instruments µµ±¸, seen here picking up a nickel, to perform the actual surgery. In contrast to ~¿Í´Â ÇöÀúÈ÷ ´Ù¸£°Ô traditional surgery, which uses a single long incision Àý°³<¼ú> in the lower abdomen ¹è, º¹ºÎ, robotic surgery is done through 5 tiny openings, 2 for the arms of the robot, 1 for camera, 1 for an assistant and 1 for suction. The surgeon operates the robotic arms from a console Á¶ÀÛ<Á¦¾î> Å×À̺í nearby. The 3-D camera gives a greatly magnified È®´ëµÈ view inside the patient. There is hardly any bleeding because of pressurized gas put into the abdomen. Dr. Phillips claims it has other advantages for the patient. "Patients have quicker recovery and overall Àü¹ÝÀûÀ¸·Î do better, they get out of the hospital faster and have less pain." There is currently a strong debate between advocates of robotic surgery and those who say that when traditional open surgery is well done, the robot¡¯s advantages are insignificant ´ë¼ö·ÓÁö ¾ÊÀº. ¡°Is it cheaper? No. Does it get the patient out significantly »ó´çÈ÷ earlier? No. Does it lead to higher rates of continence ¼º¿åÀÇ ÀýÁ¦? No. Does it improve sexual function afterwards? We don¡¯t think so. So then the question is, what is the advance?¡± Experts do agree that robotic surgery is often excessively Áö³ªÄ¡°Ô promoted. They say picking an experienced surgeon with a proven track record ¾÷Àû is more important than choosing between open or robotic surgery. And they stress °Á¶ÇÏ´Ù that men should take their time in debating between any surgery or radiation ¹æ»ç¼± or sometimes no treatment at all. ¡°This is a slow growing tumor Á¾¾ç, so there¡¯s no urgency to race off and make a decision.¡± |
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÷ºÎÆÄÀÏ | JFKN-2006-03-20.mp3 |
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