The future of cancer care should mean more cost-effective treatments, a greater focus on prevention, and a new mindset: A Surgical Oncologist’s take
Multidisciplinary team management of many types of cancer has led to significant improvements in median and overall survival. Unfortunately, there are still other cancers which we have impacted little. In patients with pancreatic adenocarcinoma and hepatocellular cancer, we have been able to improve median survival only by a matter of a few months, and at a cost of toxicity associated with the treatments. From the point of view of a surgical oncologist, I believe there will be rapid advances over the next several decades.
Robotic Surgery
There is already one surgery robot system on the market and another will soon be available. The advances in robotics and imaging have allowed for improved 3-dimensional spacial recognition of anatomy, and the range of movement of instruments will continue to improve. Real-time haptic feedback may become possible with enhanced neural network systems. It is already possible to perform some operations with greater facility, such as very low sphincter-sparing operations for rectal adenocarcinoma in patients who previously would have required a permanent colostomy. As surgeons’ ability and experience with new robotic equipment becomes greater, the number and types of operation performed will increase and patient recovery time, length of hospital stay, and return to full functional status will improve. Competition may drive down the exorbitant cost of current equipment.
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