Digital Revolution in the World of Medicine: Udayana University Hospital, Dr Cipto Mangunkusumo Hospital, and Ngoerah Hospital Perform Telerobotic Surgery in the Field of Urology

Badung, 5 September 2024 – Udayana University Hospital (Unud Hospital), in collaboration with Ngoerah Hospital and Dr Cipto Mangunkusumo Hospital, recorded new history in the Indonesian medical world by carrying out telerobotic surgery in the field of urology. This innovation marks a digital revolution in the field of medicine, where operations are carried out by doctors and patients in different locations, utilizing advanced robotic technology. The patient is at Ngoerah Hospital and the urologist is at Udayana University Hospital, where the two hospitals are 18 km apart.

This activity was attended by Rector Udayana University Prof. Ir. Ngakan Putu Gede Suardana,MT, Ph.D., IPU.,ASEAN Eng, Vice Rector IV Udayana University Prof. Dr. Dr. I Putu Gede Adiatmika, M.Kes, Dean of the Faculty of Medicine, Udayana University Prof. Dr. Dr. Komang Januartha Putra Pinatih, M. Kes, Main Director of Udayana University Hospital Prof. Dr. Dr. Dewa Putu Gde Purwa Samatra, Sp.S(K), and the team of doctors who will carry out telerobotic surgery at UNUD Hospital: Prof. Dr. Agus Rizal Ardy Hariandy Hamid, SpU(K), PhD, FICRS (Professor of Urology RSCM/FKUI), as well as consultant urologist at Unud Hospital ⁠dr. Pande Made Wisnu Tirtayasa, SpU(K), PhD and Dr. Dr. Ida Bagus Putra Pramana, SpU. This telerobotic surgery activity is a medical and telemedicine innovation that expands access and increases the effectiveness of health care through the latest technology. 

Robotic surgery is a digital revolution in the world of medicine and one of the greatest innovations in the medical field, combining advanced technology with surgeon expertise to increase precision, safety and comfort in surgical procedures. In this operation, a surgeon controls the robot via a computer console, allowing them to perform very fine and precise movements that are difficult to achieve with the human hand.

Telerobotic surgery, a remote surgical method using robotic technology and wireless networks, will allow surgeons to perform operations on patients remotely and in real-time, including for urology cases, digestive surgery, and others. In this way, this technology will overcome several problems, especially geographical constraints, so that in the future health services can be provided evenly to places far away or where access is difficult. However, before that can be realized, of course there needs to be great trust from the public in the benefits and success of telerobotic surgery, so there needs to be continuous education.

Health problems such as kidney disease, prostate and bladder disorders are some types of urological diseases. This disease can attack anyone, regardless of the age and gender of the sufferer. According to data from the Ministry of Health (Kemenkes), cases of urological diseases such as kidney failure and urinary tract stones are increasing every year. According to 2020 National Basic Health Research (Riskesdas) data, the prevalence of kidney failure in Indonesia was recorded at 3.8 percent or around 739,208 people. Based on this data, urological diseases really need attention and in their treatment we must continue to follow technological developments. It is hoped that this telerobotic technology can be a solution to urological health problems.

Udayana University has a Faculty of Medicine and a hospital whose existence is to produce doctors who are competent in their fields. Udayana University will of course really support technological developments in the health sector. This telerobotic surgery activity is a series of activities at the Urological Association of Asia (UAA) Congress. Udayana University really supports this activity so that it can become a forum for the exchange of knowledge and innovation by urology experts throughout the world.

The Faculty of Medicine, Udayana University, as a producer of general practitioners and specialist doctors, is committed to continuing to follow technological developments so that it is able to produce innovative doctors who integrate clinical knowledge and the latest technology to improve the level of public health. It is hoped that this innovation will be able to open a new era in the world of medicine, while strengthening efforts to improve the quality of education and health services, as well as responding to modern medical challenges in Indonesia.

Udayana University Hospital is a state university hospital owned by Udayana University under the auspices of the Ministry of Education and Culture. Unud Hospital was founded with the aim of being a vehicle for general practitioner education, of course Unud Hospital is very open to technological developments occurring in the world of medicine, including telerobotic surgery. In accordance with the motto of Unud Hospital, namely to heal, to teach, to discover, through this technological development, Unud Hospital is committed to providing the best service for patients by presenting the latest technology such as telerobotic surgery procedures. Unud Hospital as RSPTN is ready to collaborate with other hospitals in terms of patient care, knowledge exchange and technology development in the health sector.

In this case, the patient is a man suffering from prostate cancer who is currently in the operating room at Ngoerah Hospital. The patient will undergo a robotic radical prostatectomy operation which will be carried out by a team of doctors at Udayana University Hospital. The team of Urology doctors who will carry out the work is led by Prof. Rizal, a urology specialist, consultant oncologist who is also a professor at RSCM/FKUI, while the other team of doctors came from Unud Hospital and Ngoerah Hospital. The following is a list of names of doctors who will be on duty: 

Surgeon console (controlling the robot) at UNUD Hospital:

  1. Prof. dr. Agus Rizal Ardy Hariandy Hamid, SpU(K), PhD, FICRS
  2. ⁠dr. Pande Made Wisnu Tirtayasa, SpU(K), PhD
  3. Dr. dr. Ida Bagus Putra Pramana, SpU
  4. Dr. dr. Kurnia Penta Seputra, SpU(K)
  5. Dr. dr. Ahmad Zulfan Hendri, SpU(K)

Patient chart (supervising patients) at Ngoerah Hospital:

  1. dr. I Wayan Yudiana, SpU(K)
  2. dr. Fakhri Rahman Taher, SpU(K)
  3. ⁠dr. Edi Wibowo, SpU
  4. ⁠Dr. dr. Kadek Budi Santosa, SpU(K)
  5. dr. Nyoman Gede Prayudi, SpU 6. ⁠dr. Ario Baskoro, BMed Sc

RSCM Team:

  1. Prof. dr. Ponco Birowo, SpU(K), PhD
  2. Prof. dr. Chaidir Arif Mochtar, SpU(K), PhD
  3. ⁠⁠Prof. Dr. dr. Gede Wirya Kusuma Duarsa, MKes, MARS, SpU(K)
  4. Dr. dr. Ferry Safriadi, SpU(K)