Urology Institute, University of Southern California, Los Angeles, California, USA.
Department of Urology, University of Verona, Verona, Italy.
Int J Med Robot. 2021 Aug;17(4):e2250. doi: 10.1002/rcs.2250. Epub 2021 Mar 5.
To determine web-based public interest in minimally invasive surgery (MIS) specifically for urological oncological surgical procedures and how interest in robotics and laparoscopy compares over time.
Worldwide search-engine trend analysis included electronic Google queries of MIS urologic options from January 2004 to August 2019, worldwide. Join-point regression was performed. Comparison of annual relative search volume (ARSV) and average annual percentage change (AAPC) were analysed to assess loss or gain of interest. Evaluations were made regarding 1) penetrance of interest for MIS in Urology; 2) how MIS urologic procedures compared over time; and 3) which were the top related queries to searches for urologic oncology procedures.
Increased interest was found for all of the MIS procedures evaluated. Mean ARSV for robotic approach was higher for the search term 'prostatectomy" (44.8 vs. 13.5; p < 0.001) and 'partial nephrectomy" (27.1 vs.11.5; p = 0.02). No statistical difference was found for the search terms 'cystectomy" or 'nephrectomy". The analysis of mean (∆-ARSV) of MIS procedures measured between the first and last 12 months of the study period showed an increased interest with a more pronounced ∆-ARSV for robotic procedures. The top related searches for all surgical procedures were examined showing an increasing inquisitiveness with regards of type of urological cancers, treatment options, type of surgery and prognostic outcomes.
People are increasingly searching the web for MIS urological procedures. A growing appeal for robotics is demonstrated, especially for prostatectomy and partial nephrectomy where the robotic approach is gaining traction, suggesting a shift in mind-set amongst people seeking urological healthcare information.
确定人们对微创外科（MIS）的网络关注度，特别是针对泌尿外科肿瘤手术的关注度，以及随时间推移对机器人技术和腹腔镜技术的关注度的变化。
对全球范围内 2004 年 1 月至 2019 年 8 月期间的电子谷歌查询进行了全球范围的网络搜索引擎趋势分析，采用连接点回归进行分析。评估了 1）MIS 在泌尿外科中的渗透率；2）MIS 泌尿外科手术随时间的变化情况；3）与泌尿外科肿瘤手术相关的搜索中最常见的查询。分析了年度相对搜索量（ARSV）和平均年变化百分比（AAPC）的比较，以评估兴趣的增减。
发现所有评估的 MIS 手术的关注度都有所增加。机器人方法的平均 ARSV 对于“前列腺切除术”（44.8 比 13.5；p < 0.001）和“部分肾切除术”（27.1 比 11.5；p = 0.02）的搜索词较高。对于“膀胱切除术”或“肾切除术”的搜索词没有发现统计学差异。对研究期间前 12 个月和最后 12 个月的 MIS 手术平均（∆-ARSV）进行分析，结果表明机器人手术的关注度增加，且机器人手术的 ∆-ARSV 更为明显。对所有手术的相关搜索词进行了检查，结果表明，人们对泌尿外科癌症的类型、治疗选择、手术类型和预后结果的兴趣日益增加。
人们越来越多地在网络上搜索微创泌尿外科手术。机器人技术的吸引力越来越大，特别是在前列腺切除术和部分肾切除术中，机器人技术的应用越来越广泛，这表明人们在寻求泌尿外科医疗保健信息时的观念正在发生转变。
