학술논문

The Great Debate: Robotic vs Traditional Surgical Approach in the Acute Care Setting.
Document Type
Academic Journal
Author
Wu J; Division of Acute Care Surgery, Department of Surgery, Keck USC School of Medicine, Los Angeles, CA, USA.; Martin MJ; Division of Acute Care Surgery, Department of Surgery, Keck USC School of Medicine, Los Angeles, CA, USA.; Kirkpatrick V; Division of Acute Care Surgery, Kaweah Health Medical Center, Visalia, CA, USA.; Cassaro S; Division of Acute Care Surgery, Kaweah Health Medical Center, Visalia, CA, USA.; Pérez Rodríguez F; Division of Acute Care Surgery, Kaweah Health Medical Center, Visalia, CA, USA.
Source
Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE
Subject
Language
English
Abstract
Robotic surgery was first introduced in the 1980s as a system to aid patients in the battlefield. Since then, robotic surgery has become an important minimally invasive tool and plays an important role in elective surgery among various surgical specialties. However, the role for robotic surgery in the emergent setting is not well established or studied. Robotic surgery has been shown to be advantageous to both patients and operating surgeons. Though limited, studies have found robotic surgery in the acute setting to be safe for patients. These studies found robotic surgery to have improved perioperative outcomes when compared to an open or laparoscopic approach. Additionally, the robotic platform is thought to be an effective tool to prevent conversion to open procedures in emergent settings. Although some studies demonstrate advantages to robotic acute surgery, others have shown increased complications with robotic acute surgery or no distinct advantage when comparing robotic to laparoscopic surgery. Additionally, some of the published papers supporting the use of robotic surgery in the emergent setting may have a degree of bias favoring the robotic platform. Robotic surgery is a mainstay in minimally invasive elective surgery and gaining popularity among patients and surgeons. There are pros and cons to the adaptation of the robotic platform in the acute care setting. Additional large population studies are indicated to determine the true role of the robotic platform in the emergent setting.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.