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Erschienen in: Surgical Endoscopy 4/2014

01.04.2014 | Letter To the Editor

The end of robot-assisted laparoscopy? A critical appraisal of scientific evidence on the use of robot-assisted laparoscopic surgery

verfasst von: Jeroen Heemskerk, Nicole D. Bouvy, Cor G. M. I. Baeten

Erschienen in: Surgical Endoscopy | Ausgabe 4/2014

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Abstract

Background

Robot-assisted laparoscopy has been used in a wide variety of surgical fields; however, the financial costs involved are high and convincing proof of superiority in terms of quality of life, cost effectiveness and survival is often lacking. Possibly, there might be small benefits for the patient or for the surgeon’s health that might warrant the use of robotics in limited fields of surgery.

Methods

We performed a critical appraisal of the literature, searching for scientific evidence supporting the use of robotics in daily laparoscopic surgery.

Results

Convincing evidence supporting the use of robotics is lacking.

Conclusion

In an era of worldwide economic crisis, it is about time to start a critical discussion as to whether we should drastically limit, or even abandon, the use of robot-assisted laparoscopic surgery and focus on more cost-effective strategies of healthcare improvement. We suggest the use of robotics should be limited to well-powered, randomized clinical trials in a limited field of research.
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Metadaten
Titel
The end of robot-assisted laparoscopy? A critical appraisal of scientific evidence on the use of robot-assisted laparoscopic surgery
verfasst von
Jeroen Heemskerk
Nicole D. Bouvy
Cor G. M. I. Baeten
Publikationsdatum
01.04.2014
Verlag
Springer US
Erschienen in
Surgical Endoscopy / Ausgabe 4/2014
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-013-3306-8

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