យុគសម័យនៃការប្រើមនុស្សយន្តក្នុងការវះកាត់ជម្ងឺប្រព័ន្ធទឹកនោម

បានធ្វើបច្ចុប្បន្នភាពចុងក្រោយ៖ ខែ​សីហា 15, 2026

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Robotic urology surgery has earned its reputation, and for several operations — robotic prostatectomy above all — it is now considered the gold standard. This article covers the whole story: where the technology came from, what it is used for, what it does well, where it falls short, and where it is heading.

• មជ្ឈមណ្ឌលផ្នែកជម្ងឺប្រព័ន្ធទឹកនោមនៃមន្ទីរពេទ្យបាងកក ប្រទេសថៃ។ កក់លេខរៀងការណាត់ជួបតាម online 02-310-3009 bhquro@bdms.co.th
• មន្ទីរពេទ្យ Samitivej Sriracha ខេត្តឈុនបូរី។ 088-022-1445

The story begins in the 1980s, and not in an operating theatre. Research into human spaceflight and battlefield medicine produced the first of two key components: a three-dimensional head-mounted display. The second, a telemanipulation instrument allowing a surgeon to operate at a distance, came out of work at Stanford aimed at military use. At the same time laparoscopic surgery was developing rapidly, and the idea of combining these technologies into what we now call robotic surgery became plausible.

History of robotic urology surgery

In the early 1990s two US companies were competing to build it.

• Computer Motion Inc.
• Intuitive Surgical

Intuitive Surgical’s “da Vinci” system succeeded so decisively that the company went on to acquire Computer Motion, and it has effectively held the field ever since.

Five generations of the da Vinci system have followed.

1. da Vinci 2000
   • Early 2000s, designed for coronary surgery but usable for urological procedures
2. da Vinci S
   • Mid-2000s, improved instrument arms and setup
3. da Vinci Si
   • 2009
   • High-definition visualisation
   • ប្រើតែចុងម្រាមក្នុងការបញ្ជារ
4. da Vinci Xi
   • 2014
   • 3D vision through a smaller-calibre camera port
   • Slimmer robotic arms
   • Multi-quadrant surgery becomes possible

5. da Vinci SP
   • 2018
   • Single-port surgery — every instrument passes through one incision

Advantages of robotic urology surgery

• Much smaller wounds than open surgery, with considerably less blood loss and less pain afterwards.
• Smaller wounds mean faster recovery.
• The robotic arm has a far greater range of motion than the human wrist and than laparoscopic instruments, which allows more precise work and makes more complex operations feasible.
• Magnified three-dimensional vision, which matters most when operating deep in a small space — exactly the situation in most urological surgery.

Limitations of robotic urology surgery

• Operating time can be longer than open or laparoscopic surgery because of the time spent docking the robotic arms, although this narrows considerably with an experienced robotic surgeon.
• It costs more.
• It requires a properly trained robotic surgeon.
• If an emergency arises during the operation, the surgeon may need to convert to open or laparoscopic surgery.
• It is not the right choice for every operation.
• It is not available in every hospital, so patients need to seek out a centre that offers it.

What the robot does not change

It is worth being clear about one thing that gets lost in the enthusiasm. Robotic surgery is a route into the body, not a different operation. A robotic prostatectomy removes the same prostate as an open prostatectomy, and the risks that belong to the operation itself remain: bleeding, infection, injury to nearby structures, blood clots in the legs or lungs, and the functional consequences specific to the procedure — for prostatectomy, that means erectile dysfunction and a period of urinary incontinence, neither of which the robot abolishes.

The other honest point is that outcomes track the surgeon more closely than the machine. A well-trained robotic surgeon with volume in the particular operation is what makes the difference; the presence of a da Vinci system in a hospital brochure is not, on its own, a quality measure. It is a fair question to ask any surgeon how many of your particular operation they perform.

After any robotic or laparoscopic urological operation, some symptoms need to be reported rather than waited out: fever or shaking chills, increasing rather than settling abdominal pain, a wound that becomes red, swollen or starts discharging, calf pain or swelling, sudden breathlessness or chest pain, and inability to pass urine once the catheter has been removed. Sudden breathlessness or chest pain means an emergency department, not a phone call.

Bangkok Hospital Headquarters is fully equipped with the da Vinci Xi system and has a qualified team covering all robotic urological operations. If you are weighing up whether robotic surgery is right for your condition, that is a conversation to have with a robotic surgeon who can assess your particular case.

លោកវេជ្ជបណ្ឌិត Soarawee បានបញ្ចប់ការបណ្តុះបណ្តាលផ្នែកប្រព័ន្ធទឹកនោមដោយមនុស្សយន្តកម្រិតខ្ពស់នៅមន្ទីរពេទ្យ Chang Gung Memorial ប្រទេសតៃវ៉ាន់។ ស្វែងយល់បន្ថែមអំពីលោក international surgical training.

ការអនុវត្តបច្ចេកវិទ្យានេះដែលមានកេរ្តិ៍ឈ្មោះល្បីល្បាញបំផុតគឺការវះកាត់មហារីកក្រពេញប្រូស្តាត។ អានបន្ថែមអំពី ការវះកាត់ក្រពេញប្រូស្តាតដោយមនុស្សយន្តនៅមន្ទីរពេទ្យបាងកក, រួមទាំងបច្ចេកទេសសន្សំសំចៃសរសៃប្រសាទ និងការស្តារមុខងារឡើងវិញ។.

សំណួរដែលសួរញឹកញាប់

សំណួរទី 1៖ តើការវះកាត់ប្រព័ន្ធទឹកនោមដោយមនុស្សយន្តជាអ្វី ហើយវាខុសពីការវះកាត់ធម្មតាយ៉ាងដូចម្តេច?

Robotic urology surgery uses the da Vinci surgical system to perform minimally invasive operations with robotic arms controlled by the surgeon. Compared to open surgery, it offers smaller wounds, less blood loss, less postoperative pain, and faster recovery. The 3D magnified visualization and greater range of motion of robotic arms also allow for greater surgical precision, especially in deep and confined anatomical spaces typical in urology. The robot is the route of access; the operation performed inside is the same one.

សំណួរទី 2៖ តើជំងឺប្រព័ន្ធទឹកនោមអ្វីខ្លះដែលអាចព្យាបាលបានដោយការវះកាត់ដោយមនុស្សយន្ត?

ការវះកាត់ដោយមនុស្សយន្តគឺជាស្តង់ដារមាសសម្រាប់នីតិវិធីវះកាត់ប្រព័ន្ធទឹកនោមជាច្រើន រួមទាំងការវះកាត់ក្រពេញប្រូស្តាតដោយមនុស្សយន្តសម្រាប់ជំងឺមហារីកក្រពេញប្រូស្តាត ការវះកាត់យកតម្រងនោមដោយមនុស្សយន្តសម្រាប់ដុំសាច់តម្រងនោម ការវះកាត់បំពង់ទឹកនោមដោយមនុស្សយន្តសម្រាប់ការស្ទះប្រសព្វនៃបំពង់ទឹកនោម និងការវះកាត់យកថង់ទឹកប្រមាត់ចេញដោយមនុស្សយន្តសម្រាប់ជំងឺមហារីកប្លោកនោម។ លោកវេជ្ជបណ្ឌិត សូរ៉ាវី អនុវត្តនីតិវិធីទាំងនេះនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកកដោយប្រើប្រាស់ប្រព័ន្ធ da Vinci Xi។.

សំណួរទី 3៖ តើការវះកាត់ប្រព័ន្ធទឹកនោមដោយមនុស្សយន្តមានសុវត្ថិភាពដែរឬទេ?

Yes. Robotic urology surgery has an established safety profile supported by extensive clinical evidence. However, it is still major surgery: bleeding, infection, injury to nearby structures, blood clots and the functional consequences specific to each operation remain possible, and the robotic approach does not remove them. Outcomes depend more on the surgeon’s training and case volume than on the machine itself, and in an emergency the surgeon can convert to open or laparoscopic surgery.

សំណួរទី៤៖ តើការជាសះស្បើយបន្ទាប់ពីការវះកាត់ប្រព័ន្ធទឹកនោមដោយមនុស្សយន្តមានរយៈពេលប៉ុន្មាន?

ការជាសះស្បើយបន្ទាប់ពីការវះកាត់ប្រព័ន្ធទឹកនោមដោយមនុស្សយន្តជាទូទៅលឿនជាងការវះកាត់បើកចំហ ដោយសារតែស្នាមវះតូចជាង និងរបួសជាលិកាថយចុះ។ អ្នកជំងឺភាគច្រើនអាចត្រឡប់ទៅរកសកម្មភាពស្រាលៗវិញក្នុងរយៈពេល 1-2 សប្តាហ៍ ទោះបីជាការជាសះស្បើយពេញលេញអាស្រ័យលើនីតិវិធីជាក់លាក់ដែលបានអនុវត្តក៏ដោយ។ គ្រូពេទ្យវះកាត់របស់អ្នកនឹងផ្តល់ផែនការស្តារឡើងវិញផ្ទាល់ខ្លួនដោយផ្អែកលើការវះកាត់ និងសុខភាពទូទៅរបស់អ្នក។.

Q5: What symptoms after robotic surgery should I report?

Contact your surgical team promptly for fever or shaking chills, abdominal pain that increases rather than settles, a wound that becomes red, swollen or starts discharging, calf pain or swelling, or inability to pass urine after the catheter is removed. Sudden breathlessness or chest pain requires an emergency department immediately, as it can indicate a clot in the lung.

Q6: Is robotic surgery available at Bangkok Hospital Headquarters?

Yes. Bangkok Hospital Headquarters is equipped with the da Vinci Xi robotic surgical system, one of the most advanced generations available. Dr. Soarawee Weerasopone, who completed robotic surgery fellowship training at Chang Gung Memorial Hospital in Taiwan, performs robotic urological procedures at the hospital.

ប្រសិនបើអ្នកចង់ស្វែងយល់បន្ថែមអំពីការវះកាត់ប្រព័ន្ធទឹកនោមដោយមនុស្សយន្ត ឬកំណត់ពេលណាត់ជួបពិគ្រោះយោបល់ លោកវេជ្ជបណ្ឌិត Soarawee Weerasopone ផ្តល់ជូននូវការពិគ្រោះយោបល់ជំនាញនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។. កក់ការពិគ្រោះយោបល់. ការណាត់ជួបនៅមន្ទីរពេទ្យ Samitivej Sriracha អាចត្រូវបានរៀបចំដោយទូរស័ព្ទទៅផ្នែកជំងឺប្រព័ន្ធទឹកនោមតាមរយៈលេខ 088-022-1445.

Bangkok Hospital also runs a Telemedicine service, which is often the practical first step for patients travelling from abroad to discuss whether a robotic operation is the right route in their case — arrange it in advance by email to the Urology department at bhquro@bdms.co.th. Imaging, examination and the pre-operative assessment are done in person. Samitivej Sriracha is in-person only.

ការបដិសេធ៖ This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Robotic surgery is an approach to an operation and does not remove the risks of the operation itself; whether it suits your case can only be decided after assessment. No medical advice, diagnosis or prescription is provided through personal messaging channels. Always consult a qualified healthcare professional before starting any medical treatment.