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Performing all major surgical procedures robotically will prolong wait times for surgery.

Brian M Shinder1, Nicholas J Farber1, Robert E Weiss1,2

  • 1Division of Urology, Department of Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Robotic Surgery (Auckland)
|September 12, 2017
PubMed
Summary
This summary is machine-generated.

Shifting all major urologic oncology surgeries to robotic surgery (RS) could significantly increase patient wait times. A single institution

Keywords:
roboticschedulingsurgical procedures

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Area of Science:

  • Urologic Oncology
  • Surgical Technology
  • Healthcare Systems Analysis

Background:

  • Robotic surgery (RS) is increasingly adopted in urology.
  • Assessing the scheduling impact of full robotic adoption is crucial.

Purpose of the Study:

  • To evaluate the scheduling burden of performing all major urologic oncology procedures robotically.
  • To determine the potential increase in patient wait times for surgery.

Main Methods:

  • Retrospective analysis of one year of urologic oncology cases (prostatectomy, nephrectomy, cystectomy) at a single institution.
  • Hypothetical simulation of all cases performed robotically, considering surgeon-specific robotic block time.
  • Analysis of scheduling duration and completion time under the hypothetical scenario.

Main Results:

  • Performing all 317 cases robotically would require an additional 32 days.
  • This shift could significantly lengthen patient wait times for surgery.
  • Limited robotic systems create a bottleneck, exacerbating wait times with increased case volume.

Conclusions:

  • Full adoption of robotic surgery for major urologic oncology procedures presents a significant scheduling challenge.
  • The bottleneck effect of limited robotic systems necessitates careful planning to avoid increased patient wait times.
  • This issue could pose a substantial problem for healthcare systems as robotic surgery becomes more prevalent.