Why does 115 People’s Hospital pay the robot for cranial and spinal nerve surgery? | News



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Ineffective economical

On September 29, Dr. Phan Van Bau, director of 115 People’s Hospital (Ho Chi Minh City), said that the hospital had returned the robot system in cranial and spinal nerve surgery – Modus V Synaptive robot Canadian production for rental units. The reason is loss and economic inefficiency.

According to Dr. Phan Van Bau, since it was put into operation (February 2019) until now, the hospital has only carried out 32 cases, of which 10 are free.

Why is it not effective?

Dr. Bau believes that this robotic system envelops the patient. Due to robotic surgery in patients with deep hemorrhage, brain tumor, difficult case but this number of patients is small. And external injuries will use other techniques to cut costs. Due to the low number of surgeries, the company VD (the rental unit) suffered financial damage, for which they recalled the device more than a month ago. “If there is public investment, it is best to invest in this robot to operate on many patients. Because in the US, this robotic surgery costs more than $ 120,000, ”said Dr. Bau. Speaking of the 54 billion dong rent, TS-BS Bau said that this robot was hired by tender.

Reporter asked if the company recalled the machine after the scandal at the Viet Duc Hospital (Hanoi). “Before that, since the beginning of the year, this company also issued a written request to withdraw the device, although BV was hired for 4 years, the hospital insisted but could not. This robot, combined with artificial intelligence, goes far beyond other neurosurgical robots that are simply robots. Vietnam is the fourth country to use this robot after the United States, Canada and Switzerland, “added Dr. Bau.

Dr. Chu Tan Si, Head of Department of Neurosurgery, People’s Hospital 115, received the Asian record as the first expert to operate on a patient’s brain tumor with the Modus V Synaptive robot.

Hospital used to report a very high need for surgery

According to PV research YouthOn September 9, 2018, the Popular Hospital 115 held a meeting of the Party Committee, Board of Directors, Union and related faculties to approve the project for contracting a robotic system in cranial and spinal nerve surgery. The conclusion is to agree to approve the contracting scheme for this system.

On March 20, 2018, the Popular Hospital 115 reported on the contracting of robotic systems to the HCMC Health Department. According to this report, the Popular Hospital 115 evaluated that the number of patients who have to undergo cranial and spinal nerve surgery in the south is very large, more than 10,000 cases / year. In particular, the People’s Hospital 115 neurosurgery and cranial surgery in 2016 up to 2,475 cases. However, no southern hospital has invested in equipping robotic systems in this field … Also according to the report, the Popular Hospital 115 has a policy of contracting robotic systems for cranial and spinal neurosurgery. 100% new, new generation.

According to the rental plan, the robot system consists of 4 components: arm system, surgical programming system, 3D image navigation system, image observation system, worth nearly 47 billion VND. Second is the cost of transportation, import, insurance during the import process; system installation costs; training costs… more than 5.4 billion. The cost of insurance, warranty and maintenance of the machinery during operation is more than 1.5 billion VND … The total cost is 54 billion VND for the contracting of this robot system.

Regarding the financial plan, the Popular Hospital 115 will operate 1,170 cases in 4 years and 4 months. The price of a transaction is 85 million dong (the company enjoys 50 million dong). Therefore, after 4 years and 4 months, if the Popular Hospital 115 does the above number, the machine system will belong to the hospital. If the surgery is not enough, it will extend the time to do it long enough and the robot system then belongs to the BV.

Authorities work with Cho Ray Hospital on Da Vinci robots

Previously, since the end of 2016, the Binh Dan Hospital in Ho Chi Minh City had a tender to buy the Da Vinci robot from the US for a value of nearly 71 billion VND. At the end of 2017, Cho Ray Hospital applied the results of the Binh Dan Hospital tender and purchased Da Vinci robots of the same type and price. The winning company in these 2 hospitals is AC Joint Stock Company

According to PV’s own source YouthBecause the Da Vinci robot is of great value and was purchased from a reputable company, the bidding attorney requested that the bidding documents include a price list at customs for BV to consider the price.

The Da Vinci robot used by the 2 hospitals can operate on abdomen, thorax and cancer … With a wide surgical angle, no human arm can perform it, so it is capable of operating in difficult positions. And it can move freely in 6 angles and fine movement. With this technique, after surgery, patients recover quickly, reduce complications, pathological complications that other techniques have not yet completed, such as cancer of the prostate, rectum …

The cost of a robotic laparoscopy at Binh Dan Hospital and Cho Ray Hospital fluctuates around 100 million VND, while abroad it costs up to billions of VND. So far, Binh Dan Hospital has operated 1,200 cases.

In particular, depending on the PV source YouthAuthorities are working with Cho Ray Hospital in connection with the purchase of this Da Vinci robot.



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