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Robotic colorectal surgery in Australia: evolution over a decade.

José Tomás Larach1,2,3,4, Julie Flynn1,2,3,5, Joseph Kong1,2,3

  • 1Division of Cancer Surgery, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Melbourne, Victoria, Australia.

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|January 13, 2021
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Summary

Robotic colorectal surgery adoption in Australia has significantly increased over the past decade, primarily within the private sector. Further investment is needed to expand robotic colorectal procedures in public healthcare.

Keywords:
robotic colorectal surgeryrobotic low anterior resectionrobotic rectopexyrobotic right hemicolectomyrobotic surgery

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Robotics
  • Health Services Research

Background:

  • Robotic colorectal surgery adoption is increasing globally, but Australasian data are limited.
  • This study addresses the gap by examining robotic colorectal surgery trends in Australia over 10 years.

Purpose of the Study:

  • To analyze the adoption trends of robotic colorectal surgery in Australia from 2010 to 2019.
  • To identify specific procedures driving robotic colorectal surgery uptake.

Main Methods:

  • Utilized da Vinci robotic surgery data and Medicare Benefit Schedule data (2010-2019).
  • Employed Pearson's correlation analysis to assess statistical trends.
  • Focused on overall and specific robotic colorectal procedures.

Main Results:

  • A significant upward trend in robotic colorectal procedures was observed (Pearson's r=0.875, P=0.001).
  • 90.7% of procedures occurred in the private sector.
  • Restorative rectal resections, rectopexies, and right hemicolectomies dominated robotic procedures, showing increasing trends.

Conclusions:

  • Robotic colorectal surgery has seen dramatic growth in Australia, particularly in private facilities.
  • Increased public sector adoption necessitates cost-benefit analyses and government funding.