Robotic Surgery: Transforming Patient Care in the 21st Century?
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Inspired by a notion that machines can emulate human touch, the paper first examines the adoption of surgical robots in operating rooms at the global and local levels. The adoption of the technology has occurred almost concurrently in many countries without much time lag, and this near-simultaneous acceptance of the technology invites us to rethink technological supremacy in relation to patient care in the field of surgery. With focus on the da Vinci surgical system, this paper presents social and ethical implications of how (not) to regulate robotic surgery with potential and invisible risks with respect to patient care. Based on documentary analysis of news media in combination with literature review of medical journals, Korean news media, and Korean technology assessment reports on surgical robots, the paper explores how prevalently the idea of social progress is embedded in the promotion of advanced technology at the societal and governmental levels. I contend that the ideology of social enhancement has served to shape regulatory practices (or their absence) at the expense of patient care in emergent technologies such as robotic surgery in South Korea. Thus, social scientists and bioethicists should be involved in articulating ethical dimensions of the technology even from the stage of development in order to remedy the gap between technical advancement in surgery and patient care.
Abstract
Inspired by a notion that machines can emulate human touch, the paper first examines the adoption of surgical robots in operating rooms at the global and local levels. The adoption of the technology has occurred almost concurrently in many countries without much time lag, and this near-simultaneous acceptance of the technology invites us to rethink technological supremacy in relation to patient care in the field of surgery. With focus on the da Vinci surgical system, this paper presents social and ethical implications of how (not) to regulate robotic surgery with potential and invisible risks with respect to patient care. Based on documentary analysis of news media in combination with literature review of medical journals, Korean news media, and Korean technology assessment reports on surgical robots, the paper explores how prevalently the idea of social progress is embedded in the promotion of advanced technology at the societal and governmental levels. I contend that the ideology of social enhancement has served to shape regulatory practices (or their absence) at the expense of patient care in emergent technologies such as robotic surgery in South Korea. Thus, social scientists and bioethicists should be involved in articulating ethical dimensions of the technology even from the stage of development in order to remedy the gap between technical advancement in surgery and patient care.
참고문헌 (98)
- Mack J. M., "Minimally Invasive and Robotic Surgery", Journal of American Medical Association, 285(5), pp.568~572 (2001)
- "Google Glass Delivers New Insight During Surgery, USCF News Center (California), Oct. 30, 2013" (2013)[URL]
- Hogle L., "Enhancement Technologies and the Body", Annual Review of Anthropology, 34, pp.695~716 (2005)
- Ma Eunjeong, "Body and Enhancement Technology: An Introduction", East Asian Science, Technology and Society, 10(1), pp.1~4 (2016)
- Moorthy K., "Dexterity Enhancment with Robotic Surgery", Surgical Endoscopy, 18, pp.790~795 (2004)
- Schlich T., "Science and Industry : A Revolution in Fracture Care" (2002), Palgrave Macmillam
- Howell D. Joel, "Technology in the Hospital : Transforming Patient Care in the Early Twentieth Century" (1996), The Johns Hopkins University Press
- den Bulte C. V., "Medical Innovation Revisited: Social Contagion versus Marketing Effort", American Journal of Sociology, 106(5), pp.1409~1435 (2001)
- Abrishami P., "Unverstanding the Adoption Dynamics of ,Medical Innovations: Affordances of the da Vinci Robot in the Netherlands", Social Science & Medicine, 117, pp.125~133 (2014)
- "NECA", National Evidence-based Healthcare Collaborating Agency, ~ (2010)
- "NECA", National Evidence-based Healthcare Collaborating Agency, ~ (2013)
- Novara G., "Systematic Review and Meta-Analysis of Studies Reporting Onolcologic Outcome After Robot-Assisted Radical Prostatectomy", European Association of Urology, 62, pp.382~404 (2012)
- The Status Quo of Surgical Robots and Competitiveness in South Korea, "Lee W. J.", Korean Hospital Association, 63~74 (2007)
- Lee W. J., "Robotics in Laparoscopic Surgery", Hanyang Medical Reviews, 29(2), pp.68~74 (2008)
- Rha G. H., "Robotic Surgery", Korean Journal of Medicine, 79(2), pp.S434~S435 (2010)
- Sung N. S., "Current Status and Future Prospect of Robotic Surgery in Korea", Journal of Minimally Invasive Surgery, 17(4), pp.55~61 (2014)
- Pradarelli C. J., "Hospital Credentializing and Privileging of Surgeons a Potential Safety Blind Spot", JAMA, 313(13), pp.1313~1314 (2015)
- Pinch T., "Cutting up Skills: Estimating Difficulty as an Element of Surgical and Other Abilities" (1997), Cornell University Press
- Barley, Stephen R., "Between Craft and Science: Technical Work in the United States", pp.101~112 (1997), Cornell University Press
- Polanyi Michael, "Personal Knowledge: Towards a Post-Critical Philosophy" (1974), University of Chicago Press
- "나군호", Korea Food and Drug Administration, ~ (2008)
- De Wilde L. R, "Robotic surgery-- Advance or gimmick?", Best Practice & Research Clinical Obstetrics and Gynaecology, 27, pp.457~469 (2013)
- Pugin F., "History of Robotic Surgery: From AESOP and ZEUS to da Vinci", Journal of Visceral Surgery, 148, pp.e3~e8 (2011)
- Valer R., "Robotic Surgery: History and Teaching Impact", Actas Urologicas Espanolas, 35(9), pp.540~545 (2011)
- Camarillo B. D., "Robotic Technology in Surgery: Past, Present, and Future", The American Journal of Surgery, 188, pp.2S~15S (2004)
- Horgan S., "Robots in Laparoscopic Surgery", Journal of Laparoendoscopic & Advanced Surgical Techniques, 11(6), pp.415~419 (2001)
- Hashizume M., "Robotic Surgery and Cancer: The Present State, Problems and Future Vision", Japanese Journal of Clinical Oncology, 34(5), pp.227~237 (2004)
- "510(k) Summary- Intuitive Surgical, Inc" (2000)[URL]
- Sackett D., "Evidence Based Medicine: What It Is and What It Isn't", The British Medical Journal, 312, pp.71~72 (1996)
- Suresh K. P., "An Overview of Randominzation Techniques: An Unbiased Assessment of Outcome in Clinical Research", Journal of Human Reproductive Sciences, 4(1), pp.8~11 (2011)
- Aboumarzouk O., "Robotic versus Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-Analysis", European Association of Urology, 62, pp.1023~1033 (2012)
- Autorino R., "Current Status and Future Directions of Robotic Single-Site Surgery: A Systematic Review", European Association of Urology, 63, pp.266~280 (2013)
- Alessandra Marano, "Robotic versus Laparoscopic versus Open Gastrectomy: A Meta-Analysis", Journal of Gastric Cancer, 13(3), pp.136~148 (2013), 대한위암학회
- Mullins, J., "Live Robotic Surgery: Are Outcomes Compromised?", Urology, 80(3), pp.602~607 (2012)
- Sgabura O. V., "A 5-Year Perspective over Robotic General Surgery: Indications, Risk Factors and Learning Curves", Chirurgia, 108, pp.599~610 (2013)
- Collins S, "Randomized Trials in Robotic Surgery: A Practical Impossibility?", International Urogynecology Journal, 21, pp.1045~1047 (2010)
- Angell M., "The Truth about the Drug Companies: How They Deceive Us and What todo about It" (2004), Random House
- Greene A. J., "Attention to ‘Details’: Etiquette and the Pharmaceutical Salesman in Postwar American", Social Studies of Science, 34(2), pp.271~292 (2004)
- ". The Money Today 머니투데이, January 22, 2010" (2010), 최은미[URL]
- Descazeaud A., "Will Robotic Surgery Become the Gold Standard for Radical Prostatectomy?", European Urology, 51, pp.9~11 (2007)
- ". Medi:Gate News 메디게이트뉴스, November 4, 2015" (2015), 송연주[URL]
- Latour B., "Science in Action : How to Follow Scientists and Engineers Through Society" (1987), Harvard University Press
- 연세대학교 의료원, (2007), Yonsei University Health System
- "서울신문, December 14, 2009", 2009
- ". The Digital Times 디지털타임즈, October 17, 2013" (2013), 안경애[URL]
- 장민영, "로봇을 이용한 자궁근종절제술의 유용성: 복강경 그리고 개복수술과 비교", Obstetrics & Gynecology Science, 54(12), pp.784~793 (2011), 대한산부인과학회
- 형우진, "소화기 영역의 로봇 수술", 대한소화기학회지, 50(4), pp.256~259 (2007), 대한소화기학회
- 김형호, "da Vinci™ Surgical Robot을 이용한 돼지실험 모델에서의 각종 로봇수술-Pilot Study-", Annals of Surgical Treatment and Research, 63(3), pp.175~178 (2002), 대한외과학회
- 이우정, "소화기 영역의 로봇수술", 대한소화기학회지, 46(6), pp.427~432 (2005), 대한소화기학회
- ". Donga Science May 2012" (2012), 전승민[URL]
- 정성문, "미세침습 로봇 보조 심장수술에서 상대정맥 캐뉼라와 폐동맥 카테터 거치중 발생한 폐동맥 카테터 유도자의 꺾임", Korean Journal of Anesthesiology, 48(2), pp.202~206 (2005), 대한마취통증의학회
- 박영수, "완전 방실차단 환자에서 다빈치 수술 로봇을 이용한 영구 심박동기 삽입술 중 발생한 심낭 압전 -증례보고-", Korean Journal of Anesthesiology, 55(4), pp.498~501 (2008), 대한마취통증의학회
- Smyth, "Who Should Adopt Robotic Surgery, and When?", The Annals of Thoracic Surgery, 96, pp.1132~1137 (2013)
- Min G. E., "Role of Robotics in Urology Surgery", Journal of Kyung Hee Medical Center, 25(2), pp.55~61 (2009)
- Han Kyonghee, "Engineers for Korea" (2014), Morgan & Claypool Publishers
- 김광기, "국내의료로봇의 도전과 과제", 의공학회지, 30(4), pp.271~278 (2009), 대한의용생체공학회
- "The Financial News 파이낸셜뉴스, December 14, 2009", 2009
- ". The Korea Economy Daily 한국경제, July 27, 2009" (2009), 류시훈[URL]
- Lee S. M., "The Development State and Prospect of Robotic Surgery", Policy Issue Report, 10(4) (2010), Korea Evaluation Institute of Industrial Technology
- ". SaeJeonbuk Sinmun 새전북신문, March 31, 2010" (2010), 정성학[URL]
- ". The Jeonbuk Ilbo 전북일보, March 15, 2010" (2010), 김준호[URL]
- ". Medical Observer 메디컬옵저버, July 25, 2017" (2017), 양영구[URL]
- Rha Koon Ho, "Robotic Surgery", Korean Journal of Medicine, 79(2), pp.S434~S435 (2010)
- Schiavone B. M., "The Commmercialization of Robotic Surgery: Unsubstantiated Marketing of Gynecologic Surgery by Hospitals", American Journal of Obstetrics & Gynecology, 207(174), pp.e1~e7 (2012)
- (2010), 고은선[URL]
- ". The Kyunghyang Shinmun 경향신문, July 14, 2011" (2011), 박효순[URL]
- ". Pressian 프레시안, July 3, 2011" (2011), 김윤나영[URL]
- ". Sisapress 시사프레스, January 15, 2015" (2015), 노진섭[URL]
- Lee J., "Best Practices for Robotic Surgery Training and Credentialing", The Journal of Urology, 185, pp.1191~1197 (2011)
- Schiavone B. M., "The Commmercialization of Robotic Surgery: Unsubstantiated Marketing of Gynecologic Surgery by Hospitals", American Journal of Obstetrics & Gynecology, 207(174), pp.e1~e7 (2012)
- ". News1 뉴스1, December 23, 2017" (2017), 김다혜[URL]
- Ridley D. T., "Informed Consent, Informed Refusal, Informed Choice--What Is It That Makes a Patient’s Medical Treatment Decisions Informed?", Medicine and Law, 20(2), pp.205~214 (2001)
- Mol Annemarie, "The Logic of Care: Health and the Problem of Patient Choice" (2008), Routledge
- Sundram M., "Asian Robotic Experience", Urologic Oncology: Seminars and Original Investigations, 28, pp.677~681 (2010)
- Hur H., "Trends and Outcomes of Minimally Invasive Surgery for Gastric Cancer: 750 Consecutive Cases in Seven Years at a Single Center", The American Journal of Surgery, 205, pp.45~51 (2013)
- Tzemanaki A., "An Anthropomorphic Design for a Minimally Invasive Surgical System Based on a Survey of Surgical Technologies, Techniques and Training", The International Journal of Medical Robotics and Computer Assisted Surgery, 10(3), pp.368~378 (2014)
- Hermsen D. E., "Incidence of Surgical Site Infection Associated with Robotic Surgery", Infection Control and Hospital Epidemiology, 31(8), pp.822~827 (2010)
- Cho J. S., "Virtual Reality Training Improves da Vinci Performance: A Prospective Trial", Journal of Laparoendoscopic & Advanced Surgical Techniques, 23(12), pp.1~7 (2013)
- ". Kyunghyang Newspaper 경향신문, September 10, 2009" (2009), 이준규[URL]
- Lawrence C., "Incommunicable Knowledge: Science, Technology and the Clinical Art in Britain 1850-1914", Journal of Contemporary History, 20(4), pp.503~520 (1985)
- "The Coach in the Operating Room, The New Yorker, October 3, 2011" (2011)[URL]
- ". Hanguk Economy 한국경제, September 14, 2012" (2012), 이준혁[URL]
- ". Korea Healthlog 코리아 헬스로그, December 31, 2010" (2010), 한정호[URL]
- 오윤환, "수술용 로봇기술의 효과성에 대한 체계적 문헌 고찰과 메타분석: 다빈치 시스템을 이용한 완전내시경적 관상동맥우회술을 대상으로", 보건경제와 정책연구, 17(3), pp.51~74 (2011), 한국보건경제정책학회
- Cambrosio A., "Regulatory Objectivity and the Generation and Management of Evidence in Medicine", Social Science & Medicine, 63(10), pp.189~199 (2006)
- Lee C. J., "Public Attitudes toward Emerging Technologies: Examining the Interactive Effects of Cognitions and Affect on Public Attitudes toward Nanotechnology", Science Communication, 27(2), pp.240~267 (2005)
- Kahan M. D., "Nanotechnology and Society: The Evolution of Risk Perception", Nature Nanotechnology, 4, pp.705~706 (2009)
- Rogers-Hayden T., "Moving Engagement ‘Upstream’? Nanotechnologies and the Royal Society and Royal Academy of Engineering’s Inquiry", Public Understanding of Science, 16, pp.346~ (2007)
- Cundy T., "The First Decade of Robotic Surgery in Children", Journal of Pediatric Surgery, 48, pp.858~865 (2013)
