The robot will be next to the patient undergoing surgery. The robotic arms will perform the surgery on the patient’s body, according to instructions given by the doctor sitting a little distance away from the surgery table.
Chitwan Medical College (CMC) Teaching Hospital in Bharatpur, Chitwan has started robotic surgery since last August and 14 people have taken this service so far.

Director of CMS Dr. Dayaram Lamsal said ” we are the second in Nepal to start such a service and the first outside the Kathmandu Valley, the robotic surgery has been rapidly gaining popularity in the medical field worldwide for 25 years, we started in Nepal last year we are the second to adopt it,’
Dr. Lamsal said “Sitting behind the surgery table, the doctor controls and determines the speed and direction of the equipment on the computer screen and directs the robotic arms to perform the surgery, with this, difficult and complex surgeries can be performed easily and the patient does not experience any physical or mental discomfort, It is a surgery that is performed not only by robots but also according to the instructions given by the doctor through the computer.’

A team of robotic and urologist Dr. Pratikman Singh Gurung, GI surgeons Dr. Vishal Acharya and Dr. Rohit Kumar Mishra at CMC has been performing this surgery.
Dr. Lamsal said that robotic surgery is more advanced and patient-friendly than open surgery and surgery using binocular technology. Dr. Lamsal says that the surgery can be performed with less bleeding, less pain, and faster recovery.
Dr. Lamsal said “A small hole is enough to perform the operation. It has been seen that there is not much blood loss, less pain and faster recovery. Due to this, there is no risk of other infections”

There is little injury to the muscles and internal organs and since only a limited part of the organ to be operated on is touched, the patient does not feel relaxed like in other operations. Gurung said. ‘The way surgery is done now, the condition of such patients is very critical, tired, scared and weak. With robotic surgery, the patient does not have to stay in the hospital for a long time after the surgery. They return from the hospital within a day or two,’ said Dr. Gurung. He said that due to robotic surgery, it is possible to perform even major surgeries in Chitwan.

Hospital Director Dr. Dayaram Lamsal informed that CMC has invested Rs 320 million in equipment and other areas to start robotic surgery services. He said that although such services are relatively expensive, their popularity is increasing worldwide because the treatment is effective.
Since it is an institution running educational programs, students should also be aware of such technology. That’s why the service was started. Also, we haven’t charged a lot of fees to make it easier for the patients,’ said Dr. Lamsal.
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Dr. Lamsal said that in the late 1980s, the US Army introduced the concept of robotic surgery to treat soldiers injured in the war zone remotely. It was also used in hospitals after the 1990s. Its use intensified after 2000. He also said that it was used in India after 2010 and is now being adopted by more than 150 hospitals.
