2019, Number 29
<< Back Next >>
INFODIR 2019; 15 (29)
Robotic surgery: a disruptive technology?
Torres PR
Language: Spanish
References: 40
Page: 91-106
PDF size: 393.59 Kb.
ABSTRACT
The aim of the lecture was to show to the health executive’s detailed information about the development of robotic surgery and the strategy adopted by companies to intro-duce it on the health systems. Robotic applied to surgery has been considered one of the 10 more impacting technologies during 2018. Its insertion in the discipline of sur-gery has followed a disruptive strategy, nevertheless the high cost has been the most contradictory element. This had a negative influence on the decision of the health sys-tems to purchase it and on the consensus statements done by scientific societies, who have been cautious until the robotic surgery shows the required evidences of the cost-effectiveness. Nevertheless, although 30 years have not been enough to consider the preceding surgical technologies obsolete or displace them, robotics will play an even greater role in the development of surgery. The operating rooms of the future will have integrated systems in which all of its elements will be based on information and surgi-cal robots will be only a simple component. In this framework, total integration of the conventional or laparoscopic surgery will not be possible. Conversely, the robots are indeed considered information systems completely controlled by computer.
REFERENCES
Ruiz J. Evolución histórica de la terapéutica Endoscópica. En: Ruiz J, Torres R, Fernández A, Martinez MA, Pascual H. Cirugía Endoscópica. Fundamentos y aplica-ciones. Ciudad de La Habana: Científico-Técnica; 2000. p 21-2.
Satava RM. Surgery 2001: a technologic framework for the future. Surg Endosc. 1993; 7:111-3.
Herron DM, Marohn M. A consensus document on robotic surgery. Surg Endosc. 2008;22:313-25
Jacobsen G, Elli F, Horgan S. Robotic surgery update. Surg Endosc. 2004; 18:1186-91.
Tan A, Ashrafian H, Scott AJ, Mason SE, Harling L, Athanasiou T, et al. Robotic surgery: disruptive innovation or unfulfilled promise? A systematic review and me-ta-analysis of the first 30 years. Surg Endosc. 2016; 30:430-5.
Oviedo-Barrera RJ. The Surgical Robot: Applications and Advantages in General Surgery. [e-book] [Internet]. In: Serdar Küçük, editor. Surgical Robotics. INTECH; 2018. p 39-64. [cited 2018 Nov 24]. Available from: http://dx.doi.org/10.5772/intechopen.68864
Kwoh YS, Hou J, Jonckheere EA, Hayati S. A robot with improved absolute posi-tioning accuracy for CT guided stereo-tactic brain surgery. IEEE Trans Biomed Eng. 1988;35:153-61.
Davies BL, Hibberd RD, MJ Coptcoat, Wickham JEA. A surgeon robot prostatecto-my-a laboratory evaluation. J Med Engng Technol. 1989;13:273-7.
Bann S, Khan M, Hernandez J, Munz Y, Moorthy K, Datta V, et al. Robotics in sur-gery. J Am Coll Surg. 2003;784-95.
Paul Ha, Bargar WL, Mittlestadt B, Musits B, Taylor RH, Kazanzides P. Develop-ment of a surgical robot for cementless total hip arthroplasty. Clin Orthop. 1992;285:57-66.
Unger X, Unger H, Bass R. AESOP robotic arm. Surg Endosc. 1994; 8:1131
Kavoussi LR, Moore RG, Adams JB, Partin AW. Comparison of robotic versus hu-man laparoscopic camera control. J Urol. 1995; 154:2134-46.
Ballantyne GH. Robotic surgery, telerobotic surgery, telepresence, and telementor-ing. Review of early clinics results. Surg Endosc. 2002;16:1389-1402.
Yavuz Y, Ystgaard B, Skogvolll E, Marvik R. A comparative study evaluating the performance of surgical robots AESO and Endoassist. Surg Laparosc Endosc Percut Tech. 2000; 10:163-7.
Omote K, Feussner H, Ungeheuer A, Arbter K, Wei GQ, Siewert JR, Hirzinger G. Self-guided robotic camera control for laparoscopic surgery compared with human camera control. Am J Surg. 1999;177:321-4.
Schurr MO, Buess G, Neisius B, Voges U. Robotics and telemanipulation technolo-gies for endoscopic surgery. Surg Endosc. 2000;14:375-81.
Marescaux J, Leroy J, Rubino F, Smith M, Vix M, Simone M, et al. Transcontinental robot-assisted remote telesurgery: feasibility and potential applications. Ann Surg. 2002;235:487-92.
Haidegger T and Benyó Z. Extreme Telesurgery. In: Seung Hyuk B, editor. Robot Surgery. Intech; 2010, p.25-44.
Annual Reports [Internet]. Intuitive Surgical: Annual Report 2003. [update 2002 Mar 12; cited 2018 Dec 5]. Available from: http://www.annualreports.com/HostedData/AnnualReportArchive/i/NASDAQ_ISRG_2003.pdf
Himpens J, Leman G, Cadiere GB. Telesurgical laparoscopic cholecystectomy [let-ter]. Surg Endosc. 1998;12:1091
Cadière GB, Himpens J, Vertruyen M, Bruyns J, Fourtanier G. Nissen fundoplication done by remotely controlled technique. Ann. Chir. 1999; 53(2):137-41.
Carpentier A, Louimel D, Aupacie B, Berrebi A, Reliand J. Computer-assisted cardi-ac surgery [letter]. Lancet. 1999; 353:379-80.
Tsuda S, Oleynikov D, Gould J, Azagury D, Sandler B, Hutter M, et al. Da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA). [Internet]. SAGES; 2018 [cit-ed 2018 Nov 24]. Available from: https://www.sages.org/publications/tavac/tavac-analysis-davinci-surgical-system/
SAGES. Da Vinci Xi Surgical System with Table Motion: Fourth generation robot-ic-assisted surgical platform. SAGES; 2018 [cited 2018 Nov 24]. Available from: https://www.sages.org/publications/tavac/da-vinci-xi-surgical-system-table-motion-fourth-generation-robotic-assisted-surgical-platform/
Ross S, DeReus H. Flex Robotic System and Flex Colorectal Drive [Internet]. SAGES; 2018 [cited 2018 Nov 24]. Available from: https://www.sages.org/publications/tavac/flex-robotic-system-and-flex-colorectal-drive/
Topaz A, Milone L. Senhance surgical robotic system. [Internet]. SAGES; 2018 [cited 2018 Nov 24]. Available from: https://www.sages.org/publications/tavac/senhance-surgical-robotic-system/
Bower JL, Christensen CM. Disruptive Technologies: Catching the wave. Harvard Business Review 1995.
Loza Matovelle D, Dabirian R. Introducción a la Tecnología Disruptiva y su Imple-mentación en Equipos Científicos. Rev Politécnica. 2015;36(3).
Computing. Las 10 tecnologías que protagonizarán 2018 [Internet]. Computing; 2018 [cited 2018 Nov 24]. Available from: http://www.computing.es/analytics/informes/1103388046201/10-tecnologias-protagonizaran-2018.1.html
Intuitive Surgical Annual Reports (2007-2017) [Internet]. AnnualReports.com; 2019 [Update 2018 Feb 2; cited 2019 Jan 15]. Available from: http://www.annualreports.com/Company/intuitive-surgical-inc
Barbash GI, Glied SA. New Technology and Health Care Costs - The Case of Robot-Assisted Surgery. N Engl J Med. 2010;363(8):701-4.
Schaaf T. In MedTech History - Surgical Robotics: Part 1 [Internet]. MedTech Strategist; 2018 [Update 2018 Jun 12; cited 2019 Jan 15]. Available from: https://www.medtechstrategist.com/mts-blog/medtech-history-robotics-1
Schaaf T. In MedTech History - Surgical Robotics: Part 2. [Internet]. MedTech Strategist; 2018 [Update 2018 Jun 12; cited 2019 Jan 15]. Available from: https://www.medtechstrategist.com/mts-blog/medtech-history-robotics-2
Roh KS, Yoon S, Do Kwon Y, Shim Y, Kim YJ. Single-Port Surgical Robot System with Flexible Surgical Instruments. In: Liu H, Kubota N, Zhu X, Dillmann R, Zhou D, editors. Intelligent Robotics and Applications. ICIRA 2015. Lecture Notes in Computer Science, vol 9245. Springer, Cham.
Chang KD, Abdel Raheem A, Choi YD, Chung BH, Rha KH. Retzius-sparing Robot-assisted Radical Prostatectomy using Revo-i robotic surgical system: Surgical Technique and Results of the First Human Trial. BJU Int. 2018;122(3):441-8.
Arata J, Kozuka H, Kim HW, Takesue N, Vladimirov B, Sakaguchi M, Tokuda J, Hata N, Chinzei K, Fujimoto H. Open core control software for surgical robots. Int J CARS. 2010;5:211-220
Yi1 B, Wang G, Li J, Jiang J, Son Z, Su H, Zhu S. The first clinical use of domesti-cally produced Chinese minimally invasive surgical robot system “Micro Hand S”. Surg Endosc. 2016;30:2649-55.
China Medical Robotics Industry Report, 2016-2020 [Internet]. Research and Mar-kets; 2019 [Update 2016 Oct 1; cited 2019 Jan 10]. Available from: https://www.researchandmarkets.com/research/kv78vq/china_medical
Szold A, Bergamaschi R, Broeders I, Dankelman J, Forgione A, Lango T, et al. Eu-ropean Association of Endoscopic Surgeons (EAES) consensus statement on the use of robotics in general surgery. Surg Endosc. 2015;29:253-88.
Talamini MA. SAGES Assessment on the Da Vinci Surgical System. Surg Endosc. 2016;30:803-4.