“No one would argue with the primary conclusions,” he said. Eastham, chief of urology at Memorial Sloan Kettering Cancer Center, who was not involved in the study, agreed. Dhanani, a surgical resident at UT Health in Houston, said that for a patient, there is no reason to choose robotic surgery over other modes.ĭr. In both urologic and colorectal operations, robot-assisted surgeries were consistently longer than comparable laparoscopic and open operations. In studies of gynecological robotic surgeries, duration ranged as high as 265 minutes, compared with maximums of 226 minutes for laparoscopy and 187 for open procedures. In short, robot-assisted surgeries generally take longer. The researchers did find some time differences between the procedures, however. There were no deaths in laparoscopic procedures. In up to 3 percent of robotic surgeries and 5 percent of open surgeries, the patient died. Long-term outcomes of at least two years were reported in eight of the reviewed studies, and they found that mortality rates were similar in all three techniques. In urologic and gynecologic surgeries, there was almost no difference between robot-assisted operations and laparoscopies in the number of operations that had to be switched to open procedures. Overall, this happened up to 8 percent of the time in robotic operations and as much as 12 percent in laparoscopies. But the review found that in many ways, compared outcomes from the robotic and conventional procedures showed little difference.įor various reasons, sometimes robot-assisted or laparoscopic surgeries do not work, and the surgeon must switch to doing an open operation. Some surgeons believe that these robots allow more precision during the operation, shorter recovery time, and generally better clinical outcomes for patients. The surgeon controls the machine’s tools remotely by using joysticks and foot controls while viewing the surgical site through a high-definition monitor that provides a three-dimensional image of the procedure. But instead of conventional hand-held tools used in laparoscopic surgery, which involves tiny incisions, and open surgery, in which the surgeon enters the body through a large incision, the doctor uses a machine. Robotic surgery is performed by surgeons, not robots. But a recent review of 50 randomized controlled trials, testing robot-assisted surgeries against conventional methods for abdominal or pelvic procedures, suggests that while there may be some benefits to robotic surgery, any advantages over other approaches are modest.
Surgical procedures performed with the aid of a robot is sometimes marketed as the “best” form of surgery.
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