Our Summary

This research paper discusses how the use of robots in urology surgeries has significantly increased over the last 20 years. However, the training for using these robots in surgery has not kept up with the pace. As a result, most new doctors are not comfortable performing common robot-assisted urology surgeries, even though there are plenty of resources available. The key elements required for a comprehensive training program in robotic surgery are generally agreed upon and there are reliable tools to assess how well trainees are doing. However, there’s no one-size-fits-all training program that’s considered the best, which individual programs can use as a basis for their own training programs.

FAQs

  1. What has been the growth pattern of robotic surgery in urology over the past 2 decades?
  2. What is the current state of robotic surgery training in urology?
  3. What are the key components of a comprehensive robotics curriculum in urology?

Doctor’s Tip

One helpful tip a doctor might tell a patient about robotic surgery is to ensure they follow all pre-operative instructions provided by their healthcare team, such as fasting before surgery and avoiding certain medications. Additionally, it is important for patients to ask any questions they may have about the procedure and to fully understand the benefits and risks of robotic surgery before proceeding. It is also important for patients to follow post-operative instructions carefully to ensure a smooth recovery process.

Suitable For

Patients who are typically recommended for robotic surgery include those with urologic conditions such as prostate cancer, kidney cancer, bladder cancer, and pelvic organ prolapse. Robotic surgery is also commonly used for gynecologic conditions such as endometriosis, fibroids, and pelvic organ prolapse. Additionally, patients with gastrointestinal conditions such as colorectal cancer and hiatal hernias may also be recommended for robotic surgery. Robotic surgery may be recommended for patients who are looking for a minimally invasive approach with faster recovery times and less pain compared to traditional open surgery.

Timeline

Before Robotic Surgery:

  1. Patient is diagnosed with a medical condition that requires surgery.
  2. Patient undergoes consultation with a healthcare provider to discuss treatment options, including robotic surgery.
  3. Patient is educated on the benefits and risks of robotic surgery, as well as what to expect before, during, and after the procedure.
  4. Patient undergoes preoperative testing and preparation for surgery.

After Robotic Surgery:

  1. Patient is monitored closely in the post-anesthesia care unit (PACU) immediately after surgery.
  2. Patient may experience pain, swelling, and discomfort at the surgical site.
  3. Patient is gradually introduced to a diet and encouraged to start moving and walking to aid in recovery.
  4. Patient is discharged from the hospital once stable and able to care for themselves at home.
  5. Patient follows up with their healthcare provider for postoperative appointments to monitor healing and address any concerns or complications.
  6. Patient may undergo physical therapy or rehabilitation to regain strength and function after surgery.

What to Ask Your Doctor

  1. What are the potential benefits of robotic surgery compared to traditional surgery methods?
  2. What are the potential risks and complications associated with robotic surgery?
  3. How experienced is the surgeon in performing robotic surgeries?
  4. What is the success rate of robotic surgeries for my specific condition?
  5. Are there any alternative treatment options to robotic surgery that I should consider?
  6. How long is the recovery time after robotic surgery?
  7. What kind of training and certifications does the surgical team have in robotic surgery?
  8. Will I need any special pre-operative preparations for robotic surgery?
  9. How long has the hospital been using robotic surgery technology?
  10. What kind of follow-up care will be needed after robotic surgery?

Reference

Authors: Wang RS, Ambani SN. Journal: Urol Clin North Am. 2021 Feb;48(1):137-146. doi: 10.1016/j.ucl.2020.09.014. Epub 2020 Nov 5. PMID: 33218588