Literature DB >> 25598590

Is the Indian surgical arena ready for the robotic platform?

Arvind P Ganpule1.   

Abstract

Year:  2015        PMID: 25598590      PMCID: PMC4290107          DOI: 10.4103/0972-9941.147648

Source DB:  PubMed          Journal:  J Minim Access Surg        ISSN: 1998-3921            Impact factor:   1.407


× No keyword cloud information.
As surgeons, we need to understand the indications of “robot” as a new tool in the Indian context. It is quite evident that the surgical robotic platform is a tool, and it cannot replace good surgical technique. It is over a decade since the robot was approved for use by the United States (US) Food and Drug Administration. The indications and application for robotic surgery are ever expanding since then. In India, we are at crossroads. Installations of robots have increased fourfold in the past 5 years. Jain and Gautam in their article in the current issue have put forth a very interesting fact.[1] They note that in the year 2012 and 2013 the number of installations that have been commissioned in India increased by over 40% as against the global average of 21%. This may indicate the fact that probably we have too fewer installations than we need. Secondly, the authors note that the indications for robotic surgery differ in the west as compared to India. Gynaecologist is the most frequent users of the robot as compared to Urologist elsewhere in the world. In India, the most frequent user of the robotic platform is the Urologist. Does it mean the other specialties are underutilising this technology or does it mean the medical fraternity as such is not convinced about it? Given this background, the aim of this issue is to bring out evidence-based facts from robotic surgeons in India. We have focused on application of robot as a tool for various specialties and subspecialties. The issue intends to bring out the indications, pros and cons of use of robot in the respective fields. The authors of each invited review article have focused on the contemporary literature. Sood and Bhandari have touched on an important and interesting topic of robotic training.[2] A healthy academically oriented debate is the crux of a good scientific society. Two giants in the field have debated if we in India are ready for the robotic platform.[34] We have tried to make the issue all-encompassing by including a wide spectrum of experts in the field ranging from gynaecology, thoracic surgery, paediatric surgery and uro-gynaecology. In addition, we have also included few original articles, case reports and personal viewpoints pertinent to robotic surgery. A new invention or development is first greeted with disbelief, followed by criticism and finally acceptance. The same holds true for the robotic platform. The “well-known” critique of robotic surgery is the cost. The increasing cost of healthcare has been a matter of concern in the US as well as elsewhere around the globe. This has led to questions being posed about the utility of the robot, particularly in a cost conscious society such as India. The second critique is the lack of evidence-based data for procedures performed robotically in comparison to laparoscopy or open approach. Both these critique was evident during the early developmental days of endourology as well. The “value” of any new addition to the surgical armamentarium should be recognised before setting it up on a pedestal or relegating it to the dustbin. The same holds true for robotics as a new technology. The jury is still out! As Alexander Pope, the famous English poet once said “Be not the first by whom the new is tried, nor yet the last to lay the old aside.”
  4 in total

1.  Robotic surgery is ready for prime time in India: Against the motion.

Authors:  Tehemton E Udwadia
Journal:  J Minim Access Surg       Date:  2015 Jan-Mar       Impact factor: 1.407

Review 2.  Robotic surgical skill acquisition: What one needs to know?

Authors:  Akshay Sood; Wooju Jeong; Rajesh Ahlawat; Logan Campbell; Shruti Aggarwal; Mani Menon; Mahendra Bhandari
Journal:  J Minim Access Surg       Date:  2015 Jan-Mar       Impact factor: 1.407

Review 3.  Robotics in urologic oncology.

Authors:  Saurabh Jain; Gagan Gautam
Journal:  J Minim Access Surg       Date:  2015 Jan-Mar       Impact factor: 1.407

4.  Robotic surgery is ready for prime time in India: For the motion.

Authors:  Mahesh Desai; Jaspreet Chabra; Arvind P Ganpule
Journal:  J Minim Access Surg       Date:  2015 Jan-Mar       Impact factor: 1.407

  4 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.