Croghan Stefanie M, Fleming Christina A, McVey Ruaidhrí, Moran Tom, Fitzmaurice Gary, Okereke Emeka, Keeffe Dara A O ', Rowan Fiachra E, Barry Kevin, McGuire Barry B
Department of Surgical Affairs, Royal College of Surgeons in Ireland, Dublin, Ireland.
Department of Urology and Transplantation, Beaumont Hospital, Dublin, Ireland.
J Robot Surg. 2025 May 6;19(1):203. doi: 10.1007/s11701-025-02354-w.
The study objective was to explore the views of key national stakeholders regarding the practice and governance of robotic surgery in Ireland. A literature review and analysis by two expert robotic surgeons was used to design a customised questionnaire, interrogating respondent perceptions of key robotic surgical areas, including surgical practice, governance, audit and key performance indicators (KPIs). The questionnaire was disseminated via specialty representatives, inviting responses from robotic surgeons, senior trainees, bedside assistants, clinical nurse managers, hospital management and industry partners. The responses were compiled and analysed, with thematic analysis applied to free-text data. Responses were received from 87 stakeholders, with representation from all invited professional groups, surgical specialties and national geographical regions. The largest respondent cohort was consultant robotic surgeons (n = 61); estimated response rate 76.3%. Most respondents were in favour of proctorship/mentorship arrangements for early-career surgeons, with support expressed for external proctors (80.5%, n = 70), internal proctors (88.5%, n = 77) and peer-to-peer mentoring (87.4%, n = 76). The minimum average number of robotic cases necessary for a trained surgeon to maintain competency was most frequently perceived as 1 per fortnight (39.3%, n = 24), or 1 per week (37.7%, n = 23). The recording of KPIs was believed to be important at both unit level [93.1% (n = 81) agree] and surgeon level (94.3% (n = 82) agree). Ninety-five percent of respondents (n = 83), thought institutions should have robotic governance committees. Strong support [83.9% (n = 73)] was expressed for the creation of a national guideline or governance document for the practice of robotic surgery. This national, pan-specialty robotic surgery stakeholder survey is the first of its kind. It identifies strong national support for continued advances in the training and governance of robotic surgery, with consensus for institutional oversight of robotic surgery and the development of a national guidelines for the conduct of robotic surgery.
该研究的目的是探讨爱尔兰国内主要利益相关者对机器人手术实践与管理的看法。两位机器人手术专家进行了文献综述和分析，据此设计了一份定制问卷，以询问受访者对机器人手术关键领域的看法，包括手术实践、管理、审计和关键绩效指标（KPI）。问卷通过专业代表进行分发，邀请机器人外科医生、高级受训人员、床边助手、临床护士经理、医院管理人员和行业合作伙伴做出回应。对回复进行了整理和分析，并对自由文本数据进行了主题分析。共收到87位利益相关者的回复，涵盖了所有受邀的专业团体、外科专科和国家地理区域。回复人数最多的群体是机器人外科顾问医生（n = 61）；估计回复率为76.3%。大多数受访者支持为早期职业外科医生安排带教/指导安排，对外部带教（80.5%，n = 70）、内部带教（88.5%，n = 77）和同行指导（87.4%，n = 76）均表示支持。大多数人认为，一名训练有素的外科医生维持能力所需的机器人手术病例的最低平均数量为每两周1例（39.3%，n = 24）或每周1例（37.7%，n = 23）。大家认为，在科室层面[93.1%（n = 81）表示同意]和外科医生层面（94.3%（n = 82）表示同意）记录关键绩效指标都很重要。95%的受访者（n = 83）认为机构应该设立机器人手术管理委员会。对于制定机器人手术实践的国家指南或管理文件，大家表示大力支持[83.9%（n = 73）]。这项全国性的、跨专科的机器人手术利益相关者调查尚属首次。调查表明，国内大力支持在机器人手术的培训和管理方面持续取得进展，对于机器人手术的机构监督以及制定机器人手术操作的国家指南已达成共识。
