Malfunctions of robotic system in surgery: role and responsibility of surgeon in legal point of view

Ferrarese, Alessia; Pozzi, Giada; Borghi, Felice; Marano, Alessandra; Delbon, Paola; Amato, Bruno; Santangelo, Michele; Buccelli, Claudio; Niola, Massimo; Martino, Valter; Capasso, Emanuele

doi:10.1515/med-2016-0055

Cited by 38 publications

(22 citation statements)

References 27 publications

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“…These data are coherent with the evidence that WIT up to 720 seconds do not correlate with graft function [16, 27]. Major limitations of current robotic systems are high costs and lack of haptic feedback [15, 28, 29]. However, daily use of the robot may reduce robotic costs mainly in a high-volume institute if the system is made available to multidisciplinary surgical teams [15].…”

Section: Discussionsupporting

confidence: 62%

Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review

Creta¹,

Calogero

Sagnelli

et al. 2019

BioMed Research International

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Aims. We aimed to summarize available lines of evidence about intraoperative and postoperative donor outcomes following robotic-assisted laparoscopic donor nephrectomy (RALDN) as well as outcomes of graft and recipients. Methods. A systematic review of PubMed/Medline, ISI Web of Knowledge, and Scopus databases was performed in May 2018. The following search terms were combined: nephrectomy, robotic, and living donor. We included full papers that met the following criteria: original research; English language; human studies; enrolling patients undergoing RALDN. Results. Eighteen studies involving 910 patients were included in the final analysis. Mean overall operative and warm ischemia times ranged from 139 to 306 minutes and from 1.5 to 5.8 minutes, respectively. Mean estimated blood loss varied from 30 to 146 mL and the incidence of intraoperative complications ranged from 0% to 6.7%. Conversion rate varied from 0% to 5%. The mean hospital length of stay varied from 1 to 5.8 days and incidence of early postoperative complications varied from 0% to 15.7%. No donor mortality was observed. The incidence of delayed graft function was reported in 7 cases. The one- and 10-year graft loss rates were 1% and 22%, respectively. Conclusions. Based on preliminary data, RALDN appears as a safe and effective procedure.

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Section: Discussionsupporting

confidence: 62%

Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review

Creta¹,

Calogero

Sagnelli

et al. 2019

BioMed Research International

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“…While RAS is rapidly evolving, there is no agreement on a specific learning curve, leading to disparities in the stakeholder's training frameworks [57]. Subsequently, it is uncertain what certification is required to be considered a good robotic surgeon.…”

Section: Skill and Task Transformation: The Micro Levelmentioning

confidence: 99%

Healthcare Digitalisation and the Changing Nature of Work and Society

Sætra

Fosch‐Villaronga

2021

Healthcare

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Digital technologies have profound effects on all areas of modern life, including the workplace. Certain forms of digitalisation entail simply exchanging digital files for paper, while more complex instances involve machines performing a wide variety of tasks on behalf of humans. While some are wary of the displacement of humans that occurs when, for example, robots perform tasks previously performed by humans, others argue that robots only perform the tasks that robots should have carried out in the very first place and never by humans. Understanding the impacts of digitalisation in the workplace requires an understanding of the effects of digital technology on the tasks we perform, and these effects are often not foreseeable. In this article, the changing nature of work in the health care sector is used as a case to analyse such change and its implications on three levels: the societal (macro), organisational (meso), and individual level (micro). Analysing these transformations by using a layered approach is helpful for understanding the actual magnitude of the changes that are occurring and creates the foundation for an informed regulatory and societal response. We argue that, while artificial intelligence, big data, and robotics are revolutionary technologies, most of the changes we see involve technological substitution and not infrastructural change. Even though this undermines the assumption that these new technologies constitute a fourth industrial revolution, their effects on the micro and meso level still require both political awareness and proportional regulatory responses.

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“…[14] Indication Therefore, using open, laparoscopic or robotic surgery for the realization of a specific operation should be carefully considered, in other words the indication of robotic surgery should be based on well-established criteria. [15] Before offering the patient the alternative of robotic surgery, as an issue of critical importance, robotic surgery should be at least as effective as open surgery, even if not relatively better. [7] Surgical superiority of this mechanical system in some surgical interventions as prostatectomy is indisputable, however presently clear-cut data about long-term recurrence rates of tumor surgery have not been available yet because of time constraints.…”

Section: Notification and Consentmentioning

confidence: 99%

Robotic surgery and malpractice

Usluoğulları¹,

Eyüboğlu²,

Yaycı³

2017

Turkish Journal of Urology

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Robotic surgery has undergone exponential growth since the last two decades. Employment of new technologies in surgery creates many ethical challenges concerning the advantages and disadvantages different from conventional surgery, ensuring safety of the new technology, giving permission to surgeons for using new technology, the way of informing patients before undergoing a new technology or technique, and the responsibilities of surgeons, firms and hospitals to the patients etc. In this review, robotic surgery was discussed from malpractice perspective.

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Malfunctions of robotic system in surgery: role and responsibility of surgeon in legal point of view

Cited by 38 publications

References 27 publications

Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review

Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review

Healthcare Digitalisation and the Changing Nature of Work and Society

Robotic surgery and malpractice

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