CAVA Robotics International, LLC, Northampton, Massachusetts, USA.
Int J Med Robot. 2020 Jun;16(3):e2098. doi: 10.1002/rcs.2098. Epub 2020 Mar 17.
Robotic surgery is seen by many hospital administrators and surgeons as slower and more expensive than laparoscopic surgery despite the implementation of commonly held robotic best practices. Multiple factors, including surgeon learning curves and program governance, are often overlooked, precluding optimal robotic program performance.
An assessment of several leading robotic surgery publications is presented followed by real-world case studies from two US hospitals: an existing robotic program in a mid-sized, regional hospital system and a small, rural hospital that launched a new program.
Improvements in robotic surgery costs/program efficiency were seen at the hospital system vs baseline at 18 months post-implementation; and high-performance robotic efficiency and cost benchmarks were matched or surpassed at the rural hospital at 1 year post-launch.
When best practices are utilized in robotic programs, surgical case times, costs, and efficiency performance metrics equaling or exceeding laparoscopy can be achieved.
尽管实施了普遍认可的机器人最佳实践，但许多医院管理者和外科医生认为机器人手术比腹腔镜手术更慢且更昂贵。包括外科医生学习曲线和项目治理在内的多个因素经常被忽视，从而妨碍了最佳机器人项目的表现。
对几个领先的机器人手术出版物进行评估，然后介绍来自美国两家医院的实际案例研究：一家中型地区医院系统中的现有机器人项目和一家开设新计划的小型农村医院。
在实施后 18 个月，医院系统的机器人手术成本/项目效率得到了提高，与基线相比；在推出后 1 年，农村医院达到或超过了高效机器人的成本基准。
当机器人项目中采用最佳实践时，可以实现等同于或超过腹腔镜手术的手术时间、成本和效率绩效指标。
