Our Summary

Robot-assisted surgery (RAS) helps to overcome some challenges of traditional surgery methods. With the expiration of the patent held by Intuitive Surgical, other companies have developed their own robotic systems to improve on the original Da Vinci system. This review looks at nine different robotic systems used in urology procedures, examining their unique features and their effectiveness, safety, and outcomes in different types of surgeries.

One of the main obstacles to wider adoption of RAS is the high cost, both to buy the equipment and to maintain it. There is also a need for more trained robotic surgeons, and for the technology to be made more accessible to smaller hospitals. More large-scale studies are needed to confirm the benefits of these new robotic systems. It’s also important for urologists to stay updated on the latest developments and research in this field.

FAQs

  1. What are the challenges of traditional surgical methods that robot-assisted surgery (RAS) helps to overcome?
  2. What are the main obstacles to wider adoption of robot-assisted surgery (RAS)?
  3. What is the importance of large-scale studies in confirming the benefits of new robotic systems in urology procedures?

Doctor’s Tip

Additionally, a doctor might tell a patient that laparoscopic surgery typically results in smaller incisions, less pain, quicker recovery time, and lower risk of infection compared to traditional open surgery. It is important to follow post-operative care instructions carefully to ensure a successful recovery. It is also important to communicate any concerns or changes in symptoms to your healthcare provider.

Suitable For

Patients who are typically recommended for laparoscopic surgery include those with conditions such as:

  • Gallbladder disease
  • Appendicitis
  • Hernias
  • Gastroesophageal reflux disease (GERD)
  • Endometriosis
  • Fibroids
  • Ovarian cysts
  • Colon cancer

Laparoscopic surgery is often recommended for patients who are looking for a minimally invasive approach to surgery, as it typically involves smaller incisions, less pain, and quicker recovery times compared to traditional open surgery. Additionally, patients who are at higher risk for complications with traditional surgery, such as those who are elderly or have other underlying health conditions, may also be good candidates for laparoscopic surgery.

Timeline

Before laparoscopic surgery:

  1. Patient consults with a surgeon to discuss the surgical procedure, risks, and benefits.
  2. Pre-operative tests and evaluations are conducted to ensure the patient is a suitable candidate for laparoscopic surgery.
  3. Patient receives instructions on pre-operative preparation, including fasting and medication guidelines.
  4. Day of surgery, patient undergoes anesthesia induction and is prepped for the laparoscopic procedure.

After laparoscopic surgery:

  1. Patient wakes up in the recovery room and is monitored closely for any complications.
  2. Pain management is provided to help with post-operative discomfort.
  3. Patient is encouraged to start moving and walking to aid in recovery and prevent complications like blood clots.
  4. Patient is discharged from the hospital once they are stable and able to manage at home.
  5. Follow-up appointments are scheduled to monitor healing and address any concerns or complications that may arise post-surgery.

What to Ask Your Doctor

  1. What are the potential benefits of laparoscopic surgery compared to traditional open surgery?
  2. How experienced is the surgeon in performing laparoscopic procedures?
  3. What are the potential risks and complications associated with laparoscopic surgery?
  4. How long is the recovery time after laparoscopic surgery?
  5. Will I need to stay in the hospital after the surgery, and if so, for how long?
  6. Are there any specific pre-operative preparations I need to make for laparoscopic surgery?
  7. How will my pain be managed after the surgery?
  8. What are the long-term outcomes and success rates of laparoscopic surgery for my condition?
  9. Will I need any additional follow-up appointments or tests after the surgery?
  10. Are there any alternative treatment options to consider besides laparoscopic surgery?

Reference

Authors: Kallidonis P, Gkeka K, Tatanis V, Katsakiori P, Vrettos T, Liatsikos E. Journal: J Endourol. 2024 Jul;38(7):652-660. doi: 10.1089/end.2023.0732. Epub 2024 May 28. PMID: 38753723