Patel Vipul R
Department of Robotic and Minimally Invasive Urologic Surgery, The Ohio State University Medical Center, Columbus, OH 43210, USA.
Int J Med Robot. 2006 Mar;2(1):28-35. doi: 10.1002/rcs.77.
The application of robotic assisted technology has created a new era in surgery, by addressing some of the limitations of conventional open and laparoscopic surgery. To optimize success the incorporation of robotics into a surgical program must be performed with a structured approach. We discuss the key factors for building a successful robotic surgery program.
Prior to implementing a robotics program certain essential elements must be examined. One must assess the overall goals of the program, the initial applications of the technology and the time line for success. In addition a financial analysis of the potential impact of the technology must also be performed. Essential personnel should also be identified in order to form a cohesive robotic surgery team. These preparatory sets help coordinate the establishment of the program and help to prevent unrealistic expectations; while generating the best environment for success.
Once the purchase of the robotic system has been approved a robotic surgery team is created with certain essential components. This staff includes: the surgeons, nursing staff, physician assistants, resident/fellows, program coordinator, marketing and a financial analysis team. This team will work together to achieve the common goals for the program.
Robotic assisted surgery has grown tremendously over the last half decade in certain surgical fields such as urology. The success of programs has been variable and often related to the infrastructure of the program. The key factors appear to be creation of a sound financial plan, early identification of applicable specialties and a motivated surgical team.
机器人辅助技术的应用开创了手术的新纪元,解决了传统开放手术和腹腔镜手术的一些局限性。为了实现最佳效果,将机器人技术融入手术项目必须采用结构化方法。我们讨论建立成功的机器人手术项目的关键因素。
在实施机器人项目之前,必须审视某些基本要素。必须评估项目的总体目标、该技术的初始应用以及成功的时间表。此外,还必须对该技术的潜在影响进行财务分析。还应确定关键人员,以组建一个有凝聚力的机器人手术团队。这些准备工作有助于协调项目的建立,并有助于防止不切实际的期望;同时营造出最有利于成功的环境。
一旦机器人系统的采购获得批准,就会创建一个由某些关键成员组成的机器人手术团队。该团队成员包括:外科医生、护理人员、医师助理、住院医师/研究员、项目协调员、市场营销人员和财务分析团队。这个团队将共同努力实现项目的共同目标。
在过去五年中,机器人辅助手术在泌尿外科等某些外科领域取得了巨大发展。各项目的成功情况各不相同,且往往与项目的基础设施有关。关键因素似乎包括制定合理的财务计划、尽早确定适用的专业领域以及一支积极进取的手术团队。