Skip to main content
SpringerLink
Log in

Starting a Robotic Surgery Program

  • Chapter
  • First Online:
Practical Tips in Urology

Abstract

Starting a robotic surgery practice can be a daunting task for the novice urology attending. Over the past two decades, a significant shift has occurred in the field of minimally invasive urologic surgery with widespread adoption of robotic techniques for many major surgeries. The utilization of robotic surgery can be a key differentiator for hospitals and providers. In this chapter, we will briefly review the history of robotic urologic surgery and provide a practical guide addressing economic concerns, marketing, support staff and training needs, resident and fellow education, data collection metrics and general tips for creating a robust and sustainable robotic surgery practice.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Anderson CB, Elkin EB, Atoria CL, et al. The diffusion of minimally invasive radical prostatectomy in the United States: a case study of the introduction of new surgical devices. Prostate Cancer Prostatic Dis. 2015;18:75.

    Article  CAS  PubMed  Google Scholar 

  2. Barbash GI, Glied SA. New technology and health care costs--the case of robot-assisted surgery. N Engl J Med. 2010;363:701.

    Article  CAS  PubMed  Google Scholar 

  3. Benway BM, Bhayani SB, Rogers CG, et al. Robot assisted partial nephrectomy versus laparoscopic partial nephrectomy for renal tumors: a multi-institutional analysis of perioperative outcomes. J Urol. 2009;182:866.

    Article  PubMed  Google Scholar 

  4. Binder J, Kramer W. Robotically-assisted laparoscopic radical prostatectomy. BJU Int. 2001;87:408.

    Article  CAS  PubMed  Google Scholar 

  5. Chang SL, Kibel AS, Brooks JD, et al. The impact of robotic surgery on the surgical management of prostate cancer in the USA. BJU Int. 2015;115:929.

    Article  PubMed  Google Scholar 

  6. Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy: initial case report. J Urol. 1991;146:278.

    CAS  PubMed  Google Scholar 

  7. Clements M, Morrison K, Schenkman NS. Evaluation of Laparoscopic Curricula in American Urology Residency Training: A 5-year update. J Endourol. 2016;30:347–53.

    Article  PubMed  Google Scholar 

  8. Coelho RF, Palmer KJ, Rocco B, et al. Early complication rates in a single-surgeon series of 2500 robotic-assisted radical prostatectomies: report applying a standardized grading system. Eur Urol. 2010;57:945.

    Article  PubMed  Google Scholar 

  9. D’Annibale A, Morpurgo E, Fiscon V, et al. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum. 2004;47:2162.

    Article  PubMed  Google Scholar 

  10. Dixon PR, Grant RC, Urbach DR. The impact of marketing language on patient preference for robot-assisted surgery. Surg Innov. 2015;22:15.

    Article  PubMed  Google Scholar 

  11. Farnham SB, Webster TM, Herrell SD, et al. Intraoperative blood loss and transfusion requirements for robotic-assisted radical prostatectomy versus radical retropubic prostatectomy. Urology. 2006;67:360.

    Article  PubMed  Google Scholar 

  12. Ficarra V, Novara G, Ahlering TE, et al. Systematic review and meta-analysis of studies reporting potency rates after robot-assisted radical prostatectomy. Eur Urol. 2012;62:418.

    Article  PubMed  Google Scholar 

  13. Ficarra V, Novara G, Rosen RC, et al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy. Eur Urol. 2012;62:405.

    Article  PubMed  Google Scholar 

  14. Gala RB, Margulies R, Steinberg A, et al. Systematic review of robotic surgery in gynecology: robotic techniques compared with laparoscopy and laparotomy. J Minim Invasive Gynecol. 2014;21:353.

    Article  PubMed  Google Scholar 

  15. Ghani KR, Sukumar S, Sammon JD, et al. Practice patterns and outcomes of open and minimally invasive partial nephrectomy since the introduction of robotic partial nephrectomy: results from the nationwide inpatient sample. J Urol. 2014;191:907.

    Article  PubMed  Google Scholar 

  16. Horgan S, Vanuno D, Sileri P, et al. Robotic-assisted laparoscopic donor nephrectomy for kidney transplantation. Transplantation. 2002;73:1474.

    Article  PubMed  Google Scholar 

  17. Khan MS, Elhage O, Challacombe B, et al. Analysis of early complications of robotic-assisted radical cystectomy using a standardized reporting system. Urology. 2011;77:357.

    Article  PubMed  Google Scholar 

  18. Lerner MA, Ayalew M, Peine WJ, et al. Does training on a virtual reality robotic simulator improve performance on the da Vinci surgical system? J Endourol. 2010;24:467.

    Article  PubMed  Google Scholar 

  19. Lendvay TS, Casale P, Sweet R, et al. VR robotic surgery: randomized blinded study of the dV-Trainer robotic simulator. Stud Health Technol Inform. 2008;132:242.

    PubMed  Google Scholar 

  20. Liss MA, Abdelshehid C, Quach S, et al. Validation, correlation, and comparison of the da Vinci trainer() and the daVinci surgical skills simulator() using the Mimic() software for urologic robotic surgical education. J Endourol. 2012;26:1629.

    Article  PubMed  Google Scholar 

  21. Litwin MS, Hays RD, Fink A, et al. The UCLA Prostate Cancer Index: development, reliability, and validity of a health-related quality of life measure. Med Care. 1998;36:1002.

    Article  CAS  PubMed  Google Scholar 

  22. Mirkin JN, Lowrance WT, Feifer AH, et al. Direct-to-consumer Internet promotion of robotic prostatectomy exhibits varying quality of information. Health Aff (Millwood). 2012;31:760.

    Article  Google Scholar 

  23. Menon M, Bhandari M, Gupta N, et al. Biochemical recurrence following robot-assisted radical prostatectomy: analysis of 1384 patients with a median 5-year follow-up. Eur Urol. 2010;58:838.

    Article  PubMed  Google Scholar 

  24. Nelson B, Kaufman M, Broughton G, et al. Comparison of length of hospital stay between radical retropubic prostatectomy and robotic assisted laparoscopic prostatectomy. J Urol. 2007;177:929.

    Article  PubMed  Google Scholar 

  25. Patel VR, Tully AS, Holmes R, et al. Robotic radical prostatectomy in the community setting--the learning curve and beyond: initial 200 cases. J Urol. 2005;174:269.

    Article  PubMed  Google Scholar 

  26. Poch MA, Stegemann AP, Rehman S, et al. Short-term patient reported health-related quality of life (HRQL) outcomes after robot-assisted radical cystectomy (RARC). BJU Int. 2014;113:260.

    Article  PubMed  Google Scholar 

  27. Rocco B, Lorusso A, Coelho RF, et al. Building a robotic program. Scand J Surg. 2009;98:72.

    CAS  PubMed  Google Scholar 

  28. Ruhotina N, Dagenais J, Gandaglia G, et al. The impact of resident involvement in minimally-invasive urologic oncology procedures. Can Urol Assoc J. 2014;8:334.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Schuessler WW, Schulam PG, Clayman RV, et al. Laparoscopic radical prostatectomy: initial short-term experience. Urology. 1997;50:854.

    Article  CAS  PubMed  Google Scholar 

  30. Schroeck FR, de Sousa CA, Kalman RA, et al. Trainees do not negatively impact the institutional learning curve for robotic prostatectomy as characterized by operative time, estimated blood loss, and positive surgical margin rate. Urology. 2008;71:597.

    Article  PubMed  Google Scholar 

  31. Thompson JE, Egger S, Bohm M, et al. Superior quality of life and improved surgical margins are achievable with robotic radical prostatectomy after a long learning curve: a prospective single-surgeon study of 1552 consecutive cases. Eur Urol. 2014;65:521.

    Article  PubMed  Google Scholar 

  32. Wilson EB. The evolution of robotic general surgery. Scand J Surg. 2009;98:125.

    CAS  PubMed  Google Scholar 

  33. Williams SB, Prado K, Hu JC. Economics of robotic surgery: does it make sense and for whom? Urol Clin North Am. 2014;41:591.

    Article  PubMed  Google Scholar 

  34. Wei JT, Dunn RL, Litwin MS, et al. Development and validation of the expanded prostate cancer index composite (EPIC) for comprehensive assessment of health-related quality of life in men with prostate cancer. Urology. 2000;56:899.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, University of Illinois at Chicago, Chicago, IL, USA

    Ryan W. Dobbs & Laurel Sofer

  2. Urology Department, University of Illinois at Chicago, College of Medicine, University of Illinois Hospital & Health Sciences System, Mount Sinai Hospital & Health System, Chicago, IL, USA

    Simone Crivellaro MD

Authors
  1. Ryan W. Dobbs
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Laurel Sofer
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Simone Crivellaro MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Simone Crivellaro MD .

Editor information

Editors and Affiliations

  1. Department of Urology, East Surrey Hospital, Redhill, United Kingdom

    Abhay Rané

  2. Department of Urology, Ege University School of Medicine, Ä°zmir, Turkey

    Burak Turna

  3. Case Western University, University Hospitals Urology Institute, Cleveland, Ohio, USA

    Riccardo Autorino

  4. Urology, SLK Kliniken, Heilbronn, Baden-Württemberg, Germany

    Jens J. Rassweiler

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag London

About this chapter

Cite this chapter

Dobbs, R.W., Sofer, L., Crivellaro, S. (2017). Starting a Robotic Surgery Program. In: Rané, A., Turna, B., Autorino, R., Rassweiler, J. (eds) Practical Tips in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-4348-2_53

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4348-2_53

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4347-5

  • Online ISBN: 978-1-4471-4348-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation