Department of Urology, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain.
International Doctorate School, Rey Juan Carlos University, 28933, Madrid, Spain.
J Robot Surg. 2023 Dec;17(6):2869-2874. doi: 10.1007/s11701-023-01726-4. Epub 2023 Oct 7.
Robotic-assisted surgery has become widely adopted for its ability to expand the indications for minimally invasive procedures. This technology aims to improve precision, accuracy, and outcomes while reducing complications, blood loss, and recovery time. Successful implementation of a robotic surgery program requires careful initial design and a focus on maintenance and expansion to maximize its benefits. This article presents a comprehensive study conducted at a University Hospital on the robotic surgery program from December 2012 to December 2022. Data from hospital databases, including patient demographics, surgical department, surgical time, operating room occupancy, and primary diagnosis, were analyzed. The analysis covered various time periods (surgical sessions, weeks, months, and years) to assess the program's evolution over time. Over the 10-year period, a total of 1847 robotic-assisted interventions were performed across five surgical services. Urology accounted for 57% of the cases, general surgery 17%, gynecology 16%, otorhinolaryngology 6%, and thoracic surgery 4%. The most frequently performed procedures included robotic prostatectomies (643 cases), hysterectomies (261 cases), and colposacropexies (210 cases). The weekly volume of interventions showed a notable increase, rising from 2 cases per week in 2013-2014 cases in 2022. Moreover, the average surgical duration per intervention exhibited a progressive decrease from 275 min in 2013 to 184 min in 2022. This study highlights the potential of a well-managed robotic surgery program as a viable alternative to conventional surgical approaches. Effective coordination and resource utilization contribute to the program's efficiency. The findings underscore the successful integration of robotic-assisted surgery in diverse surgical specialties.
机器人辅助手术因其能够扩大微创手术的适应证而被广泛采用。这项技术旨在提高精度、准确性和结果，同时减少并发症、失血量和恢复时间。成功实施机器人手术计划需要仔细的初步设计，并注重维护和扩展，以最大限度地发挥其效益。本文介绍了一所大学医院对 2012 年 12 月至 2022 年 12 月期间机器人手术计划的一项综合研究。医院数据库中的数据，包括患者人口统计学、手术科室、手术时间、手术室占用时间和主要诊断，进行了分析。分析涵盖了不同的时间段（手术期、周、月和年），以评估该计划随时间的演变。在 10 年期间，五个外科部门共进行了 1847 例机器人辅助干预。泌尿科占 57%，普外科占 17%，妇科占 16%，耳鼻喉科占 6%，胸外科占 4%。最常进行的手术包括机器人前列腺切除术（643 例）、子宫切除术（261 例）和阴道骶骨固定术（210 例）。每周干预的数量显著增加，从 2013-2014 年的每周 2 例增加到 2022 年的每周 20 例。此外，每次干预的平均手术时间从 2013 年的 275 分钟逐渐减少到 2022 年的 184 分钟。本研究强调了管理良好的机器人手术计划作为传统手术方法的可行替代方案的潜力。有效的协调和资源利用有助于提高计划的效率。研究结果突显了机器人辅助手术在不同外科专业中的成功整合。
