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  • 21/05/2025
Aujourd’hui, nous vous emmenons au cœur de la Martini Klinik à Hambourg, en compagnie du Pr Matthieu Durand, chef du service d’urologie au CHU de Nice. Cette clinique, dirigée par le Dr Detlef Loppow, spécialisée exclusivement dans le diagnostic et le traitement du cancer de la prostate, est reconnue mondialement pour le nombre de prostatectomies radicales qu’elle réalise chaque année.
Dans cette vidéo, découvrez comment l’intégration du système Caresyntax, déployé en août 2024, révolutionne la sécurité des patients, la formation chirurgicale et l’analyse des pratiques opératoires. Grâce à l’enregistrement vidéo des interventions et à l’exploitation fine des données, chaque geste chirurgical devient traçable, analysable et enseignable.
Le Pr Alexander Haese, chirurgien urologue à la Martini Klinik, nous montre comment ces enregistrements permettent :
• d’identifier les facteurs de succès ou de complications,
• de résoudre des incidents peropératoires,
• et de constituer une base précieuse pour l’apprentissage des jeunes chirurgiens.
Une plongée dans un modèle de standardisation et de collaboration interdisciplinaire qui préfigure l’avenir de la chirurgie assistée par l’intelligence artificielle.

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Transcription
00:00Bonjour, aujourd'hui nous sommes à la Martigny clinique en Embroque spécialisée dans le
00:08prostate cancer treatment. Je suis avec Prof. Mathieu Durand,
00:11Chairman de l'Urologie à Denisse Academy Hospital et nous allons vous montrer comment
00:15l'implementation du système de care syntaxe improves patient safety, outcomes et training
00:22dans le prostate cancer treatment, grâce à la vidéo, la recording et l'analyse des
00:27surgical procedures. Come on in.
00:36Hi, nice to meet you, d'être le Flop of the Martigny Clinic.
00:39Prof. Jérôme, on va me meet you later at the operating room, right?
00:42Sure, see you.
00:43So, can you introduce to us the Martigny Clinic?
00:47Martigny Clinic was founded in 2005 as a specialized clinic
00:52only for the treatment and the diagnosis of patients with prostate cancer.
00:56We have the biggest group of active surveillance patients in Germany.
01:00We are worldwide the largest centre for radical prostatectomies.
01:05Here, the CareSantac system was implemented in August 2024
01:09in order to share the clinic's expertise to other hospitals.
01:13As a specialized clinic, we are able to deliver some knowledge and some knowledge about processes
01:20and so that can reduce risks for other hospitals that do the same surgeries,
01:28but not in this large number of cases.
01:33I think we can offer a role model for standardization.
01:37All three-party work for safer treatment strategies.
01:41And this is the most important thing in our collaboration.
01:45Would you recommend the CareSantac system to other
01:48establishments as the managing director?
01:51Yes, I would.
01:52Because even in this big university hospital complex, from my point of view,
01:58it's the only project where the IT department of the University Medical Center was satisfied,
02:09the MedTech part of our company was satisfied,
02:14and the vendor, CareSantac, was also satisfied.
02:17So we have three parties working together successfully.
02:22And I think the idea and what CareSantac has already in the pipeline,
02:30these are the most important things for the future.
02:35The future might be that the system tells you,
02:38well, I would not do the cut here, you should do it elsewhere.
02:44Or have you already checked for some allergies in the patient,
02:48because you forgot to set the flag there?
02:52So you have an artificial net that helps you to reduce the normal human error level a lot.
03:07So now we're going to the operating room in order to understand how the CareSantac system actually works.
03:14From here, it only looks like a brand new, sophisticated operating room, but there is a twist.
03:26Here, thanks to the CareSantac system, from the very beginning,
03:29meaning the entry of the patient in the operating room until it goes out,
03:33data and video are recorded.
03:36Here, or even here, they are collected and sent to the patient's medical record,
03:42which includes his medical history, biology and imaging.
03:46All the operating rooms are equipped with the CareSantac system.
03:49But how does it help surgeons in their daily practice?
03:51Professor Durand had the opportunity to discuss it with Professor Ays, urologist at the Martini Clinic.
03:57So this is something you use for training or for a path review?
04:02Well, first of all, as an archive, we use it to let everybody surgeon has his procedures available.
04:10If after a certain while, if a patient turns out very good in terms of continence or votancy,
04:15we can go back and see why it is like that.
04:18Another helpful tool is, of course, when we have complications, which of course occur,
04:23then we can try to see why a specific complication has occurred.
04:26Why does it happen that the patient was bleeding afterwards?
04:30And then go back and look at the video and see if we can spot the cause for this.
04:33Or, for example, this morning we had a procedure where actually a needle was broke.
04:38The surgeon did a stitch and the needle broke in the tissue and we couldn't spot it anymore.
04:44So we actually stopped the video recording and then went back to the recorded procedure itself
04:50and put it on slow motion.
04:51And then you could actually see where the needle was,
04:53so that we found it during the procedure, which was quite a relief.
04:57And for training, of course, you can pick selected places
05:01where it went very fine to teach somebody or use very specific cases
05:06where you say this is how you handle very large prostates or whatever.
05:10It was not necessarily a prostate.
05:12And then you can create a training pathway out of this.
05:15This is how it's doing.
05:17And then, of course, as many surgeons do not have that high volume as we have,
05:23it might be that they don't see certain special cases.
05:28Okay.
05:29So this is definitely the future.
05:31I'm sure.
05:31I'm sure it's going to be like that.

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