El Podcast de Marco Antonio Regil - 351 - Lo que nadie te ha contado de la cirugía robótica - Marco Antonio Regil y Dr. Javier Kuri

Episode Date: December 2, 2024

¿Sabías que la cirugía moderna puede transformar tu vida, pero los mitos aún frenan a muchos?En este episodio, el Dr. Javier Kuri nos explica: Cómo la cirugía robótica está revolucionando la medicina. Los mitos más comunes y sus realidades. Los beneficios clave: menos dolor, recuperación rápida y mayor precisión. Acompáñanos para conocer cómo esta tecnología puede mejorar tu calidad de vida.Así como la desinformación puede evitar que tomemos decisiones positivas para nuestro cuerpo, puede ser que vivamos engañados con que para ganar más, hay que trabajar más.En mi masterclass gratuita “Cómo generar más ingresos con menos estrés”, descubrirás cómo trabajar con propósito, optimizar tu tiempo y construir una vida que realmente te llene.👉 Regístrate ahora y toma el control de tus finanzas sin estrés: https://almamatters.com/dinero-audio Conoce al Dr. Javier Kuri: https://drjavierkuri.com/  En mi canal de Telegram, accede a contenido e invitaciones solo para fans. Únete en: marcoantonioregil.com/telegramDescarga GRATIS nuestra revista digital y encuentra información inédita del episodio de la semana. Da click en https://marcoantonioregil.com/aprendamos *Importante: Nuestros invitados son expertos en sus temas y reflejan su conocimiento y su punto de vista, siendo conscientes de que cada una de las opiniones es totalmente personal. La información, datos, comentarios, estadísticas que se presenten en el Podcast de Marco Antonio Regil, son de exclusiva responsabilidad de quienes las emiten y no representan, necesariamente, el pensamiento de Marco Antonio Regil o de la producción del podcast.

Hospital Angeles Health System Presenter The surgery of our children, is similar to the surgery of today? There's something there's a lot of

different incisions, grand syruhanes. The surgery robotic modern, you lastima, is less invasive? Or, why,

there's less time of recuperation? It's much less invasive, it's much more fine, less lesion

to the things around. Sure. Entiento that for any problem of cancer, the surgery robotica enter and with precision

can't quit totally. Cancer of rectal yeah it's been used to cancer of colon cancer gastric cancer of esophago

cancer of cancer pancreas your patients normally to what he has been to be a bit more than what you have been

than you have said a sometimes. They say at you've seen a surgery in a second surgery is

very very dangerous and so have been and they're you've you've seen you

see your eye human never could be probably in That is a probadita

of the episode of today that's very, very interesting because it's logical, it's obvious that when

we know we need to need a surgery, a lot of the majority of people, the whole, the whole

to do it to your mom, your dad, a man, a man, a man, a man,

a man, a while, a lot of the things about the surgeries, so about that the

surgeries of our first of our those are the things of the in the mind a lot of

questions. Oh, yeah, me going to have to a little, I'm going to

dole, I'm going to go to be a process of a process of recuperation and then in the isis

and if the anesthesiologist he's a man and you get a my time of the surgery and

I can't move me and advise you know and I'm seeing and if you can't

get a little in my pancy or in an gase the bisturial stetoscopio because

we're full of stories of ultratumba about the surgeries. And the danger is that there's a lot of people that would be a quality of life with a good surgery

modern and not do it because they have mitos in their in your head. Today we're going to talk with one of the most of the best surgeons

of Mexico. The doctor Javier Alberto Curi, a surgeon general specialized in the surgery robotica of the hospital

Angels of Pedregal that we to talk to myths, legends, realities, and of the

great benefits of the modern Syrugy Robotica. We're going to to be a who's the and who don't

be able to if you're about if you know, how evaluates if not, et cetera, so it's very good

the program. Kedensse with us. We're ready to learn together so we're getting into

151. Utlas of Mark Antonio Regile is a production of RGiel Entertainment and

all his rights and all the welcome to Dr. Javier Alberto

Curi, one of the great syruanos of the new people modern of the

surgery robotic in Mexico of the hospital Angel's Pedregal. Welcome. Doctor, how are you?

Many thanks. Thank you. Thank you. Thank you. very much. Very good. In fact, you know,

so we're going to talk to the, the surgeries. To start, I want to ask you, the surgery of our

boys, of our boys, of our parents, is similar to the surgery of today or in

what has changed? Look, it's very sympathetic, because the fact is completely

different. completely different. It's like the car, the car, the car, the world is that I've

said my father, because I know his cicatrice and I'm a good a surgeon no had a

man. A thing a bigantec and now. And now practically everything everything

it should be to be for minimum invasion. It has evolutioned of

surgery abirta very grand and very cruent there there decisions,

Grand Searfoners. Grand decisions. That's what what we said our masters has been very. Actually, yeah no.

No. It's like. I remember my my mom that in peace descanses we know the three children

for cesare. And when I saw my my mom, I didn't that nobody had the stomach.

I was I was changing. It was was horrible. It was from here up to

but but not it a line. It was like if had been a carnicer to

a cart horrible. So one one remember those things and, you know,

what's going to do you know, what, what will be, what's, what I'm going to be, there's many more

complications, and actually, and actually, between two, three, four incisions of less of one

centimeters, so those incisions of five millimeters, the majority, eight to a one centimeter,

you can do make a great, so the fact, that has been that has been quite

that's, the recuperation is much more, much more more And to your

I'm incapacities these of 21 days yeah no exist. Sure. Okay. Obviously, today we're going to talk how evaluate

when if we need a surgery and it's something convenient and when no, because that's one of the questions that we're we're confront us

and when are people, also we pass. It's does the surgery, not it's a surgery, I have a prim that

for not attenders the cancer, for not to say that had a cancer of mama, for not to get to

a center to oncology qualified, he was killed because he the tumor crecier and when when,

you know, when I was un-experated and the medical, they said, you know, we're going to

get to get everything and you don't, and we're to get a and you're going to be a fear,

and that even, even to be the life, or that live in pastillated and can't have

consequences. So, we're going to talk of that a little more a little more very,

yeah, but I you want to be you, that you practice the surgery robotic, that's the

more than the surgery robotica, your patients normally to what do you when they're in your people, you're saying, we're doing this?

What do you do you say, what you're doing? I think one of the the fears, yeah, that's the people,

one of the people who more they're the anesthesia. Uh-huh. It's very sympathetic because they're

very, but it's always, the question is but it's all the anesthesia general, all the everyone is to

familiarize with this. And will do the anesthesia general, well, let's

let's say, see, well, the anesthesia general is the more secure that is the other,

no? No, you're going to get in the plancha. That's not that's a that's

that's a question, that's a possibility that's a man, and you get in the planche?

No, no, an anesthetiologist well, no, no, that's a other than

the anesthesia. They're in the anesthesia. They're protocols, very very

very well, there, those Anesthesiologists are specialists and sub-specialists that evidently not they're going to put in risk and it's like, I know what I'm when I'm born to make, my first I started much fear of the avioners.

I sentia that me going to get in the turbulences. And you're plaitics with a pilot and they're ried, no, and they're going to take a coffee with a turbulence. It's the same. The anesthesia general is very secure and is practically less than the 1% that will have a problem in the anesthesia.

Oh, other of those those videos that is, is, and if I do you get

to the mid-of-a- and I'm not put to me, no- I'm- not-you- do you

see-sendient. Those, those, those, those are, those, movies of any,

there's a , there's a monestest, my anesthetiologist always, I'm a wake, that,

that's, that, that, that, that, that, he does a do,

does a, he, does a, so, no, so, no, so,

A If you could existir, I have to be sure to be sincere and I'm

but with the protocols that there is practically impossible. All right. There's no, no,

there's a in medicine and in the life, but we have to be conscious that now

the protocols that are the hospitals, it's very difficult that pass a error of

this type. And you have systems to prevent it, they're monitoring

all the time. You're doing it. You're doing Egglist, you know, has time

out, you have to have been to have put to all the medications, it's very difficult to do you know,

it's all a team of people of the in the surgery. It's an group of great. Then the people think

that's a syruhole. Solito. When they get to the chirofano and they're 18,

no, the people, and they're doing things and they're technical, technical of the robot,

technically, so, they're assistants, there, assistants of the syruhors,

assistants, the anestestestestero and the because it's a lot of the people great, that is difficult to pass that. Oh, and other MEDO, this, because the people for that's certifications the hospitales

in the where, a chirofano for you, I'm, I'm, in chirofano enter in 10 gas

and have to get 10 gasas. So, they're going to say, literally, they're going, so when I

say, a bit of gas and material, is it's complete, yes. Before, to be able to, the patient.

No, there's form of that there's a case, no? So, that this type

of protocolos are so that it's impossible that's that's, and this is in ciruia

Abirta, no. That's there's a There's a There's a There's a There's a There's a

So, you're in There's a About about about the robot Or the laparoscopia too. The cameras. And the

only that's there are so they're in a chirofano 10, they're going to get a there's a

no, there's there's a So it's a little no. So it'd be to be a carouserer and

they're doing to do you're there. There's catastrophic that's that's to open,

surgeries of urgency, of trauma in the you have to be able to you know, you can't be

to be able and enter to emergency. There's very big that you know, for where you can't,

you know, and you do you do you get and you don't know, the majority that's a

need to do you get to be a little bit of the surgery robotica. Now, the surgery modern has

had a more than has made the possibilities for people that says that, yeah,

you know, mom, papa, or the abelito or the little, or is a little children who are in the way, or how

it's evalu a this? No, definitively no, there's no any limit. I think

to value many, many, there's, many, there's, there's, there,

ed, comorbididities, is, that's that means, what many things have, what possibilities

you have to sell well, I'm a patient now that's auretah years. That's a surgery abiered and it's

perfect because the sir was very very well, very lucid and and what's why not you're going to do you're going to do you're going to

the patient and the patient came to the patient there's not there the end of the condition of the patient

you can't so here I'm doing articles that already we're about the we're going to We're going to

to talk to a who's a car a syrugy because there much people.

Louis Miguel Valenzuela, we send him a braus to call and he my mom has phobia

to the chirofans has a ryan, the doctor he's supplicing that's sopicking

but there power human that can be able to this information or that's

my hit me my hito and if I am my chitra Maritza Aranda of Piedas

Mara Marit's my baby of MES has been a refluck very very

a doctor has recommended operas but I'm in a panic, the work in it's a

time of the time you know, we're saying, I'm don't have quality of

life, I'm I'm afraid in a intervention chirurgic so there there's

very common that they could they're with the problem with a with a

surgery calificed in a in a in a a in a called

in a but they're in past or suffering and necessarily and that's what I'd say that we'd like us

that's what are what are the symptoms or the where you receive great benefits with a

surgery versus a treatment of years and years and years of pastillas. Look, you have to have much

information for part of your medical, much confidence with your there's a pair of

examples. I have I'm, I I'm the patients. It's that I'm afraid of in the

surgery. You know more risk of your risk of your body and you're to perfor and you're

a peritonitis grade 4 to what you in the surgery. In the the surgery,

the risk to be very low. We're talking of 0.0% so. But it's disinformation

so you have to have to have to have much communication with

your patient and explain to be the risk is much of what you

compared to your problem with your evaluation. So evaluate the two, if you don't do you do these are the

surgery, these are the consequences that are the consequences that are the risks, these are the very conscientious.

It's a balance a risk, a benefit, that we have to have to have to your patient and to

keep to mitos, quit all these fears with information and being being good. Yeah.

About the information, let me, right we about what we're what are the most the

are the most of the surgeries. But, do me if it's a certain or false. Dicen

here some articles that we've encountered that today with the surgery modern,

especially with the surgery robotica, the time the time is very important,

can be back to be a percent. So, it can be the

time of the recovery that a end of a no,

100. 100. It's a not. It's an exaggeration. No, even

even even more. Recuration, I'm a regress of your activities of the exercise and less time in the hospital less time in the hospital,

less sangrado, less use of analgesics and less cost. Minus dolor? Much less dolor? Much less dolor? There are many there are many. No,

no, no, no, no, no, no, no, because the surgery robotic

modern, you lastima less, is less invasive? Or so, because there is less pain,

is much less invasive, is much more more more fined, and there's less trauma, or less lesion to the tissues

that are around. So, and you use less incisions, less perid of the same. So this does, and

there are many studies that in the post-churricos not are notgesicos and the patients not they need. Wow.

This, a long-plasto you do, and you dore much money for for all, for securators,

patient, no, I think is very, very good. And, well, this is still using in the States of the United

all over the robot. So the articles scientifics are super demonstrating that the benefits of the surgery

robotica or minimum invasion over the surgery is. Yeah. So I'm

being that Da Vinci is the robot or is one of the robots? There's one. We're going to talk about.

In Mexico, only the robot DaVinci. That is of the company Intuitive. There is more of 40 systems robotical

in the world. It's a lot of course. There's Chinese, Japanese, Germanes, Englishes.

But in America, has got got to get the Da Vinci. And in Mexico, we have 32 robots

in the Republic. In all the Republic. And Hospital Angeles has there where you're

you're in the system. Hospital Angeles has has to the little bit

a bit of a bit of the most has been. The fact has been the point of the

It has done very well. So practically in the whole of the republic has the system Robot Da Vinci. The most great. Oh, he says

here that in 2002, we're in 224, 2,000 25, but in 22 that is the statistic more recent that

we've got to that's done two millions of proceedings robotical only with the system DaVinci in the

world. So this is super probable. A bit, let's say, for example, no,

if you know, an hospital that's called Orlando Held in the United. 99% of the surgeries are with robots. Now 99% practically. In the United

there are 4,300 robots etchainle for state. So we're talking of 60 robots for state. So, you know, you know,

everyone operate for robot. The residents of surgery in States are in the United, you're with certification

of a robot. And I'm seeing here also the the statistics of the syrujano in the world,

the 78% of the syrujans are list and propensos and prefer in the ciruia robotica. So, yeah, it's a reality.

Yes, yeah, ago, I've been with this, and I'm playing for the surgery robotica,

we've got to be quit tabus, mythos, medos, actually. I don't care more

because to my patients does it does much better. Well, let us a pause

when we let's go a pause, Alberto Curie, that's a surgeon general, specialized in in the surgery

robotic, the hospital Angeles del Pedregal, of the Angeles Health System. We're going to about what

what do you do they're those that more benefits can receive with the surgery robotic. In the personal,

to me, just right in the Angeles of Pedregal, me operated with a 20 years of hernia and

and I'm cuted the refluco and me has been has been having been having when I

Evalvando, what I do? Because many say, no, well, anti-acidos, but the antacidos are, right, I want to be impastillarty, and living in-pastilied, can't have consequences very grave and much more arisgues than

a second surgery. So, I want to us pletiquets, what are in what padeciments, you recommend, the way, short, and direct to a surgery, what are the benefits of this surgery modern and robotica,

and in what cases could say, no, but let me, we're going to evaluate. This is not an urgent. The risk is not so grave. Tratements alternative. That's what you can get to do your medical,

et cetera, for, to understand more. And, over all, that's what, what is this, the surgery robotica? So, you get, and it's there,

robocop in the chiro, and the doctor from his doctor from his to the doctor, from the technology, or it's a good, it's not a modern,

but, like, what we know we know we, we know what we're To quit those fears, and to, to take decisions, you decide what you do you do,

but we'll take decisions informed. I know personally, I need to take a decision informed. Pausita, and we'll come as the podcast.

In Hospital, Angeles, you can't operate in the future. With ciruia robotic, that is more

precise, secure and less dolorosa than a operation abjörn. It's less probable

that you need to a transfusion sanguine. Also, you'll have less complications post-operatorias

and your stances in the hospital will be a lot. We'll be your health with the best technology.

Cuitartre't not is a looho, your body, Alcancas your maximum potential.

Lunice to the morning, time of the Central of Mexico in the channel of YouTube of Group

Formula. We'll continue with the podcast and the Dr. Javier Alberto

Curi, Cirohian General, specialized in surgery robotic of the hospital

Angel's Pedregal, Angel's Health System is with us to be a bit we're in

the surgery of the not the of the old is the minimum time of recuperation

less pain, less analgesic psychatrices more little but

what is this of the the surgery robotic? I mean yeah no not

there's the doctor there with the patient is a machine and you

you do you you manage like with a joystick what

this of the surgery robotic? It's a very, very interesting and if

you're always you're in a lot of the patient, so you're in so you're in three, four incisions very little.

A mano? A man. That's a man. To get some of the chitas. Chorokare's

of seven, eight centimeters. Okay. Perdon, millimetres. Millimetre. Millimetres. So,

so, yes, seven meters. No, millimeters. Seven millimeters. seven millimeters. seven millimeters.

So, are, A bit with your manita is that's... The dead Gordo And if you If you're gonna

You know, And if you're there's yeah, it's you're gonna do you. It's gonna be, right? And so... I'm gonna'clock. I'm gonna'clock. I'm gonna'nesteading. I'm anesthetia. I'm... In certain Surrogia, only three,

in some more complex, four. Crosy always with four, it's absolutely everything.

And it's a robot, and it's a robot that's a coppola to those tubes. So,

you're going to a console that has seven pedals, is inmercive to the

a, a, a, a videojew to see, it's in a third

dimension. It's like a type of reality virtual, like if you were chiquet

and you're little, and then from the robot. The robot no does nothing that you do not do.

So the robot is confiable, is precise. Super precise. And if me it's not there no way

to hackyars. It's, it's a robot that is an robot that's a robot that's a mannique for the

syruhano and in when you you're you're more security than a laparoscopia

because the robot yeah no's the robot is where they You're a cameraita.

Metia's a cameraita. Metia the pins, but if you decuited, you move the pincer and you can't decisionar something to move. The robot is a static and no way to move until the robot can be more precise

than your pulse? Or so the antiquity that's one of the benefits of the robot. All, we have a certain a trembleor fined. The robot

quita the tomblor finer at 100%. So the pulse of maraquero, if your surgeon no surfero has a pulse of maraquero is a caro

so that's one of the benefits of this The robot. Precise. Imagine what you can't be

that the laparoscopia has two X of zoom. Here the the robot has seen the robot has 10X.

So it's like a lup you. Amplificas 10 times? Amplified? For that

is that has been has been so it's have been heartaries. You can

see the other human never could be. Probably probably not you

probably not you can't be so it is impossible. So you can you can

do the most finito, the delicate. And the panoscopia only can move so they're in right,

right, above, for those who are the same, those are the ones of the Johnson and Johnson that you're

that they were that's a Johnson, Metronic, and many others, not? Yeah, I said,

me, when I'm when I'm done the angel of the pedigal, me said, this is the

most modern, and it's so, so I've still still using much to the paroscopia, but the

paroscopia, but the paroscopia, so the robot is the proroscopy. Luched contra the surgery

abiered. And they said, you're like, like, for some old-up. He's adopted. And now

the robot he's got to the paroscopia. In places developed 100. 100%. And in the

places where exist in these robots. And where you have access to the robot. I don't

do you. If you know, it's very good. But the robot has a range of movement of

360 degrees. So I can operate, to be right, to be to be right, what your

ones not could even even, even, even, even. Even so what your hands don't

do you can't do. Then you don't get to get a not a little because of the very complex.

So, then you're a natal, ernias very gigantees, you get to the abdomen and you

get to back. And then, what I did you to work in the stomach

for that you douches no ques. It's a surgery anti-refluo and the spinter that is an

spinter that's you have turned to the exof-ofer of the a sphinter new with your

same stomago. Now, now the second surgeries, for me to me that you have been to me that's been 20 years and that

maybe I need a new, they're saying a different, a new new thing. A few years, a second surgery is very dangerous.

Yeah. To be, that's, that's, that's a mytho total. I think if someone

says that's because no he's ever but the really, you're going to suffer if you

you've recurried to reflux, that if eventually the surgery anti-refluo has a

a fece a causality, a life a but with the robot

and from the robot, the standard of the standard of the surgery anti-refluo

or third is the robot, 100. Because the complications of these surgeries of

the surgery has to be a 1% to 1%? No, well, yeah

what I do the confidence was the thing was the that

that is a publiced there some some some publications.

There's With that risk of complication a major of 1% because no is nothing, no? So it's super precise. Very precise. With, with reason,

the 78% of the ciruans are adopting this, where they have the where they're in the equipment. And the one, and the most, there's like,

of what, of what, I'm going to, we, we, we, we, we,

we, we're, we're just, what's what, what's what, and then, so is what, and then,

you're, you're, flogher, to learn to learn something no, it would be

to be but it's a bit of to get to get to something if you're in my

zone of comfort, but there's to be in the benefit of the patient.

Now, we're we're talking of the people, one of one of the great

problems, so, so what I have, I'm, in some occasion not I'm

got colitis, esophitis, and, that was colitis, ref, gastritis, colitis,

esophagitis, of syphagitis, of the level 3. And I remember that when the Dr. Jose Luis Ibarrola, that was in

some moment, director of the hospital, Angeles of Pedregal, me said, Mark, we need to

operate. That's what in 97, 998, when we said to tina at the price, and an

auto and that's the risk, the risk of not operative is cancer in the esophage because it's that level

of refluco you, you have to change, you can be a form of food, but between

that are peras or Onzanas, we have to get, it's to be a em'clock, and if we don't attendem

in some a cancer of the esophage, and there's you know, you know, and obviously, well,

me said, the doctor, that's, no, and for me, so, a matter, because,

so, the one day to do, one day another, it, I, changed,

my style of my style of my life, and he did other different, because the doctor was

very responsible, and me he said, no, not just the the surgery, we're going to do. But for me, it was a, I said, I've been

a, I guess what I'm saying, the guises clinical, I'll say, that's what you're going to say, what you have to cure is the quality of life. Because altera your quality of life. That is the principal

indication in one of the guidelines of the series, is that the quality of life is alterated, no? Now, the cancer is a risk latent, 100%. And the esophagus

in special, the union gastrozofagic if the union gastrozophagic if there's, then there's a medical that say, no, that's a

myth, how come? And it's augmented in the last years for the use of inhibitors of the

monobo of protons. There's because there people, there people, and you see the commercials in the

teles, that, come, what you want to then you get your sales,

to use, and the and the anti-acids you're they're saying without, so,

the most the most has studied in the world is a doctor. And it's a lot of emister. And it's done that

he's more cancer gastrozophag with the last year. For the use excessive of omeoprasol, all these inhibitors, anti-acid.

Because the only that is that the back the acid, but the reflux still. So, it's it's a lesion to the

cellules, and is when they are muting the cells and then they're to get those acids in your stomach, because

they protect, they're doing, all the doctors that have been to do you, all the doctors, A little, all is a question of a balance.

If you know, yeah, it's a question of a balance. Totally. Totally. So, this, the reality is

that there's a balance and the antiacidos and they're, a new article in the journal of neurology that the use above of,

oh, this is very important, of three years of inhibitors, that's Hometrasol and all of their family. Yes, above of three years?

That apart are carous. Yes, Arriva of three years, the use, augmenta 34% of the risk of Alzheimer's precoz, or dementia in the temprana. Also,

of all the things that can't have these medications, like lesion renal, discalsification, there are

many things that. But there much people that live taking antiacidos for all the life.

And that they say, no, I'm, I'm don't, I'm taking my

antiacidos similar, Diary, I've got 10 years and I'm happy. So, do you know, do you, have to be a endoscopy and get me.

Or when I take one before the to do you, for the reflucing in the night because I'm all the time.

The grass me do you know, and they're not, and if you have a meal and you know, the wine, you know, the

wine is the thing, you're in the night, and other in the night. So, so, with a disinformation important, and there is

where much people says, okay, no me I do the Syrujia because no, it's

invasive for my body, but you're empassediled. Totally. And nothing, nothing is inocco,

no. All right. All right. Yeah, all have a consequence. Exactly. And it

can have many reactions adverse as the and consequences this use excessive

of the medicine. For that there has to be a balance in all. Solyitis,

esophitis, gastritis, problems of sophob or problems digestive testives, it could have

a benefit a short-plice with a very good surgery. 100%. If it's a very well

indicated, well, well, studied with the protocol properatorio is a benefit, it's a

immediate. Inmediately. And the next to impastriarte and you get to make.

Medicaments that at the more are necessary and can be done for your

health. And can rebut in other other other there's a lot. In what other cases? In which other cases, you're going to be able to do you? A robotic, if you have the instrument.

No, no, I mean, I mean, to say, a force, you have to go to get to a robot, no, if no, it's not it's for the paroscopia. Sin embargo,

there are many surgeries that not were not to do you can do it, and now with the robot you can do do it, that

only are being abertas, and now they're doing about, what cases, what diseases or

what pacesmient? Look, there's one very important of, the very great, the surgery of

the prostata. That's, I don't do, the do you, do it does the urologos. But the urologes, no know how to nojure the urologes, but they're

to do surgery abiotic, not operatic. No operasopoeia. And for the cancer of prostate, it's a world standard and has changed all because you're going to incontinence, no?

The impotency or dysfunction sexual, after a surgery of prostate, that was very cruent, very invasive, very invasive, because it was a surgery abirt,

sangravan much. I remember to be to be doing to be patients when they were in the internado that they were

in the surgery abjured and it was some of the chasombs and some those doors and they're

and they're much incontinence and much dysfunction erectal with the robot is so fine that preservas

those nerves are patients that's that's the next or at the two days

and the result oncological is that in the resection of the cancer is marvellous. There's

a dissection ganglionar, all the gangleos that could be with metastas and then the result has been spectacular. So, I'm so, I'm trying to get the surgery robotic enter and with precision

can't quit your tumors. Totally. Cancer of recto, yeah, it's done, cancer of colon, cancer gastric, cancer of esophage, cancer of pancreas. There's a procedure that's a procedure

of Whipple for the cancer of pancreas of the head of the pancreas that was actually had been able there's people

that was doing in two hours a process of a procession that's doing in six and for the recovery is more

more short all the no no the recovery is more more short in what in what other

there is a work in a there's the surgery the work

the surgery of recurrente of second third or what you have what you have you you have

you know the statistics complications of up a percent a mark

in the plancha with the doctor and the robot approximately there's there's

there's a very good case of success pancreas the cola of pancreas

the colonncrase with three with three incisions of eight

millimeters we're we're we're the part it's called collar

of the pancre so it's where there are tumors. And the reality is that

the next they can go to go to the pancreas. The day of the next to go to the next the surgery of the

second is a way to get to the thing to do you the same. There's a workertykulose there's people that are doing a

a surgery in the same day they're done in the next or the day the next in the

day next. The day next. So, this, this is this to get you

a couple of in the hospital, the days, and the , dolores terrible.

For example, I mean, also, also the doctor I Ravrola, me opero of hemorrhoids,

that was dolorosissimo in his moment, because, obviously, they're they're operating and that

part of your body, that has to continue to continue that's functions and I

I remember that also was for my life super stress and I'm really a lot of my daughter my daughter we have to have to be

a little bit more and I'm going to get a little bit back to make a coagullo there and me I'm suplicate we're

but I'm negligent because first you do a verguenance you start to feel to get to get a

and you do a vergence to go ahead to get a every to do you all you say to do you

all you say to you're it's it's you I discovered that the anti-inflammatory, me mandar an anti-inflammatory for other thing, and

I discovered that it was off-medicarmament. So, I made. So, I'm chatted my anti-inflammatory. It's a terrible, pessimistic, example. It was the mark of 27 years. No, no, they're going to do that Mark, Antonio.

And it was posterior, like a year, a year, a cacho. For when I decided to do make the operation, it was because I had passed for two emergencies, and obviously,

it was a lot more Doloroso and the doctor the doctor me He said. And the recovery was was a future.

How has changed? For example, this of the hemorrhoids still being being being very common.

So, this not going to change. So this is very very curious. It's very curious because you say,

you know, it's a lot of the emorroids. Or so they're all the world have

them. So, so are some ones that exist. The Plexs morese and

time to turn to all the Nobody, you say, no,

the baras you put cremas of the pharmacy, nobody nobody. Nobody's

nobody. Nobody's there's but they're not there. So, there's those things.

There's the creams that normally use us have a cortisone. A cortisone. Then, then get

patients with, they've put this cream for months and gets a troughico and all over

all over all over to do your question has changed the surgery, has

changed the methods, there are many more precise for operas, and the dolor of the other

years that's now, notablyly. It's still being a dolorous, because my patients that we've

operated and they're saying, ah, so it dole a little. So,

and the anesthetiologists put in blockers caudals, no, they dole in the post-churur

to dole when you dole when you go to doleable than this. What's good news

not they're to pass for what what you pass. but the better was with the

pain, and without you can't sit or not. We're not, we're going to do you do a doctor Javier

Alberto Curie, syrujano general, specialized in servicicic robotic, the Angeles Health System. We'll be

a pause for you know, we're saying, Dr. Puch, we're I'm just

in the planche, I'm, for that I make, to me des my adjustatita. But when

we're going to let me we're going to we're that we're in this how common is this

in the world, in Mexico, it costs car, cost a barat it, it's what

specifically hospital angels offers. It's in all the hospitals Angeles of Mexico, is only in

some of the how we can do we can evaluate the possibility to make our quality of life

with syruki robotica. Paus. And we continue we with the question of the money

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We'll talk the podcast and with Dr. Javier Alberto Curis Ciruano General specialized in surgery

robotica of Angeles Health System specifically he's in the hospital Angeles of Pedregal.

A Let's see the enormous benefits of the surgery modern. I think the

affan or the objective, the intention of this episode of the podcast is that the people literally

stop and necessarily and you veas evalues with your medical if really it's worth the

pain to or better you know solunion the problem with a surgery. The

syruvia robotica right I want to talk more or less of how can

accessible is in where is what is the what is the hospital angels but

we have a provadita of how it's a question about you know you put in the

anesthesia the future mark me you want to put a anesthesia me put

there in the planchita you you you you you said

you you you know you lenses in third dimension

so that you can you can you can

you can you can you can there there

And, I think, I think, I think, I think, I think, but doctor, get a robot

and me operas the robot. No, this is a robot autonomo. No, he gets a robot and robotina,

no, and it's an instrument, laparoscopical. So, has a lot of the robotized.

It's four brasos, which are the we use them, and every barasas to have a car to

to be a car. It's, it's a, it's, it's a, it's, with a,

so, with a, with a poste and four four brazos that's

going to perfectly to the anatomy to the patient, to where you to do you

docking. And so, all you docking. When you accoplas the robot to the

to the lot to the patient, for where you want to go to the one of the

two of the two enter the three pinsas or two depending and if I need

other type of type of pinsas a You infl in the pancita for that there's a So in the

emuperitoneo etchamos CO2 so inflate For that there space For that is what everyone says, is that

the gas I doleo much the gas because I'm getting gas to get the 98% The gas

is that the muscles so it's in the spouty but it's but it's very tolerable

so that that's not problem then. Then I'm to the console and the

the mando is my completely of the robot There are all those assistants There are

for any of any of there's for a there's and I know in a

minute not not in a second in a second but I know that's here. If you

can operate a long distance the finality not that not is that in a future that we

have been done we've done of a continent or other and you have

you've operated to you have a there's a congress of a

but no a model an a patient a a model animal,

to Orlando to Shanghai. So we're with a robot new, and evidently it's a point with a delay of two

seconds. It's nothing. So, so what do this for the places where not there medical?

There are many low-developed that no- no-a- medical-capacit put in the robot

and someone from the United can operate a person. You know, a patient and it's a

patient, you did, it's did, Bipulpate, it, has done, many

people, about four, five, of continent to continent. But, well, you're going to

the console and you do the model. And the robot does nothing that you know,

I'm going the camera with the pedals, I goagulation, court with the other pedal,

I can change filters, and I'm all the hands, the three brasos.

The two two you use and the two hands as as a piano,

exactly. And move the camera for one to one

is more And it's more rapid also the surgery? When, oh, when you you know

when you have a course, you know the time of the time it also also it's also that's

that's been normally naturally. In the there's the robot and that's a time time

that's a time time four minutes and the paroscopy so no, one minute more more

a minute more more more than. So the surgery is more efficient, more rapid.

And at final of the day the recortar days of

estancia operative analgisic, transfusions of the same and it is a little over-cost

that could have a robot over the aporoscopy. I don't see if me explain. So,

it's very interesting. This is more car to a surgery robotic than at the

final of the day with many, all the cases, you're to be

to be more money, the service public a horroar more money that

is a surgery abjured. That's very another myth or something we've got to

let me have asked about about the surgery robotica? Well, the fact is

that the people think there people that say, is that doctor, I preferer that I'm

do you do do you're and artisanal and I'm going to do my hands is equal, just more

than just more than much the pus well, but not it's tortelleration the tortilla the chaman

versus the the machine not the Totally. Totally. And, and also it's doing you.

It's that much better. And now, and wait a now you know the intelligence artificial, unida

to robot, we have some those mediums spectaculares that they use, that's called a birdin indocyanina

that's during the surgery and then you can't be things that normally not you

during the surgery to the o'clock then you can't you can't the thing you

to you put this media of contrast and it is a It's a thing. A great.

The surgery of vesicula, no, if you have you have seen, we're in this bird a indocyanina, and then,

it's a way of liegee, and so it's a good, If you're not going to be able to use airways, it's a lot. It's a great thing How much time you've been doing these surgeries in the hospital

Angeles? I've never since the 2016. I mean, yeah, yeah, in the hospital Angeles, it's got in 2013

that has been the program most exitoso of surgery robotic, yeah we have almost 13 robots in

Mexico. It's a lot of. There are distributed in different hospitals? In

different hospitals of different states of the republic they're going to have been to be or you have been this year in in Sinaloa there's Sinaloa

in Baja North there's Morgaleigh Guadalajara, all. How many surgeries robotic

I've got there? I've a good number right I'm to do a conference to

Guadalajara and Syrujia robotic we're up at the 700 the reality

is that is a number very very high in Mexico. I think we have we've seen that we've got to be

those number of surgeries robotic in Mexico. So, and when operas, you do you do you do a program of radio

or to grab a podcast, your days are how many surgeries in a day you can do? A bit of many things.

I'm going to be very sincere and very honest. I mean no I don't do things because if

I'm eight surgeries in a day, those patients say, oh, no, one is

me is putting attention. is something. I just do you do you. So I do. I'm doing, consulta

and I opero all the time. So, surgery, consulta. And revises to those you have done.

Revised to those that you operate us. So, so, you do this form is a much

your place and your patient. Yeah. Now, costos. No, is more

car. The surgery robotic not has been caresed the surgery has beencarecis.

But the benefit is major? At the principle is It's been

honest and just. Like, like all a new technology, the principle is more car.

So, but the hospitales and the hospital has done much for diminuir

this cost and almost yeah, it's emparas and practically yeah so it's

in paris so. So, yeah, the sure, we have many accessibility

for that they're being, you're done that the benefits, if you have the

doctor and the doctor has a very easy, it's very easy to do

Pagan and if you don't have the cost is practically the same. The laparoscopia in an hospital and says

that also is that also is that is very interesting the reality is that the system public IMS and SEDA

Marina and salubrida have robots and they're robots and there are there people there can be

being benefited of the surgery robotica standing in service of health lamentablely not there's

a sufficient robots for, you know, is a quantity of people very, very great for a robot

in a... And if you have a security and if you know, the majority part of

who will prefer to, go to a hospital private for many reasons. But...

For many reasons. And because the other people are in the people are in the

people, they're in the people, they're in the

Many of those that operate in the service public, when they're in their service of their turn, they're doing to operate to the surgery private. For to be honest, no? So, so, Angles, has been, how many of you? Of course in Mexico?

14, 13, I think 14. Yeah, the middle of the robots. The middle of the robots. So, that's the system private that more robots have been there. No, and is the

that has the robots private more new. There are other privates that also have. but Los Angeles has 14, and certainly every year they're

going to buy them because it's been the benefit and have benefited to many people so there's, so no,

no, there's, no, so, no, there's, and now to say, how,

how evaluate? Because, of a, you can't, to go, a, a doctor, a good,

a doctor, you can, we, we're, and this is this new, this is this other medical,

no, no, I don't see, what, what does, what do, as a patient,

when two medical, at times even in the same hospital, or two specialists, or at a

more, it's a doctor, not coincide in the opinion, you know, they say, no,

no, if we, do the and the other, and the other and the other,

you know, to be, my patients. This is a question to have much confidence in

your medical. Like when you going to buy a car, or what

you have to have to have to have confidence to to who you're in. A relation.

In health, the relation medical, a patient is very important. I have patients that's a doctor, you know much

confidence because me explained a B, S, D, causes, effects, because yes, because no. You have

confidence, when the doctor Ibarrola, with the eyes, with the eyes. Yes, because it's a relation.

If there something, if there's a thing, because it was not there was not there there was the information necessary,

always to ask you a second opinion. And it's something that not we need to give a verguenza. Well, Doctor, I need my studies because I'm,

I'm not I'm sure of this. Totally. I'm going to not that the doctor is to be, so, with a patient is my

right. It's a better. More in an hospital public, in a hospital private,

the studios are not it's like the doctor has to have to them have to them to them to

do, those are you do you do you do do you do as what you do you do you the most

you're going to you're going and you know you have done the things well you get to you but if for

something they're a little little can go to a second opinion and you're you're getting

with the you're okay so there's there's many there's many the podcast all the

many people all the podcast and the program of radio, it's very common that we're seeing that a lot of opinion of two or three medical, because one is

a more your medical general, other is the that has a speciality in nutrition, the other can be the or the cardiologist,

or the cardiologist, a lot of a lot of the communication between two or three medical to see, so much people do you

what's in the podcast, or what's in the radio, it would be a my dream, right? talking and when you're

in a system in a system there's a system there's communication between you? I mean, I'm a 100%

I'm a partidary or the surgery or of the medicine multidisciplinary that's what before.

I was used that a only medical so was to do that the result not so

not so the medicine should be multidis and start in contact with

your internista if the patient needs a neurolog the

that he the urologo, the urologo. The gynecologist. And now with the WhatsApp and with the telephones,

even this will be sonar known to all my colleagues, we're doing chats of a patient. That's, so good to be

that. So, so do you. The chinecologist, the syrujano and all, because then you're doing

the jibai-try, no? Exactly. Well, I opinion to go to the gynecologist, with the urolog, and then

he said, and you know, you know, you know, you know, you know, in the Measurable in

you're going to directly. And there's a chat of a patient, especially cases complex, and he's got the ematologist,

the nephrolog, the nephrolog, the nephrology, the nephorog, the keynico uro, the, that has entered. And then

you're talking, and finally you're debating the case, and the results are incredibly more. And also

participate the patient or the patient, or the patient, there, no, because the patient not, because the

patient not should be in this type of debates. But the conclusions? The conclusions, yes, and

always if you're going to let's talk about all the information not is just all right, no, so it's remand all all right.

So the information that's the word of the infectologist, is the same I'm going to do it. That's the how it's always

that's always. That's very interesting because one of the conflicts that the patients we have, are opinions

encountered of professionals of the health. And it's there's different forms of to think. I mean,

the The adjuno intermitent. There are medics that you never never have done ever have done an end up and there's

the program that has been said, the adjune intermittent is the maximum. To you know, to do you where you need to

you need to be able to and say, at the final of the day to be your decision, but you need

to listen and that can have that communication, so in the case of a little in the

situation, that's a situation important. Yes, totally. And if you are well,

and if you you're you're a real with your medical and you a second opinion, you could be

a second opinion, or a third you can't and a third you're doing. I think if you're going a,

medical, well credentialized, that has good practices and you do a confidence with him you get a

question. Oh, if there's a second opinion, but to give a second of opinions always you can

confunding. Also, you can be very clear in that you can't find out of the case. At the end of

your job, with your doctor, with your medical, it's a relation of confidence. And you have to

do you know, the same than the penalists, yeah. I mean, you know, a man,

you're talking to you can't no, no, you're going to talk about, because more we're not going to talk about.

Or the condo, don't, we know, we're going to produce this, no, we're going to be done.

And the to you already you know, exactly. Oh, you, doctor, in where

we can we can't find out for, for if we have a curiosity, to learn more,

this, consults with you, you do specializes in surgeries, not you

do the surgeries, nobody does it I do do you do this I'm

like a arm abdominal. So, so what to me to do you

to talk. Just, I go much certainias, much surgery gastus

there, there some there are other that I operate or

pancre proximal. But, well, there are many sub-specialities. In

matter I'm basically do do the hospital where I'm a robot and as the security,

and as I do it's to do it, I know, more than with the patients they're much

better. I'm in the Angeles Pedregal. A right, I'm my

social, you're a Instagrammer? Or this? No, no, no, does it.

Custer a little of a question. I, I'm, I'm, I'm

my Instagram. I'm much publications of the... But where you can get to be talking to

get to be the hospital to get to the hospital to get to the doctor Javier Alberto Curie.

And they're they're in direct to you're in internet and so we get it's the consultorio

2084 of the Torre specialities okay perfect let us let us let us in the

notes of the podcast in YouTube in all the platforms and there I have there you have a page

internet and there's a page internet which is the page which is DR.

Javier Curi.com dot Javier curi.com. And obviously can go to hospitalangeles.com. And that's the page, not of one of the hospitals, but Angeles Health System, and there can't find where they're located. And, well, you do you, or you see there the page, and there you

can't find a, to those specialists or a who you need. Well, much thanks, doctor. It was a very interesting. It's just me They've given of operas I'm. I'm

I'm going to get a minute, to have to get to be in a year? At the time? At the

I'm at the eight, you can't play a doctor, oh yeah. I like, if you're when to

how time I can't go to I'm going to I'm playing paddle, paddle golf, all what

they're between four and five seven seven seven. But then then you're five

seven months you do you do something to do you do you And how time for to recover me in the hospital? I'm here in a consult.

Normally, they're going to, normally, they're going to the day or the next. Depending on the how you're doing the

patient, no. And to work, not the paddle, but to be able to do you. I don't know, I'm going to be no.

No, no, I'm just to be there's, there's, there's, there's, no, no, those that need,

we need, to work. No, I'm to work. To be, to work, to work, to be,

to be, a week, a week, And I'm going to go to be a case. And so, you're going to be a great. Without, without any, without any,

without any, and I'm going to put to take a coffeecice, wine, coffee, tacos, of canasta, what you want to

you want to be a reflugo, because I'm it's going to be so, salcita, the yucateca, how's name

of a banerer, to all. The yvannero, you're going to go to go to the tachos to cochinita. No,

how cochineta, like, but the salcita salchita, soya, but the sauceita of soy, That's, doctor.

Oh, my new partner of Padil, here I'm going to know. Prongomint, thanks for having been been to have been to us. A brother to be able to a lot of people.

Thank you. I mean, I'm going to make you, and Reginald in all the social. If you did this episode,

the podcast, recommend it. How? Then it's, like to the video, subscribing to the channel, giving us a

great news. And the most important that you can't do you can't do the league and put it in stories of

Instagram. Etiquet us here to be here we've been my mom. Yeah, you serve this information,

recommend it in your WhatsApp for that more and more people, more and more people I think this was information very valiant that all us that all of us that's good.

In Instagram, I'm like Javikuri for if you want to for you. To get you. For you, I'm like to get it.

I'm going to give to the information. Javikuri. Prximately in the cancha of Paddle. Okay. Thanks.

Cueens of much and we'll see in contact. Prostomano. We'll hear us and we'll answer your maximum potential.

Thank you.