The distribution of robotic surgery in general and visceral surgery departments in Switzerland – a nationwide inquiry
Author:
Stalder Andreas1, Mazzola Federico2, Adamina Michel3, Fahrner René4ORCID
Affiliation:
1. Department of Medicine , Hospital of Fribourg , Fribourg , Switzerland 2. Department of General and Transplant Surgery , University Hospital Zürich , Zürich , Switzerland 3. Department of Surgery , Hospital of Winterthur , Winterthur , Switzerland 4. Department of Vascular Surgery , University Hospital Bern, University of Bern , Bern , Switzerland
Abstract
Abstract
Objectives
Since its introduction as a clinical technique, robotic surgery has been extended to different fields of surgery. However, the indications as well as the number of robotic procedures varied in different institutions. The aim of this investigation was to evaluate the current use of robotic surgery in general and digestive surgery in Switzerland.
Methods
All Swiss surgical departments that are recognized training institutes for postgraduate training in surgery by the Swiss Institute of Medical Education (SIWF) were queried with a detailed questionnaire regarding the use of robotic surgery techniques and were analyzed regarding hospital size and type of hospital.
Results
Ninety-three departments were queried, and 67 % (n=63) answered the survey. Fifty-eight were public, and five were private institutions. Seventeen (26 %) of the queried departments used robotic surgery in digestive surgery. Four out of 17 (23 %) of the departments that performed robotic surgery were private hospitals, while 13 (77 %) were public institutions. In the majority of departments, robotic surgery of the rectum (n=12; 70.6 %) and colon (n=11; 64.7 %) was performed, followed by hernia procedures (n=8; 47.1 %) and fundoplication (n=7; 41.2 %). Less frequently, pancreatic resections (n=5; 29.4 %), cholecystectomy (n=4; 23.5 %), adrenalectomy (n=4; 23.5 %), gastric bypass (n=3; 17.7 %), gastric sleeve (n=3; 17.7 %), hepatic procedures (n=2; 11.7 %), or small bowel resections (n=1; 5.9 %) were performed as robotic procedures. More than 25 procedures per year per department were performed for hernia surgery (n=5 departments), gastric bypass (n=2 departments), cholecystectomy, fundoplication, and colon surgery (each n=1 department).
Conclusions
The number and range of robotic procedures performed in Switzerland varied widely. Higher accreditation for general surgery or subspecialization of visceral surgery of the department was positively associated with the use of robotic techniques, reflecting an unequal availability of robotic surgery.
Publisher
Walter de Gruyter GmbH
Reference44 articles.
1. Kwoh, YS, Hou, J, Jonckheere, EA, Hayati, S. A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE Trans Biomed Eng 1988;35:153–60. https://doi.org/10.1109/10.1354. 2. Lane, T. A short history of robotic surgery. Ann R Coll Surg Engl 2018;100:5–7. https://doi.org/10.1308/rcsann.supp1.5. 3. Himpens, J, Leman, G, Cadiere, GB. Telesurgical laparoscopic cholecystectomy. Surg Endosc 1998;12:1091. 4. Marescaux, J, Leroy, J, Gagner, M, Rubino, F, Mutter, D, Vix, M, et al.. Transatlantic robot-assisted telesurgery. Nature 2001;413:379–80. https://doi.org/10.1038/35096636 5. Pugin, F, Bucher, P, Morel, P. History of robotic surgery: from AESOP¯ and ZEUS¯ to da Vinci¯. J Visc Surg 2011;148:e3–8, https://doi.org/10.1016/j.jviscsurg.2011.04.007.
|
|