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[Robots set up in the operating theater].

Jacques Belghiti1, Ugo Pinar2, Morgan Roupret2

  • 1"Professeur émérite de chirurgie, université de Paris-Diderot ; ancien membre du collège de la Haute Autorité de santé et président de la Commission d'évaluation des actes et des dispositifs médicaux, Paris, France".

La Revue Du Praticien
|June 23, 2021
PubMed
Summary
This summary is machine-generated.

Robotic surgery offers improved surgical precision and surgeon comfort, driving adoption in various specialties. However, widespread institutional support is hindered by high costs and a lack of proven superiority.

Keywords:
RoboticsSurgical ProceduresTelemedicine

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Robotics
  • Medical Technology

Background:

  • The adoption of robotic systems in operating theaters has been driven by the potential patient benefits observed with minimally invasive approaches.
  • Robotic surgery offers enhanced visualization, improved instrument precision, and increased surgeon comfort, facilitating complex abdominal and thoracic procedures.

Purpose of the Study:

  • To explore the factors influencing the adoption and institutional support of robotic surgery in abdominal and thoracic procedures.
  • To examine the perceived advantages and current limitations of robotic surgical systems in clinical practice.

Main Methods:

  • Review of current literature and clinical observations regarding the implementation of robotic surgical systems.
  • Analysis of surgeon adoption trends across different surgical specialties, including urology, gynecology, thoracic, and digestive surgery.

Main Results:

  • Robotic surgery provides enhanced visualization and precision, leading to faster surgeon training and improved operating conditions.
  • Surgeons have rapidly adopted robotic techniques, particularly in urology and gynecology, expanding into thoracic and digestive procedures.
  • Significant barriers to institutional support in France include the market dominance and pricing of specific robotic systems (e.g., Intuitive).

Conclusions:

  • While robotic surgery offers notable advantages in surgical performance and surgeon experience, its widespread integration is challenged by economic factors and the need for robust scientific validation.
  • Further research is required to establish scientifically proven superiority, alongside the development of standardized surgeon training criteria and independent clinical surveys by scientific societies.