Robot‐assisted surgery in gynecological oncology: current status and controversies on patient benefits, cost and surgeon conditions – a systematic review

Introduction Robot‐assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge on robot‐assisted surgery, and to clarify and discuss controversies that have arisen alongside the development and deployment. Material and...

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Published inActa obstetricia et gynecologica Scandinavica Vol. 96; no. 3; pp. 274 - 285
Main Authors Kristensen, Steffen E., Mosgaard, Berit J., Rosendahl, Mikkel, Dalsgaard, Tórur, Bjørn, Signe F., Frøding, Ligita P., Kehlet, Henrik, Høgdall, Claus K., Lajer, Henrik
Format Journal Article
LanguageEnglish
Published United States John Wiley & Sons, Inc 01.03.2017
Subjects
Cervical cancer
Cost-Benefit Analysis
Costs
endometrial cancer
ergonomics
Female
Genital Neoplasms, Female - surgery
Gynecologic Surgical Procedures - economics
Gynecologic Surgical Procedures - instrumentation
gynecological oncology
Gynecology
Humans
Hysterectomy - education
Oncology
ovarian cancer
robotic surgery
Robotics - economics
Robots
robot‐assisted surgery
Surgery
training
Women's Health Services - economics
costs
robot-assisted surgery
ovarian cancer
ergonomics
endometrial cancer
training
gynecological oncology
Cervical cancer
robotic surgery
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Abstract Introduction Robot‐assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge on robot‐assisted surgery, and to clarify and discuss controversies that have arisen alongside the development and deployment. Material and methods A database search in PubMed and EMBASE was performed up until 4 March 2016. The search strategy was developed in collaboration with an information specialist, and by application of the PRISMA guidelines. Human participants and English language were the only restrictive filters applied. Selection was performed by screening of titles and s, and by full text scrutiny. From 2001 to 2016, a total of 76 references were included. Results Robot‐assisted surgery in gynecological oncology has increased, and current knowledge supports that the oncological safety is similar, compared with previous surgical methods. Controversies arise because current knowledge does not clearly document the benefit of robot‐assisted surgery, on perioperative outcome compared with the increased costs of the acquisition and application. Conclusions The rapid development in robot‐assisted surgery calls for long‐term detailed prospective cohorts or randomized controlled trials. The costs associated with acquisition, application, and maintenance have an unfavorable impact on cost–benefit evaluations, especially when compared with laparoscopy. Future developments in robot‐assisted surgery will hopefully lead to competition in the market, which will decrease costs.
AbstractList Introduction Robot-assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge on robot-assisted surgery, and to clarify and discuss controversies that have arisen alongside the development and deployment. Material and methods A database search in PubMed and EMBASE was performed up until 4 March 2016. The search strategy was developed in collaboration with an information specialist, and by application of the PRISMA guidelines. Human participants and English language were the only restrictive filters applied. Selection was performed by screening of titles and abstracts, and by full text scrutiny. From 2001 to 2016, a total of 76 references were included. Results Robot-assisted surgery in gynecological oncology has increased, and current knowledge supports that the oncological safety is similar, compared with previous surgical methods. Controversies arise because current knowledge does not clearly document the benefit of robot-assisted surgery, on perioperative outcome compared with the increased costs of the acquisition and application. Conclusions The rapid development in robot-assisted surgery calls for long-term detailed prospective cohorts or randomized controlled trials. The costs associated with acquisition, application, and maintenance have an unfavorable impact on cost-benefit evaluations, especially when compared with laparoscopy. Future developments in robot-assisted surgery will hopefully lead to competition in the market, which will decrease costs.
Robot-assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge on robot-assisted surgery, and to clarify and discuss controversies that have arisen alongside the development and deployment. A database search in PubMed and EMBASE was performed up until 4 March 2016. The search strategy was developed in collaboration with an information specialist, and by application of the PRISMA guidelines. Human participants and English language were the only restrictive filters applied. Selection was performed by screening of titles and abstracts, and by full text scrutiny. From 2001 to 2016, a total of 76 references were included. Robot-assisted surgery in gynecological oncology has increased, and current knowledge supports that the oncological safety is similar, compared with previous surgical methods. Controversies arise because current knowledge does not clearly document the benefit of robot-assisted surgery, on perioperative outcome compared with the increased costs of the acquisition and application. The rapid development in robot-assisted surgery calls for long-term detailed prospective cohorts or randomized controlled trials. The costs associated with acquisition, application, and maintenance have an unfavorable impact on cost-benefit evaluations, especially when compared with laparoscopy. Future developments in robot-assisted surgery will hopefully lead to competition in the market, which will decrease costs.
Introduction Robot‐assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge on robot‐assisted surgery, and to clarify and discuss controversies that have arisen alongside the development and deployment. Material and methods A database search in PubMed and EMBASE was performed up until 4 March 2016. The search strategy was developed in collaboration with an information specialist, and by application of the PRISMA guidelines. Human participants and English language were the only restrictive filters applied. Selection was performed by screening of titles and s, and by full text scrutiny. From 2001 to 2016, a total of 76 references were included. Results Robot‐assisted surgery in gynecological oncology has increased, and current knowledge supports that the oncological safety is similar, compared with previous surgical methods. Controversies arise because current knowledge does not clearly document the benefit of robot‐assisted surgery, on perioperative outcome compared with the increased costs of the acquisition and application. Conclusions The rapid development in robot‐assisted surgery calls for long‐term detailed prospective cohorts or randomized controlled trials. The costs associated with acquisition, application, and maintenance have an unfavorable impact on cost–benefit evaluations, especially when compared with laparoscopy. Future developments in robot‐assisted surgery will hopefully lead to competition in the market, which will decrease costs.
Abstract Introduction Robot‐assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge on robot‐assisted surgery, and to clarify and discuss controversies that have arisen alongside the development and deployment. Material and methods A database search in PubMed and EMBASE was performed up until 4 March 2016. The search strategy was developed in collaboration with an information specialist, and by application of the PRISMA guidelines. Human participants and English language were the only restrictive filters applied. Selection was performed by screening of titles and abstracts, and by full text scrutiny. From 2001 to 2016, a total of 76 references were included. Results Robot‐assisted surgery in gynecological oncology has increased, and current knowledge supports that the oncological safety is similar, compared with previous surgical methods. Controversies arise because current knowledge does not clearly document the benefit of robot‐assisted surgery, on perioperative outcome compared with the increased costs of the acquisition and application. Conclusions The rapid development in robot‐assisted surgery calls for long‐term detailed prospective cohorts or randomized controlled trials. The costs associated with acquisition, application, and maintenance have an unfavorable impact on cost–benefit evaluations, especially when compared with laparoscopy. Future developments in robot‐assisted surgery will hopefully lead to competition in the market, which will decrease costs.
INTRODUCTIONRobot-assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge on robot-assisted surgery, and to clarify and discuss controversies that have arisen alongside the development and deployment.MATERIAL AND METHODSA database search in PubMed and EMBASE was performed up until 4 March 2016. The search strategy was developed in collaboration with an information specialist, and by application of the PRISMA guidelines. Human participants and English language were the only restrictive filters applied. Selection was performed by screening of titles and abstracts, and by full text scrutiny. From 2001 to 2016, a total of 76 references were included.RESULTSRobot-assisted surgery in gynecological oncology has increased, and current knowledge supports that the oncological safety is similar, compared with previous surgical methods. Controversies arise because current knowledge does not clearly document the benefit of robot-assisted surgery, on perioperative outcome compared with the increased costs of the acquisition and application.CONCLUSIONSThe rapid development in robot-assisted surgery calls for long-term detailed prospective cohorts or randomized controlled trials. The costs associated with acquisition, application, and maintenance have an unfavorable impact on cost-benefit evaluations, especially when compared with laparoscopy. Future developments in robot-assisted surgery will hopefully lead to competition in the market, which will decrease costs.
Author Bjørn, Signe F.
Kristensen, Steffen E.
Rosendahl, Mikkel
Frøding, Ligita P.
Dalsgaard, Tórur
Mosgaard, Berit J.
Lajer, Henrik
Kehlet, Henrik
Høgdall, Claus K.
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  surname: Lajer
  fullname: Lajer, Henrik
  organization: Rigshospitalet‐Copenhagen University Hospital
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robot-assisted surgery
ovarian cancer
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  article-title: Robot‐assisted surgery in gynaecology
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    fullname: Liu H
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Snippet Introduction Robot‐assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge...
Robot-assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge on...
Abstract Introduction Robot‐assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current...
Introduction Robot-assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge...
INTRODUCTIONRobot-assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge...
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SubjectTerms Cervical cancer
Cost-Benefit Analysis
Costs
endometrial cancer
ergonomics
Female
Genital Neoplasms, Female - surgery
Gynecologic Surgical Procedures - economics
Gynecologic Surgical Procedures - instrumentation
gynecological oncology
Gynecology
Humans
Hysterectomy - education
Oncology
ovarian cancer
robotic surgery
Robotics - economics
Robots
robot‐assisted surgery
Surgery
training
Women's Health Services - economics
Title Robot‐assisted surgery in gynecological oncology: current status and controversies on patient benefits, cost and surgeon conditions – a systematic review
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Faogs.13084
https://www.ncbi.nlm.nih.gov/pubmed/28029176
https://www.proquest.com/docview/1875322997
https://search.proquest.com/docview/1853741478
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