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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
Barbash GI, Glied SA. New technology and health care costs--the case of robot-assisted surgery. N Engl J Med. 2010;363:701.
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.
Binder J, Kramer W. Robotically-assisted laparoscopic radical prostatectomy. BJU Int. 2001;87:408.
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.
Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy: initial case report. J Urol. 1991;146:278.
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.
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.
D’Annibale A, Morpurgo E, Fiscon V, et al. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum. 2004;47:2162.
Dixon PR, Grant RC, Urbach DR. The impact of marketing language on patient preference for robot-assisted surgery. Surg Innov. 2015;22:15.
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.
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.
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.
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.
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.
Horgan S, Vanuno D, Sileri P, et al. Robotic-assisted laparoscopic donor nephrectomy for kidney transplantation. Transplantation. 2002;73:1474.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Rocco B, Lorusso A, Coelho RF, et al. Building a robotic program. Scand J Surg. 2009;98:72.
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.
Schuessler WW, Schulam PG, Clayman RV, et al. Laparoscopic radical prostatectomy: initial short-term experience. Urology. 1997;50:854.
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.
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.
Wilson EB. The evolution of robotic general surgery. Scand J Surg. 2009;98:125.
Williams SB, Prado K, Hu JC. Economics of robotic surgery: does it make sense and for whom? Urol Clin North Am. 2014;41:591.
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.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights 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)