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Title: Robotic technology in surgery: current status in 2008.
Authors: Murphy, Declan
Costello, Anthony
Hall, Rohan
Tong, Raymond
Goel, Rajiv
Keywords: General Surgery
Surgical Procedures, Operative
da Vinci Surgical System
Robotic-Assisted Laparoscopic Radical Prostatectomy
Robotic-Assisted Surgery
UroRenal, Vascular Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Dec-2008
Publisher: Wiley
Citation: ANZ J Surg. 2008 Dec;78(12):1076-81.
Abstract: There is increasing patient and surgeon interest in robotic-assisted surgery, particularly with the proliferation of da Vinci surgical systems throughout the world. There is much debate over the usefulness and cost-effectiveness of these systems. The currently available robotic surgical technology is described. Published data relating to the da Vinci system are reviewed and the current status of surgical robotics within Australia and New Zealand is assessed. The first da Vinci system in Australia and New Zealand was installed in 2003. Four systems had been installed by 2006 and seven systems are currently in use. Most of these are based in private hospitals. Technical advantages of this system include 3-D vision, enhanced dexterity and improved ergonomics when compared with standard laparoscopic surgery. Most procedures currently carried out are urological, with cardiac, gynaecological and general surgeons also using this system. The number of patients undergoing robotic-assisted surgery in Australia and New Zealand has increased fivefold in the past 4 years. The most common procedure carried out is robotic-assisted laparoscopic radical prostatectomy. Published data suggest that robotic-assisted surgery is feasible and safe although the installation and recurring costs remain high. There is increasing acceptance of robotic-assisted surgery, especially for urological procedures. The da Vinci surgical system is becoming more widely available in Australia and New Zealand. Other surgical specialties will probably use this technology. Significant costs are associated with robotic technology and it is not yet widely available to public patients.
DOI: 10.1111/j.1445-2197.2008.04754.x
PubMed URL:
ISSN: 1445-2197
Journal Title: ANZ Journal of Surgery
Type: Journal Article
Affiliated Organisations: Department of Urology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Type of Clinical Study or Trial: Review
Appears in Collections:Epworth Prostate Centre
Health Administration
UroRenal, Vascular

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