Portsmouth Hospitals University NHS Trust, UK.
Oxford University Hospitals NHS Foundation Trust, UK.
Ann R Coll Surg Engl. 2024 Nov;106(8):682-687. doi: 10.1308/rcsann.2024.0013. Epub 2024 Mar 6.
The uptake of upper gastrointestinal (GI) robotic surgery in the United Kingdom (UK), and Europe more widely, is expanding rapidly. This study aims to present a current snapshot of the practice and opinions of the upper GI community with reference to robotic surgery, with an emphasis on tertiary cancer (oesophagogastric) resection centres.
An electronic survey was circulated to the UK upper GI surgical community via national mailing lists, social media and at an open-invitation conference on robotic upper GI surgery in January 2023. The survey included questions on surgeons' current practice or planned adoption (if any) of robotics at individual and unit level, and their opinions on robotic upper GI surgery in general. Priority ranking and Likert-scale response options were used.
In total, 81 respondents from 43 hospitals were included. Thirty-four resectional centres responded, including 30 of 31 (97%) recognised upper GI cancer centres in England. Respondents reported performing robotic surgery in 21 of 34 (61.8%) resectional centres, with a median of 65 procedures per centre performed at the time of the survey (range 0-500, interquartile range 93.75). Every centre without a robotic programme expressed a desire or had active plans to implement one. Respondents ranked surgeon ergonomics as the most important reason for pursuing robotics, followed by improvements in patient outcomes and oncological efficacy.
Robotic upper GI practice is nascent but rapidly growing in the UK with plans for uptake in almost all tertiary centres. There is growing opinion that this is likely to become the predominant surgical approach in future with benefits to both patients and surgeons. This snapshot offers a point of reference to all stakeholders in upper GI surgery.
在英国（UK）乃至更广泛的欧洲，上消化道（GI）机器人手术的采用率正在迅速扩大。本研究旨在展示上消化道领域的当前实践和观点，重点介绍三级癌症（食管胃）切除中心的机器人手术。
通过国家邮件列表、社交媒体和 2023 年 1 月举行的机器人上消化道手术开放邀请会议，向英国上消化道外科医生社区发送了电子调查。该调查包括关于外科医生个人和单位层面上机器人应用的当前实践或计划采用（如果有）的问题，以及他们对机器人上消化道手术的一般看法。采用了优先级排序和李克特量表的回答选项。
共有来自 43 家医院的 81 名受访者被纳入研究。34 个切除术中心做出了回应，其中包括英格兰 31 个（97%）公认的上消化道癌症中心中的 30 个。受访者报告在 21 个切除术中心开展了机器人手术，其中中位数为每个中心进行 65 例手术（范围 0-500，四分位间距 93.75）。没有机器人计划的每个中心都表示希望或已经积极计划实施一个。受访者将外科医生的人体工程学列为追求机器人技术的最重要原因，其次是改善患者结局和肿瘤疗效。
英国的机器人上消化道手术实践仍处于起步阶段，但正在迅速发展，几乎所有的三级中心都计划采用。越来越多的人认为，这在未来很可能成为主要的手术方法，对患者和外科医生都有好处。本快照为上消化道手术的所有利益相关者提供了一个参考点。
