Trends of robotic assisted surgery for thyroid, colorectal, stomach and hepatopancreaticobiliary cancer-10 year Korea trend investigation
- Authors
- An, Liang; Hwang, Kyo Sun; Park, Shin Hoo; Kim, You Na; Baek, Se Jin; Park, Sungsoo; Hyung, Woo Jin; Chung, Woung Youn; Kim, Seon Hahn; the Korean Association of Robotic Surgeons (KAROS) Study Group
- Issue Date
- Jan-2021
- Publisher
- Elsevier (Singapore) Pte Ltd
- Keywords
- Laparoscopic cancer surgery; Minimally invasive treatment; Robotic cancer surgery
- Citation
- Asian Journal of Surgery, v.44, no.1, pp 199 - 205
- Pages
- 7
- Indexed
- SCIE
SCOPUS
- Journal Title
- Asian Journal of Surgery
- Volume
- 44
- Number
- 1
- Start Page
- 199
- End Page
- 205
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/28385
- DOI
- 10.1016/j.asjsur.2020.05.029
- ISSN
- 1015-9584
0219-3108
- Abstract
- Background
The current position of robotic surgery in the field of minimally invasive surgery remains ambiguous. We evaluated long-term trends of robotic general surgery and the future direction of its development.
Methods
Data on robotic cancer surgeries between 2005 and 2014 were retrospectively collected by volunteer institutions in the Republic of Korea. Spearman's correlation and logistic regression analyses were used to compare robotic and laparoscopic surgery trends in general surgery.
Results
The odds that robotic surgery was performed instead of laparoscopic surgery significantly decreased in the fields of colorectal, stomach, and hepato-biliary-pancreatic surgery (odds ratio [OR]: 0.95, 95% confidence interval [CI]: 0.93–0.97; OR: 0.90, 95% CI: 0.88–0.92; and OR: 0.71, 95% CI: 0.65–0.78, respectively), except for thyroid surgery (OR: 1.28, 95% CI: 1.25–1.30). Of the total numbers of each procedure, proportions of robotic intersphincteric resections, abdominoperineal resections, and pylorus-preserving surgery performed significantly increased ( r = 0.98, P < .001; r = 0.78, P = .01; and r = 0.86, P = .007, respectively).
Conclusions
The use of robotic surgery failed to preponderate that of laparoscopic surgery, except for thyroid surgery. Robotic surgery is increasingly preferred for limited fields or complex surgeries, but the use of robotics in simple surgeries has decreased.
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- Appears in
Collections - 2. Clinical Science > Department of Colon and Rectal Surgery > 1. Journal Articles
- 2. Clinical Science > Department of Foregut Surgery > 1. Journal Articles
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