Potential Contenders for the Leadership in Robotic Surgery

Farinha, Rui; Puliatti, Stefano; Mazzone, Elio; Amato, Marco; Rosiello, Giuseppe; Yadav, Siddharth; Groote, Ruben De; Piazza, Pietro; Bravi, Carlo Andrea; Koukourikis, Periklis; Rha, Koon Ho; Cacciamani, Giovanni; Micali, Salvatore; Wiklund, Peter; Rocco, Bernardo; Mottrie, Alexandre

doi:10.1089/end.2021.0321

Cited by 64 publications

(36 citation statements)

References 68 publications

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“…Some potential advantages of robotic proctectomy include nerve-sparing surgery with improved long-term functional outcomes and enhanced preparation to the pelvic floor with a shorter rectal stump and lower risk of cuffitis. As new competitors and further developed robotic platforms enter the market, acquisition, maintenance, and instrument costs will decrease [ 25 ]. Under these circumstances, the robotic platform will likely become a routine part of colorectal surgery, especially for complex operations such as proctectomy with IPAA.…”

Section: Discussionmentioning

confidence: 99%

Robotic-Assisted versus Laparoscopic Proctectomy with Ileal Pouch-Anal Anastomosis for Ulcerative Colitis: An Analysis of Clinical and Financial Outcomes from a Tertiary Referral Center

Gebhardt

Werner

Stroux

et al. 2022

JCM

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Background: Robotic-assisted colorectal surgery is gaining popularity, but limited data are available on the safety, efficacy, and cost of robotic-assisted restorative proctectomy with the construction of an ileal pouch and ileal pouch-anal anastomosis (IPAA) for ulcerative colitis (UC). Methods: A retrospective study was conducted comparing consecutively performed robotic-assisted and laparoscopic proctectomy with IPAA between 1 January 2016 and 31 September 2021. In total, 67 adult patients with medically refractory UC without proven dysplasia or carcinoma underwent surgery: 29 operated robotically and 38 laparoscopically. Results: There were no differences between both groups regarding postoperative complications within 30 days according to Clavien-Dindo classification’ grades 1–5 (51.7% vs. 42.1%, p = 0.468) and severe grades 3b–5 (17.2% vs. 10.5%, p = 0.485). Robotic-assisted surgery was associated with an increased urinary tract infection rate (n = 7, 24.1% vs. n = 1, 2.6%; p = 0.010) and longer operative time (346 ± 65 min vs. 281 ± 66 min; p < 0.0001). Surgery costs were higher when operated robotically (median EUR 10.377 [IQR EUR 4.727] vs. median EUR 6.689 [IQR EUR 3.170]; p < 0.0001), resulting in reduced total inpatient profits (median EUR 110 [IQR EUR 4.971] vs. median EUR 2.853 [IQR EUR 5.386]; p = 0.001). Conclusion: Robotic-assisted proctectomy with IPAA can be performed with comparable short-term clinical outcomes to laparoscopy but is associated with a longer duration of surgery and higher surgery costs. As experience increases, some advantages may become evident regarding operative time, postoperative recovery, and length of stay. The robotic procedure might then become cost-efficient.

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Section: Discussionmentioning

confidence: 99%

Robotic-Assisted versus Laparoscopic Proctectomy with Ileal Pouch-Anal Anastomosis for Ulcerative Colitis: An Analysis of Clinical and Financial Outcomes from a Tertiary Referral Center

Gebhardt

Werner

Stroux

et al. 2022

JCM

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“…In addition, the DaVinci surgical system almost monopolizes the market of robotic surgery [12]. Among several lately launched surgical platforms, Senhance has been proven to be able to compete with the DaVinci surgical system [13], where a typical sketch is illustrated in Fig. 1.…”

Section: Teletherapymentioning

confidence: 99%

Telemedicine in Remote Areas: Possibility of Establishing a Telemedicine System

Hu¹

2022

HSET

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The COVID-19 epidemic is a severe test for the whole medical industry. Under such a circumstance, healthcare is seeking creative business models. Contemporarily, many countries have developed telemedicine, which is an innovative way of consultation brought by digitalization to healthcare. It has developed more rapidly under the spread of COVID-19. Popularizing telemedicine is a perfect method to deal with the epidemic, which can be specified with telediagnosis, teletherapy, and telemonitoring. Since patients in remote districts also long for professional medical services, this paper intends to explore the possibility of building a medical institution to provide telemedicine for patients living in remote areas. Besides, this paper discusses the application of each function and its limitations. Though telemedicine brings more chances for the patients who have a distance to the medical institution, high quality equipment and funds are needed to support the run of telemedicine. However, the implementation of 5G can improve the performance of telemedicine, especially in the latency of telesurgery. Overall, though building a medical station that supports telemedicine is challenging, there are particular populations have demand on it. These results shed light on guiding further exploration of digital updating for medical industry.

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“…On the other hand, access to RAS has been limited by platforms availability and by concerns regarding cost‐effectiveness. Interestingly, several novel robotic platforms are emerging as innovative solutions in this field and competitors for the lead in the marketplace [1].…”

Section: Introductionmentioning

confidence: 99%