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During Surgery

From the first time Dr. Mohammed held a laparoscope after thousands of open operations, to robotic surgery at Qasr El-Aini — the father-son view of how surgical technology evolves while the fundamentals stay the same.

Dr. M
Dr. Mohammed
Father — 8,800+ operations
I remember the day I first held a laparoscope after doing thousands of open operations. My hands — hands that had navigated the human body through wide incisions for decades — had to relearn everything through a screen. It was humbling. It was also the most exciting day of my career. Because I could see things I'd never seen before, magnified twenty times on a high-definition monitor.
Dr. K
Dr. Khaled
Son — Harvard, Arab Board
Today we operate through 5-millimeter ports — holes smaller than a pencil. The camera gives us 4K resolution inside the body, structures magnified twenty times. I can see blood vessels my father's generation could only feel with their fingertips. Error chances decreased dramatically. But here's the thing: the camera shows what's there. It doesn't tell you what to do about it. That still requires a surgeon's judgment.
Dr. M
Dr. Mohammed
Father — 8,800+ operations
Then came robotic surgery. Imagine this: the surgeon sits at a console — it looks like a PlayStation setup, honestly — with two joystick controllers and a 3D screen. The robot's arms are on the patient across the room, with an assistant standing by. The surgeon moves the joysticks, the robot translates that into precise movements inside the body. Wristed instruments that can rotate 360 degrees — something no human wrist can do.
Dr. K
Dr. Khaled
Son — Harvard, Arab Board
And this isn't science fiction for Egypt anymore. Dr. Mahmoud Abdel-Hakim at Qasr El-Aini — Cairo University Hospital — performs robotic prostate surgery. Three-dimensional resection of prostate cancer with the da Vinci system. In an Egyptian public university hospital. The credit goes to the institutions that invested in this and the surgeons who trained for it.
Dr. M
Dr. Mohammed
Father — 8,800+ operations
It goes further than that. Certain militaries already use remote robotic surgery — the surgeon is in one country, the patient is in a war zone in another. Tested hundreds of thousands of times. A surgeon in London could theoretically operate on a patient in Namibia. The barrier isn't the technology anymore. It's the internet. One disconnection mid-operation and you have a catastrophe.
Dr. K
Dr. Khaled
Son — Harvard, Arab Board
When I asked my father once: if you could choose between an AI-powered robot and a human surgeon for your own operation, what would you pick? He said the human. I agree — for now. But AI is already diagnosing diseases at 93 percent accuracy in Chinese hospitals. It asks the patient questions, processes the answers, and produces a diagnosis. That's not operating, but it's the first step. We're maybe 10 to 15 years from the real question.
Dr. M
Dr. Mohammed
Father — 8,800+ operations
I wear beige pants and a white shirt while everyone around me drives electric cars. I'm a traditional man. But I'll tell you this: my father's generation of surgeons relied purely on their hands and their instincts. My generation added cameras and magnification. Khaled's generation will add robots and intelligence. The hands change. The instinct to protect the patient doesn't.
Key Takeaway

Technology transformed surgery from wide-open incisions to 5mm cameras to robotic arms. But the camera doesn't make decisions — surgeons do. Egypt already has robotic surgery at its university hospitals. The future will add AI. What won't change is the human judgment that knows when to cut and when to stop.

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