Hospital Universitario CEMIC, Buenos Aires, Argentina.
Universidade de São Paulo, São Paulo, Brazil.
World J Urol. 2018 Apr;36(4):595-601. doi: 10.1007/s00345-018-2227-5. Epub 2018 Feb 19.
There is no information about the evolution of robotic programs in public hospitals of Latin-America.
To describe the current status and functioning of robotic programs in Latin-American public hospitals since their beginning to date.
We conducted a survey among leading urologists working at public hospitals of Latin-America who had acquired the Da Vinci laparoscopic-assisted robotic system. Questions included: date the program started, its utilization by other services, number and kind of surgeries, surgery paying system, surgery related deaths, occurrence and reasons of robotic program interruptions and its use for training purposes. Medians and 25-75 centiles (IQR) were estimated.
Since 2009, there are ten public hospitals of four Latin-American countries that acquired the Da Vinci robotic system. The median number of months robotic programs has been functioning without considering transitory interruption: 43 (IQR 35, 55). Median number of urologic and total surgeries performed: 140 (IQR 94, 168) and 336 (IQR 292, 621), respectively. The corresponding median number of urologic and total surgeries performed per month: 3 (IQR 2, 5) and 8 (IQR 5, 11). Median number of total surgeries performed per year per institution was 94 (IQR 68,123). The median proportion of urologic cases was 40% (IQR 31, 48), ranging from 24 to 66%. Five of ten institutions had their urology programs transitory or definitively closed due to the high burden costs.
Adoption and development of robotic surgery in some public hospitals of Latin-America have been hindered by high costs.
关于拉丁美洲公立医院机器人计划的演变，尚无信息。
描述自开始以来拉丁美洲公立医院机器人计划的现状和运作情况。
我们对在拉丁美洲公立医院工作的泌尿外科领先专家进行了调查，他们已经获得了达芬奇腹腔镜辅助机器人系统。问题包括：计划开始的日期、其他服务的利用率、手术数量和种类、手术支付系统、与手术相关的死亡、机器人计划中断的发生和原因以及其用于培训目的。估计了中位数和 25-75 百分位数（IQR）。
自 2009 年以来，四个拉丁美洲国家的十家公立医院获得了达芬奇机器人系统。考虑到短暂中断，机器人计划运行的中位数月数为 43（IQR 35，55）。泌尿外科和总手术中位数分别为 140（IQR 94，168）和 336（IQR 292，621）。相应的泌尿外科和总手术中位数每月分别为 3（IQR 2，5）和 8（IQR 5，11）。每个机构每年的总手术中位数为 94（IQR 68，123）。泌尿外科病例的中位数比例为 40%（IQR 31，48），范围为 24%至 66%。由于高成本，十个机构中有五个机构的泌尿科计划暂时或永久关闭。
机器人手术在拉丁美洲一些公立医院的采用和发展受到高成本的阻碍。
