Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Marburg 134, Baltimore, MD 21287, USA.
Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Marburg 150, Baltimore, MD 21287, USA.
Nat Rev Urol. 2015 Jan;12(1):55-60. doi: 10.1038/nrurol.2014.339. Epub 2014 Dec 23.
Surgical robotic use has grown exponentially in spite of limited or uncertain benefits and large costs. In certain situations, adoption of robotic technology provides value to patients and society. In other cases, however, the robot provides little or no increase in surgical quality, with increased expense, and, therefore, does not add value to health care. The surgical robot is expensive to purchase, maintain and operate, and can contribute to increased consumerism in relation to surgical procedures, and increased reliance on the technology, thus driving future increases in health-care expenditure. Given the current need for budget constraints, the cost-effectiveness of specific procedures must be evaluated. The surgical robot should be used when cost-effective, but traditional open and laparoscopic techniques also need to be continually fostered.
尽管手术机器人的使用带来了巨大的成本，但它的应用仍然呈指数式增长，而且其带来的益处却有限或不确定。在某些情况下，采用机器人技术确实为患者和社会带来了价值。然而，在其他情况下，机器人对手术质量的提升作用很小甚至没有，却增加了成本，因此对医疗保健没有增值作用。手术机器人的购买、维护和运营成本都很高，可能会导致手术程序的消费主义增加，对技术的依赖增加，从而推动未来医疗保健支出的增加。鉴于当前预算限制的需求，必须评估特定程序的成本效益。在具有成本效益的情况下，应使用手术机器人，但也需要不断培养传统的开放和腹腔镜技术。
