Despite this sizeable outlay, its cost-effec-tiveness has been established for a number
of procedure types ( 10, 14, 15). Indeed, the
overall cost of robotic Roux-en-Y gastric
bypass is substantially lower than its laparoscopic counterpart in high-volume centers,
due to lower anastomotic leak rates, shorter
hospital stays and a reduction in laparoscopic staplers being used ( 10). Within the last
five years, numerous patents for robotic surgical systems and accessories have been filed
by several companies including Samsung,
LG, Terumo and Siemens. Increased competition in what has been a largely monopolized market to date is expected to drive
capital costs down and promote a sweeping
adoption of this technology.
With the expectation of a sharp rise in
the volume of robot-assisted procedures in
the future, it is likely that the complexity
of cases being performed robotically will
increase. The availability of a greater range
of instruments, accessories and medical de-
vices customized for use with robot systems
will facilitate this shift in approach. Such
devices will ensure that the technological
advantages of the robot facilitate consistent
positive outcomes for the patient. Techno-
logical convergence with the latest advances
in conventional laparoscopy will promote a
paradigm leap in the OR, defining the next
phase of minimally invasive surgery.
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3. Owens M, Barry M, Janjua AZ, Winter DC. A
systematic review of laparoscopic port site hernias
in gastrointestinal surgery. Surg J R Coll Surg Edinb
Irel. 2011 Aug; 9( 4):218–24.
4. Yamamoto M, Minikel L, Zaritsky E. Laparoscopic 5-mm trocar site herniation and literature review.
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6. Fader AN, Escobar PF. Laparoendoscopic
single-site surgery (LESS) in gynecologic oncology: technique and initial report. Gynecol Oncol.
7. Cundy TP, Shetty K, Clark J, Chang TP, Sri-skandarajah K, Gattas NE, et al. The first decade
of robotic surgery in children. J Pediatr Surg.
8. Chen MK, Schropp KP, Lobe TE. Complications
of minimal-access surgery in children. J Pediatr
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9. Helgstrand F, Rosenberg J, Bisgaard T. Trocar
site hernia after laparoscopic surgery: a qualitative
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10. Hagen ME, Pugin F, Chassot G, Huber O, Buchs
N, Iranmanesh P, et al. Reducing cost of surgery by
avoiding complications: the model of robotic Roux-en-Y gastric bypass. Obes Surg. 2012; 22(1):52–61.
11. Snyder BE, Wilson T, Leong BY, Klein C, Wilson EB. Robotic-assisted Roux-en-Y gastric bypass:
minimizing morbidity and mortality. Obes Surg.
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12. Uslu HY, Erkek AB, Cakmak A, Kepenekci I,
Sozener U, Kocaay FA, et al. Trocar site hernia after
laparoscopic cholecystectomy. J Laparoendosc Adv
Surg Tech A. 2007 Oct; 17( 5):600– 3.
13. Erdas E, Dazzi C, Secchi F, Aresu S, Pitzalis A,
Barbarossa M, et al. Incidence and risk factors for trocar
site hernia following laparoscopic cholecystectomy: A
long-term follow-up study. Hernia. 2012;16( 4):431– 7.
14. Bell MC, Torgerson J, Seshadri-Kreaden U,
Suttle AW, Hunt S. Comparison of outcomes and
cost for endometrial cancer staging via traditional
laparotomy, standard laparoscopy and robotic techniques. Gynecol Oncol. 2008;111( 3):407–11.
15. Cooperberg MR, Ramakrishna NR, Duff SB,
Hughes KE, Sadownik S, Smith JA, et al. Primary
treatments for clinically localised prostate cancer:
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Quick Take On Robotic Surgery (via John Hargrove, CEO, Titan Medical)
THE ADVANTAGES OF ROBOTIC SURGERY VERSUS OPEN PROCEDURES:
• Decreased length of stay, reduced blood loss, less traumatic, better cosmetic results, and reduced risk of
• Patient benefits lead to increased patient satisfaction, which contributes to patient referrals and patient
• Patient benefits lead to increased physician satisfaction
• Improved ergonomics potentially extends surgeons’ operating careers, which is especially important with
the growth of hospital-owned physician groups
• Increased use of minimally invasive surgical techniques
SURGEONS HAVE BEEN RECEPTIVE TO ROBOTIC SYSTEMS FOR THESE REASONS:
• Improved visualization with 3D vision
• Improved dexterity with multi-articulating surgical instruments
• Easier and shorter learning curve from open surgery to minimally invasive surgery
• Improved technical precision and improved surgeon ergonomics