Robotics in surgery: is a robot necessary? For what?
Autor: | Darrell Downs, John K Dolce, Alexander S. Rosemurgy, Sharona Ross, Sabrina M Saeed |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
020205 medical informatics Operative Time Context (language use) 02 engineering and technology Patient care 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Pancreaticojejunostomy 0202 electrical engineering electronic engineering information engineering Humans Medicine Robotic surgery business.industry Robotics Health Care Costs Length of Stay United States Surgery General Surgery Invasive surgery Robot Operative time 030211 gastroenterology & hepatology Artificial intelligence business Learning Curve |
Zdroj: | Minerva Surgery. 72 |
ISSN: | 2724-5438 2724-5691 |
DOI: | 10.23736/s0026-4733.16.07235-7 |
Popis: | Every operation can be categorized along a spectrum from "most invasive" to "least invasive", based on the approach(es) through which it is commonly undertaken. Operations that are considered "most invasive" are characterized by "open" approaches with a relatively high degree of morbidity, while operations that are considered "least invasive" are undertaken with minimally invasive techniques and are associated with relatively improved patient outcomes, including faster recovery times and fewer complications. Because of the potential for reduced morbidity, movement along the spectrum towards minimally invasive surgery (MIS) is associated with a host of salutary benefits and, as well, lower costs of patient care. Accordingly, the goal of all stakeholders in surgery should be to attain universal application of the most minimally invasive approaches. Yet the difficulty of performing minimally invasive operations has largely limited its widespread application in surgery, particularly in the context of complex operations (i.e., those requiring complex extirpation and/or reconstruction). Robotic surgery, however, may facilitate application of minimally invasive techniques requisite for particular operations. Enhancements in visualization and dexterity offered by robotic surgical systems allow busy surgeons to quickly gain proficiency in demanding techniques (e.g., pancreaticojejunostomy), within a short learning curve. That is not to say, however, that all operations undertaken with minimally invasive techniques require robotic technology. Herein, we attempt to define how surgeon skill, operative difficulty, patient outcomes, and cost factors determine when robotic technology should be reasonably applied to patient care in surgery. |
Databáze: | OpenAIRE |
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