Department of Surgery, in Colorectal Surgery, University Hospital Coventry and Warwickshire Trust UK.
Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2024 Apr;74(4 (Supple-4)):S151-S157. doi: 10.47391/JPMA.AKU-9S-23.
The advantages of Robotic Assisted Surgery (RAS) over laparoscopic surgery encompass enhanced precision, improved ergonomics, shorter learning curves, versatility in complex procedures, and the potential for remote surgery. These benefits contribute to improved patient outcomes which have led to a paradigm shift in robotic surgery worldwide and it is now being hailed as the future of surgery. Robotic surgery was introduced in Pakistan in 2011, but widespread adoption has been limited. The future of RAS in Pakistan demands a strategic and comprehensive plan due to the substantial investment in installation and maintenance costs. Considering Pakistan's status as a low to middle-income country, a well-designed economic model compatible with the existing health system is imperative. The debate over high investments in robotic surgery amid unmet basic surgical needs underscores the complex dynamics of healthcare challenges in the country. In this review, we discuss the potential benefits of robotics over other surgical techniques, where robotic surgery stands in Pakistan and the possible hurdles and barriers limiting its use along with solutions to overcome this in the future.
机器人辅助手术（RAS）相对于腹腔镜手术的优势包括更高的精度、更好的人体工程学、更短的学习曲线、在复杂手术中的多功能性以及远程手术的潜力。这些优势有助于改善患者的预后，从而导致全球范围内机器人手术范式的转变，现在它被称为手术的未来。机器人手术于 2011 年在巴基斯坦推出，但广泛采用受到限制。由于在安装和维护成本方面的大量投资，巴基斯坦 RAS 的未来需要一个战略性和全面的计划。考虑到巴基斯坦作为中低收入国家的地位，必须设计一个与现有卫生系统兼容的经济模型。在基本手术需求未得到满足的情况下，对机器人手术的高投资引发了对该国医疗保健挑战的复杂动态的辩论。在这篇综述中，我们讨论了机器人技术相对于其他手术技术的潜在优势，机器人手术在巴基斯坦的地位，以及限制其使用的可能障碍和障碍，以及未来克服这些障碍的解决方案。
