耳鼻咽喉科亚专业对经口机器人手术认知的影响：一项国际YO-IFOS调查
Influence of Otolaryngological Subspecialties on Perception of Transoral Robotic Surgery: An International YO-IFOS Survey.
作者信息
Maniaci Antonino, Chiesa Estomba Carlos, Fakhry Nicolas, Vaira Luigi Angelo, Remacle Marc, Cammaroto Giovanni, Barillari Maria Rosaria, Iannella Giannicola, Mayo-Yanez Miguel, Saibene Alberto Maria, Baudouin Robin, Maza-Solano Juan, Mendelsohn Abie H, Holsinger Floyd Christopher, Ceccon Fabio P, Haddad Leonardo, Hans Stephane, La Mantia Ignazio, Cocuzza Salvatore, Gulinello Federica, Ayad Tareck, Lechien Jerome R
机构信息
Robotics Study Group of Young Otolaryngologists, International Federation of Oto-Rhino-Laryngological Societies, 75000 Paris, France.
Faculty of Medicine and Surgery, University of Enna "Kore", 94100 Enna, Italy.
出版信息
J Pers Med. 2023 Dec 15;13(12):1717. doi: 10.3390/jpm13121717.
BACKGROUND
To investigate perception, adoption, and awareness on the part of otolaryngology and head and neck surgeons (OTO-HNS) of transoral robotic surgery (TORS).
METHODS
Several items assessed: awareness/perception; access to TORS; training; indications and advantages/hurdles to TORS practice. A subanalysis was performed to assess differences according to the identified otolaryngological subspecialties.
RESULTS
A total of 359 people completed the survey. Among subspecialties, while for otolaryngologists 30/359 (8.4%) and H&N surgeons 100/359 (27.9%) TORS plays an effective role in hospital stay, laryngologists frequently disagreed (54.3%). There was a lower incidence among rhinologists and otologists (1.9%). Pediatric surgeons (0.8%) reported a positive response regarding the adoption of robotic surgery, and head and neck specialists expressed an even greater response (14.2%). Low adherence was related to perceived cost-prohibitive TORS, by 50% of H&N surgeons.
CONCLUSIONS
Perception, adoption, and knowledge about TORS play a key role in the application of the robotic system, significantly varying across subspecialties.
背景
调查耳鼻咽喉头颈外科医生（OTO-HNS）对经口机器人手术（TORS）的认知、采用情况及了解程度。
方法
评估了多个项目：认知/了解程度；TORS的获取途径；培训；TORS实践的适应症及优势/障碍。进行了一项亚分析以评估根据确定的耳鼻咽喉科亚专业的差异。
结果
共有359人完成了调查。在各亚专业中，虽然对于耳鼻咽喉科医生30/359（8.4%）和头颈外科医生100/359（27.9%）而言，TORS在缩短住院时间方面发挥了有效作用，但喉科医生经常持不同意见（54.3%）。鼻科医生和耳科医生中的发生率较低（1.9%）。儿科外科医生（0.8%）对采用机器人手术给出了肯定答复，而头颈专科医生的答复比例更高（14.2%）。50%的头颈外科医生认为TORS成本过高，这与采用率低有关。
结论
对TORS的认知、采用情况和了解程度在机器人系统的应用中起着关键作用，各亚专业之间存在显著差异。
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