Mandate to evaluate robotic surgery implementation: a 12-year retrospective analysis of impact and future implications

Gomolin, Arieh; Gotlieb, Walter H.; Salvador, Shannon; Racovitan, Florentin; Abitbol, Jeremie

doi:10.1007/s11701-021-01327-z

Cited by 4 publications

(1 citation statement)

References 15 publications

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“…Robotic surgery has been employed in operating theatres for over 30 years to carry out minimally invasive surgery (MIS) [ 1 , 2 ]. The da Vinci Surgical System (Intuitive Surgical Inc., Sunnydale, CA, USA) [ 3 ] is the most utilised system, having been employed in more than 10 million robotic-assisted surgical procedures as of 2021.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of microbial occurrence in reusable robotic instruments for minimally invasive surgery: A pilot study

Pelzer,

van der Zwet,

Eggen

et al. 2024

PLoS ONE

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In recent decades, minimally invasive surgery has become the favoured surgical technique, with increasing utilisation of robotic surgery to enhance patient outcomes. However, the design complexity of surgical robotic instruments can pose challenges in maintaining adequate cleaning, disinfection and sterilisation—particularly of the device’s interior. In our hospital, robotic instruments are reused for a maximum of ten successive patients, following the manufacturer’s guidelines. To the best of our knowledge, neither the manufacturer nor ISO standards have specified any methods to determine the sterility of robotic instruments after cleaning, disinfection and sterilisation procedures. In a small pilot study, we used a locally developed protocol to evaluate the sterility of 20 da Vinci SI robotic instruments, with the aim of determining whether the recommended cleaning, disinfection and sterilisation process is adequate to achieve safe usage in subsequent patients. None of the 20 instruments showed viable micro-organisms, therefore the robotic instruments were considered sterile, and suitable for re-use. We recommend our protocol to other hospitals, to be used as an essential control element in the assessment of their unique reprocessing technique for robotic instruments.

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Section: Introductionmentioning

confidence: 99%

Evaluation of microbial occurrence in reusable robotic instruments for minimally invasive surgery: A pilot study

Pelzer,

van der Zwet,

Eggen

et al. 2024

PLoS ONE

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Costs in Robotic Colorectal Surgery

Marano,

Borghi

2023

Updates in Surgery

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Surgery Advances in Gynecologic Tumors: The Evolution and Outcomes of Robotic Surgery for Gynecologic Cancers in a Tertiary Center

Knigin,

Brezinov,

Salvador

et al. 2024

Current Oncology

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The integration of innovation into routine clinical practice is faced with many challenges. In 2007, we received the mandate to evaluate how the introduction of a robotic program in gynecologic oncology affected patient-centered care by studying its impact on clinical outcomes and hospital resource utilization. Here we summarize the history and experience of developing a robotic surgery program for gynecologic cancers over 16 years. Analysis of the data indicates that robotic surgery improved perioperative patient clinical parameters, decreased blood loss, complications, and hospital stay, maintained the oncologic outcome, and is cost-effective, resulting in it becoming the dominant surgical approach in gynecologic oncology in a tertiary cancer care institution.

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Mandate to evaluate robotic surgery implementation: a 12-year retrospective analysis of impact and future implications

Cited by 4 publications

References 15 publications

Evaluation of microbial occurrence in reusable robotic instruments for minimally invasive surgery: A pilot study

Evaluation of microbial occurrence in reusable robotic instruments for minimally invasive surgery: A pilot study

Costs in Robotic Colorectal Surgery

Surgery Advances in Gynecologic Tumors: The Evolution and Outcomes of Robotic Surgery for Gynecologic Cancers in a Tertiary Center

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