Emerging Technology Briefing Paper on the Use of Robots in Surgery (original) (raw)
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BMJ Open
ObjectivesThe effective implementation of a fast-changing healthcare delivery innovation, such as robotic-assisted surgery (RAS), into a healthcare system, can be affected (both positively and negatively) by external contextual factors. As part of a wider project investigating ways to optimise the implementation of RAS, this qualitative study aimed to uncover current issues of RAS and predictions about the future of robotic surgery. We refer to ‘current issues’ as the topical and salient challenges and opportunities related to the introduction of RAS in the UK healthcare system, from the perspectives of key stakeholders involved in the delivery and implementation of RAS.DesignSemi-structured interviews and focus groups were conducted. A thematic analysis was conducted to summarise salient issues that were articulated by the participants.Setting and participantsThe interview sample (n=35) comprised surgeons, wider theatre staff and other relevant personnel involved in the introductio...
Journal of Robotic Surgery, 2020
Limited data exist regarding knowledge and perceptions of surgeons and patients about robotic-assisted surgery (RAS) in the Middle East. This study aimed to explore perceptions of surgeons and patients about RAS. A questionnaire-based survey was distributed among surgeons of different specialties and patients. Between March and September 2019, 278 and 256 surveys were completed by surgeons and patients, respectively (95.2% and 94.8% response rate, respectively). The surgeons' self-reported experience with technology was related to the level of comfort with computers and computer literacy. Most surgeons have heard of RAS availability, and the majority agreed to its introduction into the healthcare system. However, only 75 (27%) of the surgeons thought that the surgeon has complete control over the robot, and 69 (25%) surgeons were not sure of the level of control the surgeon has over the robot reflecting poor knowledge about this technology. Less than a third of patient respondents have heard of RAS. However, half of them would consider it should they need to undergo surgery. When compared to open surgery, 23 (9%), 26 (10%), and 94 (37%) patient respondents thought that RAS caused less pain, had fewer complications, and was faster than conventional surgery, respectively. Knowledge and perceptions about RAS are limited among surgeons and patients in Kuwait. Efforts should focus on increasing awareness.
A three-pronged approach to evaluating robotic surgery
Gynecology and Pelvic Medicine
Robotic surgery has been rapidly adopted in many specialties, yet barriers remain. The current manuscript outlines a gynecologic oncology division's experience with robotic surgery and breaks down results from its robotic surgery program into three parts: (I) clinical outcomes, (II) patient-reported outcomes, and (III) hospital outcomes. Published articles, manuscripts in submission, and internal data from various studies within our division were collated. Clinical outcomes were collected from patients' electronic health records, patient-reported outcome measures [e.g., satisfaction, quality of life (QOL), pain] were summarized from questionnaires, and hospital outcomes (e.g., resource utilization, workflow, costs) were gathered from internal hospital systems. The current review focuses on all surgeries performed for gynecologic cancers (uterine, cervical, and epithelial ovarian cancer
A 5-Year Perspective over Robotic General Surgery: Indications, Risk Factors and Learning Curves
Chirurgia (Bucharest, Romania: 1990)
Introduction: Robotic surgery has opened a new era in severalspecialties but the diffusion of medical innovation is slower indigestive surgery than in urology due to considerations relatedto cost and cost-efficiency. Studies often discuss the launchingof the robotic program as well as the technical or clinical datarelated to specific procedures but there are very few articlesevaluating already existing robotic programs. The aims of thepresent study are to evaluate the results of a five-year roboticprogram and to assess the evolution of indications in a centerwith expertise in a wide range of thoracic and abdominalrobotic surgery.Material and methods: All consecutive robotic surgery casesperformed in our center since the beginning of the programand prior to the 31st of December 2012 were included in thisstudy, summing up to 734 cases throughout five years ofexperience in the field. Demographic, clinical, surgical andpostoperative variables were recorded and analyzed.Comparative param...
Chapter-29: Overview of Robotic Surgery and its Implication
Overview of Robotic Surgery and its Implication, 2021
Many advanced surgical systems are currently used to perform robotic surgery, a unique set of technologies that includes specialized "arms" for holding instruments and a camera, as well as a magnified screen and a console. When a doctor informs a client that surgery is
Robotic general surgery experience: a gradual progress from simple to more complex procedures
The International Journal of Medical Robotics and Computer Assisted Surgery, 2013
Background Robotic surgery was introduced at our institution in 2003, and we used a progressive approach advancing from simple to more complex procedures. Methods A retrospective chart review. Results Cases included totalled 129. Setup and operative times have improved over time and with experience. Conversion rates to standard laparoscopic or open techniques were 4.7% and 1.6%, respectively. Intraoperative complications (6.2%), blood loss and hospital stay were directly proportional to complexity. There were no mortalities and the postoperative complication rate (13.2%) was within accepted norms. Conclusion Our findings suggest that robot technology is presently most useful in cases tailored toward its advantages, i.e. those confined to a single space, those that require performance of complex tasks, and redo procedures.
Robotics in general surgery: A systematic cost assessment
Journal of Minimal Access Surgery, 2017
The utilisation of robotic-assisted techniques is a novelty in the field of general surgery. Our intention was to examine the up to date available literature on the cost assessment of robotic surgery of diverse operations in general surgery. PubMed and Scopus databases were searched in a systematic way to retrieve the included studies in our review. Thirty-one studies were retrieved, referring on a vast range of surgical operations. The mean cost for robotic, open and laparoscopic ranged from 2539 to 57,002, 7888 to 16,851 and 1799 to 50,408 Euros, respectively. The mean operative charges ranged from 273.74 to 13,670 Euros. More specifically, for the robotic and laparoscopic gastric fundoplication, the cost ranged from 1534 to 2257 and 657 to 763 Euros, respectively. For the robotic and laparoscopic colectomy, it ranged from 3739 to 17,080 and 3109 to 33,865 Euros, respectively. For the robotic and laparoscopic cholecystectomy, ranged from 1163.75 to 1291 and from 273.74 to 1223 Euros, respectively. The mean non-operative costs ranged from 900 to 48,796 from 8347 to 8800 and from 870 to 42,055 Euros, for robotic, open and laparoscopic technique, respectively. Conversions to laparotomy were present in 34/18,620 (0.18%) cases of laparoscopic and in 22/1488 (1.5%) cases of robotic technique. Duration of surgery robotic, open and laparoscopic ranged from 54.6 to 328.7, 129 to 234, and from 50.2 to 260 min, respectively. The present evidence reveals that robotic surgery, under specific conditions, has the potential to become cost-effective. Large number of cases, presence
Introduction: Since the rise of robotic surgery (RS) in the NHS from 2001, its adoption has spanned various specialties. Despite the prevalence of robotic surgery, studies indicate a significant knowledge gap. Our study investigates awareness, perception, and attitudes toward RS among attendees and staff at University Hospitals Coventry and Warwickshire. Method: Conducted in July 2024, this descriptive cross-sectional study involved 206 participants, excluding certain groups. A 9-question selfreported survey was distributed in English. Data were analyzed using Microsoft Excel and SPSS.
Research Square (Research Square), 2023
Introduction The introduction of robotic surgery is a major advance for this decade. The implementation of this technology determines the future of this potential progress in Tunisian hospitals. The purpose of this study was to describe the attitudes towards the implementation of robotic surgery among the surgical team in the Tunisian public health institution. Materials and methods It was a quantitative descriptive study conducted in 2023 in the Tunisian public health institution. The study sample consisted of 46 professionals from the carcinology operating theatre. We used a valid and reliable questionnaire with satisfactory psychomotor characteristics. The original English version of the questionnaire was emailed to us by the corresponding author McBride KE with authorisation the measuring instrument. The interpretation of the results was based on the "Health Technology Acceptance Model". Results More than half of our population had positive attitudes about the bene ts of robotics in patient care: (78.3%) agreed that robotic surgery will improve the quality of surgical care and that after initial training robotic surgery will reduce operating time (76.1%). (97.8%) liked learning the new skills required to use the robot. Concerns were a little high. :(65.2%) of the respondents said that they were involved in the care and handling of the robot and its surgical equipment and that they had little opportunity to take part in the surgical programme. Our study identi ed key factors for the successful implementation of robotic surgery: communication (93.5%), responsibility (91.3%), and theoretical and practical training (87%). Conclusion Robotic surgery is a technology that is transforming the eld of health, in the modernisation of health establishments.