Eren Esen, MD, Erman Aytac, MD, Ilknur Erenler Bayraktar, MD, Bilgi Baca, MD, Ismail Hamzaoglu, MD, Tayfun Karahasanoglu, MD. Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine
Introduction: Robotic technique is the advanced and developing form of minimally invasive surgery. Limited data exist about course and current condition of robot use in general surgery. In this study, we aimed to assess adoption of evolving robots in the field of general surgery.
Methods: Robotic operations between January 2013 to July 2017 in Turkey were included. Data were obtained from a prospectively maintained database. Patient, surgeon and hospital identifiers were encrypted. Study parameters were operation type, operation year, robotic system used (S, Si, Xi), hospital volume and surgeon volume.
Results: 12151 robotic operations were performed in 32 hospitals in Turkey. The number of certified general surgeons on robotic surgery were 74. 1887 general surgery [Colorectal (42.3%), bariatrics (18.1%), retroperitoneal (11.2%), upper gastrointestinal (10.1%) hepatobiliary (8.7%), hernia (4.1%), others (5.4%)] procedures were performed. 56.5% and 43.5% of them were with S-Si and Xi platforms respectively. The median numbers of procedures were 33 (range 3-290) and 7 (range 1-276) cases per hospital and per general surgeon respectively. The high volume surgeons (higher than 75th percentile) performed 1462(77%) of the cases. The Xi platform has been the main tool for colorectal surgery only (Figure 1).
Conclusions: While Xi platform significantly increased caseload in general surgery by facilitating performance of colorectal surgery, its preference in other general surgical fields is not superior to Si. Considering its visual superiority and financial benefits, sustaining Si seems feasible from institutional perspective if colorectal surgery is not one of the high-volume departments in a hospital.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87932
Program Number: P811
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster