H J Kissler1, A Bauschke2, U Settmacher2. 1. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Erlanger Allee 101, 07740, Jena, Deutschland. hermann.kissler@med.uni-jena.de. 2. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Erlanger Allee 101, 07740, Jena, Deutschland.
Abstract
BACKGROUND: The operation robot is the most advanced technology available in minimally invasive surgery for facilitating complex surgical procedures and is increasingly used in visceral surgery; however, to date no data are available concerning its use in visceral surgery in Germany. OBJECTIVE: The aim of the survey was to document the development and current state of the art of robotics for visceral surgery in Germany. MATERIAL AND METHODS: All 41 surgical departments with access to the da Vinci robot were invited to participate in the survey. Data were acquired with a specially designed Excel spreadsheet, documenting all procedures and also the dignity in gastrointestinal operations for each year since inception of the robot program up to 2015. RESULTS: Of the 41 surgical departments with an active robotic program only 23 participated in the analysis. The overall volume rose steadily from 4 procedures in 2010 to 50 in 2012, 106 in 2013, 441 in 2014 and reached 819 in 2015. In this period 2 centers had > 200 operations, 1 center had 150, 3 centers had ≥ 100, 3 departments had ≥ 50 and 14 departments had < 50 operations. The type of robotic procedures used encompassed the full scope of laparoscopic surgery. Colorectal surgery was predominant with 50 % of all procedures and was performed in 87 % of the departments. Thymus resections amounted to 10 % of all surgical procedures and gastric surgery to 9 %. Approximately 5 % of all cases involved the esophagus, gall bladder and pancreas. Hepatic surgery amounted to only 2.4 % and all other operations even less and were performed in only a few departments. CONCLUSION: Despite a doubling of procedures in recent years, robotics is still in the initial phase for visceral surgery in Germany.
BACKGROUND: The operation robot is the most advanced technology available in minimally invasive surgery for facilitating complex surgical procedures and is increasingly used in visceral surgery; however, to date no data are available concerning its use in visceral surgery in Germany. OBJECTIVE: The aim of the survey was to document the development and current state of the art of robotics for visceral surgery in Germany. MATERIAL AND METHODS: All 41 surgical departments with access to the da Vinci robot were invited to participate in the survey. Data were acquired with a specially designed Excel spreadsheet, documenting all procedures and also the dignity in gastrointestinal operations for each year since inception of the robot program up to 2015. RESULTS: Of the 41 surgical departments with an active robotic program only 23 participated in the analysis. The overall volume rose steadily from 4 procedures in 2010 to 50 in 2012, 106 in 2013, 441 in 2014 and reached 819 in 2015. In this period 2 centers had > 200 operations, 1 center had 150, 3 centers had ≥ 100, 3 departments had ≥ 50 and 14 departments had < 50 operations. The type of robotic procedures used encompassed the full scope of laparoscopic surgery. Colorectal surgery was predominant with 50 % of all procedures and was performed in 87 % of the departments. Thymus resections amounted to 10 % of all surgical procedures and gastric surgery to 9 %. Approximately 5 % of all cases involved the esophagus, gall bladder and pancreas. Hepatic surgery amounted to only 2.4 % and all other operations even less and were performed in only a few departments. CONCLUSION: Despite a doubling of procedures in recent years, robotics is still in the initial phase for visceral surgery in Germany.
Authors: Amir Szold; Roberto Bergamaschi; Ivo Broeders; Jenny Dankelman; Antonello Forgione; Thomas Langø; Andreas Melzer; Yoav Mintz; Salvador Morales-Conde; Michael Rhodes; Richard Satava; Chung-Ngai Tang; Ramon Vilallonga Journal: Surg Endosc Date: 2014-11-08 Impact factor: 4.584
Authors: H Aselmann; T Möller; J-N Kersebaum; J H Egberts; R Croner; M Brunner; R Grützmann; T Becker Journal: Chirurg Date: 2017-06 Impact factor: 0.955
Authors: Ulrich Pein; Matthias Girndt; Silke Markau; Annekathrin Fritz; Alberto Breda; Michael Stöckle; Nasreldin Mohammed; Felix Kawan; Andre Schumann; Paolo Fornara; Karl Weigand Journal: World J Urol Date: 2019-05-24 Impact factor: 4.226