Robotic surgery: ¿a disruptive technology?
Keywords:
robotic surgery, disruptive technology, System DaVinciAbstract
The aim of the lecture was to show to the health executive's detailed information about the development of robotic surgery and the strategy adopted by companies to introduce it on the health systems. Robotic applied to surgery has been considered one of the 10 more impacting technologies during 2018. Itsinsertion inthe discipline of surgery has followed a disruptive strategy, nevertheless the high cost has been the most contradictory element.This had a negative influence on the decision of the health systems to purchase itand on the consensus statements done by scientific societies, who have been cautious until the robotic surgeryshows the required evidences of the cost-effectiveness.Nevertheless, although 30 years have not been enough to consider the preceding surgical technologies obsolete or displace them, robotics will play an even greater role in the development of surgery. The operating rooms of the future will have integrated systemsin which all of its elements will be based on information and surgical robots will be only a simple component.In this framework, total integration of the conventional or laparoscopic surgery will not be possible. Conversely, the robots are indeed considered information systems completely controlled by computer.Downloads
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References
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2. Satava RM. Surgery 2001: a technologic framework for the future. Surg Endosc. 1993;7:111-113
3. Herron DM, Marohn M. A consensus document on robotic surgery. Surg Endosc. 2008;22:313-325
4. Jacobsen G, Elli F, Horgan S. Robotic surgery update. Surg Endosc. 2004;18:1186-1191
5. Tan A, Ashrafian H, Scott AJ, Mason SE, Harling L, Athanasiou T, Darzi A. Robotic surgery: disrup-tive innovation or unfulfilled promise? A systematic review and meta-analysis of the first 30 years. Surg Endosc. 2016; 30:430-4352
6. Oviedo-Barrera RJ. The Surgical Robot: Applications and Advantages in General Surgery. [e-book] [Internet]. In: Serdar Küçük (ed.) Surgical Robotics. INTECH: 2018. pp39-64. [actualizado 4 ene 2018; citado 24 nov 2018]. Disponible en: http://dx.doi.org/10.5772/intechopen.68864
7. Kwoh YS, Hou J, Jonckheere EA, Hayati S. A robot with improved absolute positioning accuracy for CT guided stereo-tactic brain surgery. IEEE Trans Biomed Eng. 1988;35:153-161
8. Davies BL, Hibberd RD, MJ Coptcoat, Wickham JEA. A surgeon robot prostatectomy-a laboratory evaluation. J Med Engng Technol. 1989;13:273-277
9. Bann S, Khan M, Hernandez J, Munz Y, Moorthy K, Datta V, et al. Robotics in surgery. J Am Coll Surg. 2003;784-795
10. Paul Ha, Bargar WL, Mittlestadt B, Musits B, Taylor RH, Kazanzides P. Development of a surgical robot for cementless total hip arthroplasty. Clin Orthop. 1992;285:57-66.
11. Unger X, Unger H, Bass R. AESOP robotic arm. Surg Endosc. 1994; 8:1131
12. Kavoussi LR, Moore RG, Adams JB, Partin AW. Comparison of robotic versus human laparoscopic camera control. J Urol. 1995;154:2134-2146
13. Ballantyne GH. Robotic surgery, telerobotic surgery, telepresence, and telementoring. Review of early clinics results. Surg Endosc. 2002;16:1389-1402
14. Yavuz Y, Ystgaard B, Skogvolll E, Marvik R. A comparative study evaluating the performance of sur-gical robots AESO and Endoassist. Surg Laparosc Endosc Percut Tech. 2000;10:163-167
15. Omote K, Feussner H, Ungeheuer A, Arbter K, Wei GQ, Siewert JR, Hirzinger G. Self-guided robotic camera control for laparoscopic surgery compared with human camera control. Am J Surg. 1999;177:321-324
16. Schurr MO, Buess G, Neisius B, Voges U. Robotics and telemanipulation technologies for endoscopic surgery. Surg Endosc. 2000;14:375-381
17. Marescaux J, Leroy J, Rubino F, Smith M, Vix M, Simone M, et al. Transcontinental robot-assisted remote telesurgery: feasibility and potential applications. Ann Surg. 2002;235:487-492.
18. Haidegger T and Benyó Z. Extreme Telesurgery. In: Seung Hyuk Baik. (Ed) Robot Surgery. Intech; 2010, p.25-44
19. AnnualReports [Internet]. Intuitive Surgical: Annual Report 2003. [actualizado 12 mar 2004; citado 5 dic 2018]. Disponible en: http://www.annualreports.com/HostedData/AnnualReportArchive/i/NASDAQ_ISRG_2003.pdf
20. Himpens J, Leman G, Cadiere GB. Telesurgical laparoscopic cholecystectomy [letter]. Surg Endosc. 1998;12:1091
21. Cadière GB, Himpens J, Vertruyen M, Bruyns J, Fourtanier G. Nissen fundoplication done by remotely controlled technique. Ann. Chir. 1999;53(2):137-141
22. Carpentier A, Louimel D, Aupacie B, Berrebi A, Reliand J. Computer-assisted cardiac surgery [letter]. Lancet. 1999;353:379-380
23. Tsuda S, Oleynikov D, Gould J, Azagury D, Sandler B, Hutter M, et al. Da Vinci Surgical System (In-tuitive Surgical, Sunnyvale, CA). [Internet]. SAGES; 2018 [actualizado 15 julio 2015; citado 24 nov 2018]. Disponible en: https://www.sages.org/publications/tavac/tavac-analysis-davinci-surgical-system/
24. SAGES. Da Vinci Xi Surgical System with Table Motion: Fourth generation robotic-assisted surgical platform. SAGES; 2018 [actualizado 8 jun 2016; citado 24 nov 2018]. Disponible en: https://www.sages.org/publications/tavac/da-vinci-xi-surgical-system-table-motion-fourth-generation-robotic-assisted-surgical-platform/
25. Ross S, DeReus H. Flex Robotic System and Flex Colorectal Drive. [Internet]. SAGES; 2018 [actuali-zado 2 abr 2018; citado 24 nov 2018]. Disponible en: https://www.sages.org/publications/tavac/flex-robotic-system-and-flex-colorectal-drive/
26. Topaz A, Milone L. Senhance surgical robotic system. [Internet]. SAGES; 2018 [actualizado 9 ene 2018; citado 24 nov 2018]. Disponible en: https://www.sages.org/publications/tavac/senhance-surgical-robotic-system/
27. Bower JL, Christensen CM. Disruptive Technologies: Catching the wave. Harvard Business Review 1995.
28. Loza Matovelle D, Dabirian R. Introducción a la Tecnología Disruptiva y su Implementación en Equi-pos Científicos. Rev Politécnica. 2015;36(3)
29. Computing. Las 10 tecnologías que protagonizarán 2018 [Internet]. Computing; 2018 [actualizado 1 feb 2018; citado 24 nov 2018]. Disponible en: http://www.computing.es/analytics/informes/1103388046201/10-tecnologias-protagonizaran-2018.1.html
30. Intuitive Surgical Annual Reports (2007-2017). [Internet]. AnnualReports.com; 2019 [actualizado 2 feb 2018; citado 15 ene 2019]. Disponible en: http://www.annualreports.com/Company/intuitive-surgical-inc
31. Barbash GI, Glied SA. New Technology and Health Care Costs - The Case of Robot-Assisted Surgery. N Engl J Med. 2010;363(8):701-4
32. Schaaf T. In MedTech History - Surgical Robotics: Part 1. [Internet]. MedTech Strategist; 2018 [actu-alizado 12 jun 2018; citado 15 ene 2019]. Disponible en: https://www.medtechstrategist.com/mts-blog/medtech-history-robotics-1
33. Schaaf T. In MedTech History - Surgical Robotics: Part 2. [Internet]. MedTech Strategist; 2018 [actua-lizado 26 jun 2018; citado 15 ene 2019]. Disponible en: https://www.medtechstrategist.com/mts-blog/medtech-history-robotics-2
34. Roh KS, Yoon S, Do Kwon Y, Shim Y, Kim YJ. Single-Port Surgical Robot System with Flexible Surgical Instruments. In: Liu H, Kubota N, Zhu X, Dillmann R, Zhou D. (eds) Intelligent Robotics and Applications. ICIRA 2015. Lecture Notes in Computer Science, vol 9245. Springer, Cham
35. Chang KD, Abdel Raheem A, Choi YD, Chung BH, Rha KH. Retzius-sparing Robot-assisted Radical Prostatectomy using Revo-i robotic surgical system: Surgical Technique and Results of the First Human Trial. BJU Int. 2018;122(3):441-448
36. Arata J, Kozuka H, Kim HW, Takesue N, Vladimirov B, Sakaguchi M, Tokuda J, Hata N, Chinzei K, Fujimoto H. Open core control software for surgical robots. Int J CARS. 2010;5:211-220
37. Yi1 B, Wang G, Li J, Jiang J, Son Z, Su H, Zhu S. The first clinical use of domestically produced Chi-nese minimally invasive surgical robot system “Micro Hand S”. Surg Endosc. 2016;30:2649-2655
38. China Medical Robotics Industry Report, 2016-2020. [Internet]. Research and Markets; 2019 [actual-izado 1 oct 2016; citado 10 ene 2019]. Disponible en: https://www.researchandmarkets.com/research/kv78vq/china_medical
39. Szold A, Bergamaschi R, Broeders I, Dankelman J, Forgione A, Lango T, Melzer A, Mintz Y, Morales-Conde S, Rhodes M, Satava R, Tang CN, Vilallonga R. European Association of Endoscopic Surgeons (EAES) consensus statement on the use of robotics in general surgery. Surg Endosc. 2015;29:253-288
40. Talamini MA. SAGES Assessment on the Da Vinci Surgical System. Surg Endosc. 2016;30:803-804
Published
2019-03-11
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Torres Peña R. Robotic surgery: ¿a disruptive technology?. INFODIR [Internet]. 2019 Mar. 11 [cited 2025 Oct. 3];(29):91-106. Available from: https://revinfodir.sld.cu/index.php/infodir/article/view/580
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