Trends of robotic assisted surgery for thyroid, colorectal, stomach and hepatopancreaticobiliary cancer-10 year Korea trend investigation

for the Korean Association of Robotic Surgeons (KAROS) Study Group

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The current position of robotic surgery in the field of minimally invasive surgery remains ambiguous. We evaluated long-term trends of robotic general surgery and the future direction of its development. Methods: Data on robotic cancer surgeries between 2005 and 2014 were retrospectively collected by volunteer institutions in the Republic of Korea. Spearman's correlation and logistic regression analyses were used to compare robotic and laparoscopic surgery trends in general surgery. Results: The odds that robotic surgery was performed instead of laparoscopic surgery significantly decreased in the fields of colorectal, stomach, and hepato-biliary-pancreatic surgery (odds ratio [OR]: 0.95, 95% confidence interval [CI]: 0.93–0.97; OR: 0.90, 95% CI: 0.88–0.92; and OR: 0.71, 95% CI: 0.65–0.78, respectively), except for thyroid surgery (OR: 1.28, 95% CI: 1.25–1.30). Of the total numbers of each procedure, proportions of robotic intersphincteric resections, abdominoperineal resections, and pylorus-preserving surgery performed significantly increased (r = 0.98, P < .001; r = 0.78, P = .01; and r = 0.86, P = .007, respectively). Conclusions: The use of robotic surgery failed to preponderate that of laparoscopic surgery, except for thyroid surgery. Robotic surgery is increasingly preferred for limited fields or complex surgeries, but the use of robotics in simple surgeries has decreased.

Original languageEnglish
JournalAsian Journal of Surgery
DOIs
Publication statusAccepted/In press - 2020

Bibliographical note

Funding Information:
This research was supported by the Korea University Future Research Grant (grant number K1615591 ) and by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute , funded by the Ministry of Health and Welfare, Republic of Korea (grant number HC17C0050 ).

Funding Information:
The authors have no potential or actual personal, political, or financial conflicts of interest related to this study. This research was supported by the Korea University Future Research Grant (grant number K1615591 ) and by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute , funded by the Ministry of Health and Welfare, Republic of Korea (grant number HC17C0050 ).

All Science Journal Classification (ASJC) codes

  • Surgery

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