Guzzi F, Falagario U G, Mari A, Napolitano L, Fanelli A, Karaboue M, Lacasella G V, Mirone V, Salonia A, Ficarra V, Minervini A, Carrieri G
Department of Urology and Renal Transplantation, Policlinico Foggia, University of Foggia, Foggia, Italy.
Department of Molecular Medicine and Surgery, (Solna), Karolinska Institutet, Stockholm, Sweden.
Clin Ter. 2025;176(3):376-385. doi: 10.7417/CT.2025.5237.
The Italian Society of Urology conducted a comprehensive survey across Italy's urology specialists to assess the prevalence and integration of robotic surgery in the country's medical landscape. The survey aimed to examine the diffusion and acceptance of robotic surgical platforms and to ascertain surgeons' preferences regarding the most frequently performed urological procedures.
The Italian Society of Urology surveyed Italian urologists via SURVEYMONKEY. Emails were sent to society members and clinic heads, covering geographic location, robotic practices, and procedures. The 44-question survey, open from March to June 2023, gathered data on clinic location, equipment, cases, and techniques. Descriptive statistics were used, reporting median and inter-quartile range for continuous variables, and rates for categorical ones. Analysis included respondent characteristics, robotic surgery availability, applications, and technical modifications. Stata 16 conducted statistical analyses (StataCorp LP, College Station, TX, USA).
The study included 339 urologists with varied institutional and professional backgrounds, investigating aspects like the availability of robotic technology, preferences in procedures, surgical methodologies, and training programs. Participants included 50% affiliated with university hospitals, 25% with non-university hospitals, and 25% with IRCCS institutions and accredited private hospitals. The survey showcased significant geographic diversity, receiving responses from urologists across all regions of Italy, with Lombardy being the most represented (19.7%), followed by Lazio (12.9%) and Veneto (11.2%). Notably, 93.7% of respondents associated robotic surgery with economic benefits, attributing to reduced hospital stays and increased facility attractiveness. Among urological procedures, robotic-assisted techniques were preferred for Radical Prostatectomies (88%), partial nephrectomy (87%), and pyeloplasty (79%), while cystectomies and radical nephrectomy were commonly performed using open or lap-aroscopic approaches.
The survey findings highlight the widespread use and influence of robotic surgery in Italian urology, showcasing enhanced patient care but also indicating technique discrepancies and restricted access in certain facilities. Standardization, accessibility, and ongoing training are vital for maximizing robotic surgery's potential across specialties.
意大利泌尿外科学会对意大利的泌尿外科专家进行了一项全面调查，以评估机器人手术在该国医疗领域的普及程度和整合情况。该调查旨在研究机器人手术平台的推广和接受情况，并确定外科医生对最常开展的泌尿外科手术的偏好。
意大利泌尿外科学会通过“问卷星”对意大利泌尿外科医生进行了调查。向学会成员和科室主任发送了电子邮件，内容涵盖地理位置、机器人手术实践和手术程序。这项有44个问题的调查于2023年3月至6月开放，收集了有关科室位置、设备、病例和技术的数据。使用了描述性统计方法，报告连续变量的中位数和四分位间距，以及分类变量的发生率。分析内容包括受访者特征、机器人手术的可用性、应用情况和技术改进。使用Stata 16进行统计分析（美国德克萨斯州大学城的StataCorp LP公司）。
该研究纳入了339名具有不同机构和专业背景的泌尿外科医生，调查了机器人技术的可用性、手术偏好、手术方法和培训项目等方面。参与者中，50%隶属于大学医院，25%隶属于非大学医院，25%隶属于IRCCS机构和经认可的私立医院。该调查显示出显著的地域多样性，收到了来自意大利所有地区泌尿外科医生的回复，其中伦巴第地区的代表人数最多（19.7%），其次是拉齐奥地区（12.9%）和威尼托地区（11.2%）。值得注意的是，93.7%的受访者认为机器人手术具有经济效益，原因是住院时间缩短和医院吸引力增加。在泌尿外科手术中，机器人辅助技术在根治性前列腺切除术（88%）、部分肾切除术（87%）和肾盂成形术（79%）中更受青睐，而膀胱切除术和根治性肾切除术通常采用开放或腹腔镜手术方式。
调查结果突出了机器人手术在意大利泌尿外科中的广泛应用和影响，显示出其对患者护理的改善，但也表明某些机构存在技术差异和获取受限的情况。标准化、可及性和持续培训对于在各专业中充分发挥机器人手术的潜力至关重要。
