Efficacy and Safety of Robotic Procedures Performed Using the da Vinci Robotic Surgical System at a Single Institute in Korea: Experience with 10000 Cases
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Purpose: To evaluate the efficacy and safety of robotic procedures performed using the da Vinci Robotic Surgical System at a singleinstitute. Materials and Methods: We analyzed all robotic procedures performed at Severance Hospital, Yonsei University Health System(Seoul, Korea). Reliability and mortality rates of the robotic surgeries were also investigated. Results: From July 2005 to December 2013, 10267 da Vinci robotic procedures were performed in seven different departments by47 surgeons at our institute. There were 5641 cases (54.9%) of general surgery, including endocrine (38.0%), upper (7.7%) andlower gastrointestinal tract (7.5%), hepato-biliary and pancreatic (1.2%), and pediatric (0.6%) surgeries. Urologic surgery (33.0%)was the second most common, followed by otorhinolaryngologic (7.0%), obstetric and gynecologic (3.2%), thoracic (1.5%), cardiac(0.3%), and neurosurgery (0.1%). Thyroid (40.8%) and prostate (27.4%) procedures accounted for more than half of all surgeries,followed by stomach (7.6%), colorectal (7.5%), kidney and ureter (5.1%), head and neck (4.0%), uterus (3.2%), thoracic (1.5%),and other (2.9%) surgeries. Most surgeries (94.5%) were performed for malignancies. General and urologic surgeries rapidly increasedafter 2005, whereas others increased slowly. Thyroid and prostate surgeries increased rapidly after 2007. Surgeries for benignconditions accounted for a small portion of all procedures, although the numbers thereof have been steadily increasing. Systemmalfunctions and failures were reported in 185 (1.8%) cases. Mortality related to robotic surgery was observed for 12 (0.12%) cases. Conclusion: Robotic surgeries have increased steadily at our institution. The da Vinci Robotic Surgical System is effective and safefor use during surgery.
Abstract
Purpose: To evaluate the efficacy and safety of robotic procedures performed using the da Vinci Robotic Surgical System at a singleinstitute. Materials and Methods: We analyzed all robotic procedures performed at Severance Hospital, Yonsei University Health System(Seoul, Korea). Reliability and mortality rates of the robotic surgeries were also investigated. Results: From July 2005 to December 2013, 10267 da Vinci robotic procedures were performed in seven different departments by47 surgeons at our institute. There were 5641 cases (54.9%) of general surgery, including endocrine (38.0%), upper (7.7%) andlower gastrointestinal tract (7.5%), hepato-biliary and pancreatic (1.2%), and pediatric (0.6%) surgeries. Urologic surgery (33.0%)was the second most common, followed by otorhinolaryngologic (7.0%), obstetric and gynecologic (3.2%), thoracic (1.5%), cardiac(0.3%), and neurosurgery (0.1%). Thyroid (40.8%) and prostate (27.4%) procedures accounted for more than half of all surgeries,followed by stomach (7.6%), colorectal (7.5%), kidney and ureter (5.1%), head and neck (4.0%), uterus (3.2%), thoracic (1.5%),and other (2.9%) surgeries. Most surgeries (94.5%) were performed for malignancies. General and urologic surgeries rapidly increasedafter 2005, whereas others increased slowly. Thyroid and prostate surgeries increased rapidly after 2007. Surgeries for benignconditions accounted for a small portion of all procedures, although the numbers thereof have been steadily increasing. Systemmalfunctions and failures were reported in 185 (1.8%) cases. Mortality related to robotic surgery was observed for 12 (0.12%) cases. Conclusion: Robotic surgeries have increased steadily at our institution. The da Vinci Robotic Surgical System is effective and safefor use during surgery.
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