Robotic Surgery: the Impacts of Costs, Access, and Quality

Al). This includes the increase in dexterity, the restore of proper hand-eye coordination, and improvement of visualization (Meyers et al.). In Cameron Scott’s article from the Healthline News, “Is da Vinci Robotic Surgery a Revolution or a Ripoff?,” he states that robotic devices including the da Vinci surgical device succeeds well in urology and the removal of prostate. Prostate removal is extremely difficult for open surgery practice, however the da Vinci made is easier with about 90 percent of these kinds of surgeries are now done robotically (Scott). Some evidence even suggest that with robotics used in prostatectomy, there is less blood loss, faster recovery, and fewer internal scarring (Scott.). There are many other examples from hospitals and manufactures that support the uses of robotic surgery and its benefits. However, even though these new technologies of robotic devices are supposedly be helping patients and making surgeries less invasive, they are still many concerns of how they should be properly regulated.

Imagine a place where robots can not only decrease mistakes, but it can also save many lives during dangerous and high risk surgeries. I have had friends and family have these procedures done, and it was helpful and successful. Telerobotic surgeries are helpful, it prevents less to no mistakes, less deaths, and makes procedures easier.

the patient. The negative impact on utilizing humanistic robots to assist with the healthcare of

“One large national study, which compared outcomes among Medicare patients, indicated that surgery with a robot might lead to fewer

Since the inception of robotic surgery, there has been a rapid breakthrough in the development of this technology. The initial advantage that motivated bio-engineers to pursue this technology in the first place was its highly sought after precision and accuracy, especially when paired with a non-invasive system. It was not until 2000 that any real breakthrough occurred in this field, and this innovation is accredited to the Da Vinci Surgery System. [1] There has been a rapid rise in the trend of Robot assisted surgeries, specifically in the area of hysterectomies. A rise from 0.5% to 9.5% of all Robot assisted surgeries occurred between 2007 and 2010. [2] Currently people prefer robot assisted hysterectomies to

This includes the increase in dexterity, the restore of proper hand-eye coordination, and improvement of visualization (Meyers et al.). In Cameron Scott’s article from the Healthline News, “Is da Vinci Robotic Surgery a Revolution or a Ripoff?,” he states that robotic devices including the da Vinci surgical device succeeds well in urology and the removal of prostate. Prostate removal is extremely difficult for open surgery practice, however the da Vinci made is easier with about 90 percent of these kinds of surgeries are now done robotically (Scott). Some evidence even suggest that with robotics used in prostatectomy, there is less blood loss, faster recovery, and fewer internal scarring according to reports mention in Eastham’s article (Eastham et al.). There are many other examples from hospitals and manufactures that support the uses of robotic surgery and its benefits. However, even though these new technologies of robotic devices are supposedly be helping patients and making surgeries less invasive, they are still many concerns of how they should be properly regulated.

When it comes to some operations, surgical robots may not be worth the extra time or money.

A Massachusetts doctor estimated that the average American will undergo about 5.97 surgical procedures in the operating room in their lifetime, and with the population rising, surgeons in the United States will need to perform more surgeries than ever before (Lee). Since the beginning of modern medicine, new technology has been rapidly introduced to aid surgeons. In 1985, the first robotic surgery occurred, and at the turn of the 21st century, the FDA approved the da Vinci Surgical System (Whitlock). Patients today can undergo robotic-assisted surgery from the da Vinci Surgical System, but this type of surgery remains the center of controversy. Robotic-assisted surgery (RAS) is safe, ethical, and a good option for both patients and surgeons because it uses small incisions which decrease blood loss, it can improve recovery time and reduce complications, and it can improve surgical control.

In 2001, the first case series of robot assisted laparoscopic radical prostatectomies (RALPs) using the da Vinci operating system were reported. Since then its use has grown exponentially, much more so in the US than the UK. Some argue that aggressive marketing by manufacturers, operating preference by surgeons, and high demand from patients have all led the the rapid adaptation of RALP without the same degree of evidence, in terms of high quality randomised controlled trials, as would be expected from other medical interventions. This report will outline the development of robot assisted radical prostatectomy for the surgical management of localised prostate cancer and how it’s outcomes can be compared with other surgical approaches.

This paper explores the possibilities and innovations that make up the new field of surgical robotics. While there have been several advancements in technology for inside the operating room, non-so far have been so technologically advanced and useful as the Da Vinci surgical system. The Da Vinci is the only one of its kind on the market today, as in now being seen in more hospitals and surgery centers than ever before. Most surgeons are excited to be able to learn on such a new type of system, and with time and practice, also feel that the Da Vinci is extremely beneficial to their practicing of surgical medicine, for reasons that effect both the surgeon and the patient. Patient outcomes have been gradually increasing as the ways in which the Da Vinci system continues to be used.

During my urology rotation, I was amazed at the diversity of procedures, innovations, and tools that are involved. Urologists have taken a leading role in advancing surgical technology—an opportunity anyone technically inclined like myself would take into consideration. Captivated by my first encounter with robotic surgery, I had the opportunity to operate the “Da Vinci” using practice exercises. I immediately felt comfortable using the instrument, and was excited to develop greater skills in the future. Moreover, the juxtaposition of clinical and surgical practices is a unique aspect of urology. Continuity of care is something that I did not want to abandon in the field of my choosing. The

Robotic surgery is increasingly being implemented to overcome drawbacks associated with the use of conventional techniques such as laparoscopy, especially in complex procedures. However, despite holding significant promise, robotic surgery is associated with some clear disadvantages and robust evidence base supporting robotic assistance remains lacking[1].

Technology is transforming the medical field with the design of robotic devices and multifaceted imaging. Even though these developments have made operations much less invasive, robotic systems have their own disadvantages that prevent them from replacing surgeons all together. Minimally Invasive Surgery (MIS) is a broad notion encompassing a lot of common procedures that existed prior to the introduction of robots. It refers to general procedures that keep away from long cuts by entering the body through small, usually about 1cm, entry incisions, through which surgeons use long-handled instruments to operate on tissue inside the body. Such operations are directed by viewing equipment and, therefore, do not automatically need the use of a robot. Yet, it is not incorrect to say that computer-assisted and robotic surgeries are categories that fall under minimally invasive surgery (Robotic Surgery, n.d.).

Objective: Tracking the progress of new Robotic Surgery techniques, their limitations and future scope. Background: The field of robotics has the potential to alter how we live in the 21st century. This paper explores the Surgical Robotic Systems in use, their applications during different surgeries and the future scope. Method:

The medical field has revolutionized the health and well being of society. Throughout the decades, the medical field has been through sweeping changes that leave society astonished. It seems like each year that passes by, there is a new technological advancement that modernizes the medical field. Not only do these advancements modernize medicine, but they in return aid doctors, nurses, and specialists by improving their effectiveness within the field. About ten years ago, the da Vinci Surgical System was introduced to hospitals and the medical field, in general because the FDA had finally approved the system within the United States (Dunkin). The da Vinci Surgical System, also known basically as robotic surgery, introduced the use of a