 تطرع بروح اللي بasure شكرا لكم الامترنت لأسطار الهندر أعلمج يجب أن أعرف برعايا في المجلسة المنصة ومقالها الموجودة لدفعية القطربوتكسازن إنه هو الولا رباطيك السعجية للفتح أنه يكون لديه ربيع القطربوتكسازن وكاننا بأناسيتي وكاننا أناسيتي لأننا ونحن نقوم بخصوص الثلاثة خصوص الثلاثة خصوص الثلاثة ومع ذلك نعتقد أنه لماذا لأننا بدأنا بشكل ربوطي كارديك لماذا لدينا بشكل ربوطي كارديك للجنة لذلك لن نتحدث بشكل كارديك لذلك كانت مجددا أفضل لأننا لدينا مجرد مجرد مجرد مجرد لذا هذا هو كيف بدأنا بشكل ربوطي كارديك للجنة وكيف يجب أن نجد إرسال من المجرد إرسال؟ They were impressed the set up here the center self the technology involved in the center They were impressed about the training Although it's the first training but I think it was organized in that way so people were very happy with it هل تأكد من المتحدة عن تأكد من المتحدة بين هنسي وكورسي؟ أعتقد أن التأكد من المتحدة يذهب إلى أصبحت 1.5 سنوات أو أكثر من هذا أنا لم أعمل في هذا أخييييييييييييييييييييييييييييييييييييييييي أعتقد أن الأساسين بطريقة صورة وإن pathways يتجموا بكم أثناء الانتصاب خطر فبي Defense Test ات beef فتسألنا المساعدة على الأفكار والذكالي وما كانت تبدأ فتبدأ في نهاية أعضة تكلمة فبالتسألنا الكامل يتكمل بالطبع ولكن التحدي was joint training for the personnel or the surgeons not only surgeons but the teams which were involved and the operation of robotic surgery فتحاولة تحاولة تالية حيث هذا المكان here خطة الربوطيس ايسا جيدة لتحاولة الناس فهذا فأنا نعم أن بالنسبة لتفاعلة المنصحة،، انا نعم أن نعمل بشكل بطريقة الربوطيس ايسا اعتقد أن هذا أفضل من خلال التحاولة لأنا لا يمكننا التحاولة ويشهد سعيداً على المساعدة ويشهد أسراجة ربوتية وليس يستطيع أن نبدأ لا يمكن أن نساعد ويساعد بشكل مهم من المحتوى يتطورهم ويكون أسراجين للتخلق للسراجة للسراجة لذا نحن نعرف الكبطية لتطور ومن المدينة التي تبدأ؟ ومن المدينة المتوجة؟ فرشانا كما قلت انا بسجاة ربوتك هذا هو ما قد تفهم بحقوق اشتراك في العالم ومن المدينة المتوجة هو لديك بسجاة ربوتك في مكان أمام مختلفة ونستطيع استخدامه ما يعني هو لا يمكنك بسجاة ربوتك لأنه مستخدم في الان لا تستطيع أن تكون لديها فقط لحد مجرد مجرد مجرد لا تستطيع أن تكون لديها فقط للمجرد مجرد نعم يمكن but the running course is very expensive then you need to have it where you have a general hospital in a place where different specialties could use it وحمد hospital of course started with the urology we as cardinal surgeons are using it general surgeons are using it we created this multidisciplinary program where everybody could use the machine I don't know if I answered your question can I ask you about the future plans as well yeah well it started as this the future plan is to develop the program to maintain the experience and even progress on that in fact yes we need to well any procedure in fact goes through a learning curve and I think we did not pass that learning curve we need to still maintain and do more cases so we pass the learning curve so we become more experienced and doing those procedures I'm more comfortable doing the procedures and in the meantime I think we should also develop a program whereby we train people so that's the aim or the vision of the program the program started and I think it's going to stay and progress so what do you think is the status of robotic surgeon in Qatar are you expecting it to increase in terms of the number of cases to be here in the future or what do you think definitely that's what in fact we felt through the probably one or one and a half years when robotic surgery started started in small number of cases at least in cardiac surgery we did 12 cases in one year from March 2009 to March 2010 we did 12 cases which is a good number in fact considering the small number of cases in general so it's a good number and even neurology and the other specialty I think we're getting more and more cases and I think we'll get more cases even although we don't have the robotic machine in the heart hospital the new heart hospital but maybe in the future we'll acquire or buy a machine and then we'll be able to do more cases because we'll have more operating time and more space to do those cases because at present the heart hospital is very busy in fact a long waiting list so that may be a limiting factor of doing more cases also so hopefully in the future when we have the new hospital open we'll have more operating time in the heart hospital and the other hospitals also so can you elaborate on the learning curve since robotic surgery is generally a new technology so how do you see the learning curve currently in Qatar nobody knows how many cases you need to do to let's say overcome the learning curve at the end you need to have cases you need to do cases more consistently on a regular basis it's not only the surgeon it's the whole team in fact robotic surgery it's not only a single-handed experience it's not the surgeon it's the assistant surgeon the nurses, the technical support the whole group in fact need to come together to mutual understanding to work together and that also probably adds to the learning curve but I think we're going through that process at least in cardiac surgery I don't think we passed that stage but we're still learning we need to do more cases that does not mean that jeopardizes the patient's safety but we carefully take care of this part in fact I mean it should not harm patients that's why we get people from outside to help us out with I mean surgeons, experienced surgeons from outside to help us out with the robotic surgery whether it's in cardiac surgery urology we get visitors, we have visitors now here with us from Belgium who's helping us out and he did in fact before and we're continuing our cooperation with him he's very helpful and I think we learned a lot from him that's how it works out you need people, experienced people to help you out so you don't jeopardize patient's safety some patients are a bit resistant when it comes to robotic surgeries what message would you tell them and why do you think they are resistant in the first place well sometimes well any new you could find any new ideas new program I would not say resistant people because the term is a little harsh you need to convince people that this works and robotic surgery the use of robotic system and surgery is relatively new so you need to convince the surgeons, patients and even the outsiders that this is useful because it implies that you change the procedure to a new type of procedure people who are used to let's say the conventional one they always argue about the outcome of the new procedure because that's already people, let's talk about cardiac surgery the conventional cardiac bypass surgery as well established in practice now for over probably 45 or 50 years so we have good results and so on so when you change to a new procedure you need to convince people that this is as good as the conventional one so it's not difficult but you need to produce good results to convince people and it's already getting better in fact we have good results with cardiac surgery and not only this and other specialties also that's why people are indulging into this program more and more the other difficulty is the cost of course especially people concerned with finance and so on why should we do this if we could do the conventional one conventional procedure with less cost that's also another area of difficulty so I guess these are some of the difficulties which probably make people think twice before getting involved in those procedures so my final question based on your experience in Qatar how did the cardiologists receive the robotic technology when they first encountered it that it can be a replacement for human surgeons or were they receptive of the technology well let's start from the end it's not a replacement to human surgery although we have the robotic surgery but it's run completely by surgeon so you need an experienced surgeon to run the machine these are only what's called master and slave system the master is the surgeon and the slave is the robotic system and does not do it at least for now does not do the procedure that's one thing the reception of the cardiologists or cardiac surgeons in fact we have a good environment here that is one department cardiology and cardiac surgery and the chairman of the department for you all know is very supportive of introducing new technologies new procedures so we have all the support from our colleagues cardiologists from the head of the department from the hospital the reception of the cardiologists of course I mean well does not take away patients from them and that's one thing we we should realize at the end is the benefit of the patient which matters in fact we have a healthy environment where we discuss all the cases well not all the cases but some of the cases which need discussion in fact we get three referral from cardiologists saying that this patient although he has a single let's say vessel which is disease but he's better off with robotic procedure although this in other places probably technically it's doable but in the long run they feel and the team which meets and discuss the case feel that this procedure is better than just this tenting and vice versa in fact we get sometimes cases referred to us for surgery and then we rediscuss the case refer them back for tenting so we have a healthy atmosphere where we interact with each other openly and without how should I put it without ego it's not that this is my patient I should do it and this is your patient we we interact and discuss cases before we decide what's the best procedure and that type of patient thank you so much for this interview