The use of robotics in surgery: a review

被引:102
作者
Hussain, A. [1 ]
Malik, A. [1 ]
Halim, M. U. [1 ]
Ali, A. M. [1 ,2 ]
机构
[1] Univ Oxford, John Radcliffe Hosp, Oxford OX3 9DU, England
[2] Harvard Univ, Cambridge, MA 02138 USA
关键词
LAPAROSCOPIC RADICAL PROSTATECTOMY; POSITIVE SURGICAL MARGIN; LEARNING-CURVE; OUTCOMES; CANCER; TRIAL; HYSTERECTOMY; METAANALYSIS; MULTICENTER; TECHNOLOGY;
D O I
10.1111/ijcp.12492
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
ImportanceThere is an ever-increasing drive to improve surgical patient outcomes. Given the benefits which robotics has bestowed upon a wide range of industries, from vehicle manufacturing to space exploration, robots have been highlighted by many as essential for continued improvements in surgery. ObjectiveThe goal of this review is to outline the history of robotic surgery, and detail the key studies which have investigated its effects on surgical outcomes. Issues of cost-effectiveness and patient acceptability will also be discussed. Results and conclusionRobotic surgery has been shown to shorten hospital stays, decrease complication rates and allow surgeons to perform finer tasks, when compared to the traditional laparoscopic and open approaches. These benefits, however, must be balanced against increased intraoperative times, vast financial costs and the increased training burden associated with robotic techniques. The outcome of such a cost-benefit analysis appears to vary depending on the procedure being conducted; indeed the strongest evidence in favour of its use comes from the fields of urology and gynaecology. It is hoped that with the large-scale, randomised, prospective clinical trials underway, and an ever-expanding research base, many of the outstanding questions surrounding robotic surgery will be answered in the near future.
引用
收藏
页码:1376 / 1382
页数:7
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