ROBOT ASSISTED SURGERIES REVOLUTIONIZING MEDICINE
DOI:
https://doi.org/10.69723/njms.02.02.0329Abstract
Robot assisted surgeries have rapidly gained popularity over the last decade, revolutionizing the way surgical procedures are carried out.The use of robots in the operating room has significantly improvedthe precision, accuracy and efficiency of surgical procedures. In this editorial, we will explore the benefits and potential risks of robotassisted surgeries and the impact they have on medical industry.
The use of robots in the surgery has been increasing since the first robot assisted procedure was performed in 1985, using the PUMA560 system to perform a neurosurgical biopsy. In 1989 first robotnamed PROBOT was used in urethral surgery, 1992 ROBODOC performed its first hip replacement surgery(1) and Since then, the technology has advanced and the robots are now commonly used in a wide range of surgical procedures.The da vinci surgical system, developed by intuitive surgical is the most widely used surgicalrobot system in the world.
One of the primary benefits of robot assisted surgeries is the increased precision and accuracy they offer(2). Robots are programmed to perform specific surgical tasks with greater precision and accuracy than humans leading to better outcomes for patients. The high degree of accuracy and precision also enables surgeons tooperate in hard to reach areas leading to smaller incision with lessnoticeable scars , reduced blood loss and faster recovery times.
Robot assisted surgeries also offer several benefits to surgeons. Surgeons can perform surgeries with greater ease and comfort due to the reduced physical strain on their bodies. The robots console allows the surgeons to control the robotic arms, which are equippedwith instruments that can rotate and bend in ways that are not possible with human hands. The robotic instruments are also equipped with sensors that provide haptic feedback, allowing thesurgeon to 'feel' the tissue being operated on.
Another significant advantage of robot assisted surgeries is the reduced risk of complications. The high degree of precision and accuracy reduces the risk of damaging surrounding tissues, which can lead to complications such as bleeding and infection(3). Thisimproved safety profile is especially important in complex surgeries such as cardiac surgery , where even small errors can have life threatening consequences.
Despite the numerous advantages of robot assisted surgeries , thereare also potential risks associated with the technology. One potential risk is the high cost of the robotic systems. The di vinci surgicalsystem, for example , can cost upwards of 2 million dollars, making it an expensive investment for hospitals. This cost can be past ontopatients , leading to higher healthcare costs.
Another potential risk is the steep learning curve associated with the technology. Robotic surgery requires specialized training, andsurgeons must undergo training to become proficient in the use of therobotic systems. This can be a time consuming and expensive process, and some surgeons may not be willing and able to invest thetime and resources required to become proficient in the technology.
There are also concerns about the potential for robotic systems tomalfunction or fail during surgery(4). While these incidents are rare, they can lead to serious complications and even death. In 2013, intuitive surgical recall of some of its da vinci surgical systems due to a defect that could cause the robot to stall during surgery.
Despite these potential risks, the benefits of robot assisted surgeriesare significant and the technology is likely to continue to play a vital role in the future of surgery . The number of robot assisted surgeries performed each year is expected to continue to grow and new advancements in technology are likely to further improve the safety and efficacy of the technology.
In conclusion, robot assisted surgeries have significantly improved the precision, accuracy and efficiency of surgical procedures. The use of robots in surgery has led to smaller incisions, reduced bloodloss , faster recovery times and improved outcomes for patients.While there are potential risks associated with the technology, the benefits are significant and the use of robotic systems is likely tocontinue to play a vital role in the future surgery.
REFERENCES:
1: Lanfranco AR, Castellanos AE, Desai JP, Meyers WC. Roboticsurgery: a current perspective. Annals of surgery. 2004 Jan;239(1):14.
2: Spyrantis A, Woebbecke T, Rueß D, Constantinescu A, Gierich A, Luyken K, Visser-Vandewalle V, Herrmann E, Gessler F, CzabankaM, Treuer H. Accuracy of robotic and frame-based stereotacticneurosurgery in a phantom model. Frontiers in Neurorobotics.2022;16.
3: Benefits of robotic surgery UC Health. Available at: https://www.uchealth.com/services/robotic-surgery/patient-information/benefits/ (Accessed: 06 May 2023).
4: Ferrarese A, Pozzi G, Borghi F, Marano A, Delbon P, Amato B, Santangelo M, Buccelli C, Niola M, Martino V, Capasso E.Malfunctions of robotic system in surgery: role and responsibility ofsurgeon in legal point of view. Open Medicine. 2016 Jan 1;11(1):286-91.
References
Lanfranco AR, Castellanos AE, Desai JP, Meyers WC. Robotic surgery: a current perspective. Ann Surg. 2004 Jan;239(1):14-21
Spyrantis A, Woebbecke T, Ruess D, et al. Accuracy of Robotic and Frame-Based Stereotactic Neurosurgery in a Phantom Model. Front Neurorobot 2022; 16: 762317. 2022/05/07
Benefits of robotic surgery UC Health. Available at: hps://www.uchealth.com/services/roboc-surgery/patient-information/benefits/ (Accessed: 06 May 2023).
Ferrarese A, Pozzi G, Borghi F, et al. Malfunctions of robotic system in surgery: role and responsibility of surgeon in legal point of view. Open Med (Wars) 2016; 11: 286-291. 2017/03/30.
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