Advertisement

Launching a Successful Robotic Program

  • Kenneth J. Palmer
  • Marcelo A. Orvieto
  • Bernardo M. Rocco
  • Vipul R. Patel
Chapter

Abstract

In spite of the substantial benefits of robotic surgery (RS) over standard laparoscopy, performing robotic surgery still requires for the surgeon to undergo a necessary learning curve (LC), in order to ensure the safe introduction of this technology. In this setting the adoption of RS at any institution requires the establishment of a well-structured plan and certain key elements to be in place to ensure successful implementation of a robotics program. A thorough initial design and implementation lead to the execution of clinical services, which meet previously established goals. Once the execution phase is established, the next step is to focus on maintenance and growth to maximize the benefits of the program We portray the necessary phases for creating a successful robotic program, paying special attention to the aspects that allowed our facility to create a profitable robotic-assisted laparoscopic prostatectomy program The true success and durability of RS will depend on long-term outcomes. For individual programs, a thorough infrastructure is necessary to approachoverall profitability and efficiency. Initial planning is dependent on a risk/benefit analysis, economic model, and lead surgeon. Realistic early expectations often require a substantial initial investment An OR team, hospital administration support, possible OR modification, and continued marketing become the next agenda. Each focus area should be established prior to the launch of the program. Finally, it is important to frequently review the goals of the program in the initial phase because early identification of problem areas, possible changes to improve efficiency or outcomes, and justification for the risk/cost of a program can all be obtained and handled ahead of time

Keywords

Robotic surgery Robotic surgical program Marketing Operating room setup Training Robotic surgical team 

References

  1. 1.
  2. 2.
    Singh I, Hemal AK. Robot-assisted pyeloplasty: review of the current literature, technique and outcome. Can J Urol. 2010;17(2):5099-5108.PubMedGoogle Scholar
  3. 3.
    Benway BM, Bhayani SB, Rogers CG, et al. Robot-assisted partial nephrectomy: an international ­experience. Eur Urol. 2010;57(5):815-820. Epub 2010 Jan 22.PubMedCrossRefGoogle Scholar
  4. 4.
    Pruthi RS, Smith A, Wallen EM. Evaluating the learning curve for robot-assisted laparoscopic radical cystectomy. J Endourol. 2008;22(11):2469-2474.PubMedCrossRefGoogle Scholar
  5. 5.
    Kramer BA, Whelan CM, Powell TM, Schwartz BF. Robot-assisted laparoscopic sacrocolpopexy as management for pelvic organ prolapse. J Endourol. 2009;23(4):655-658.PubMedCrossRefGoogle Scholar
  6. 6.
    Palmer KJ, Lowe GJ, Coughlin GD, Patil N, Patel VR. Launching a successful robotic surgery program. J Endourol. 2008;22(4):819-824.PubMedCrossRefGoogle Scholar
  7. 7.
    Herrell SD, Smith JA Jr. Robotic-assisted laparoscopic prostatectomy: what is the learning curve? Urology. 2005;66(5 Suppl):105-107.PubMedCrossRefGoogle Scholar
  8. 8.
    Patel V, Tully A, Holmes R, Lindsay J. Robotic radical prostatectomy in the community setting – the learning curve and beyond: initial 200 cases. J Urol. 2005;174:269.PubMedCrossRefGoogle Scholar
  9. 9.
    Lavery H, Thaly R, Patel V. The advanced learning curve in robotic prostatectomy: a multi-institutional survey. J Urol. 2007;177:269.CrossRefGoogle Scholar
  10. 10.
    Sahabudin R, Arni T, Ashani N, Arumuga K, et al. Development of robotic program: an Asian experience. World J Urol. 2006;24:161.PubMedCrossRefGoogle Scholar
  11. 11.
    Steers W, LeBeau S, Cardella J, Fulmer B. Establishing a robotics program. Urol Clin N Am. 2004;31:773.CrossRefGoogle Scholar
  12. 12.
    Finkelstein J, Eckersberger E, Sadri H, Taneja SS, Lepor H, Djavan B. Open versus laparoscopic versus robot-assisted laparoscopic prostatectomy: the European and US Experience. Rev Urol. 2010 Winter;12(1):35-43.Google Scholar
  13. 13.
    Palmer KJ, Coughlin G, Patel VR, et al. Examining the financial costs of robotic-assisted laparoscopic radical prostatectomy. Urology. 2007;70(Supplement 3A):97.Google Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Kenneth J. Palmer
    • 1
  • Marcelo A. Orvieto
    • 2
  • Bernardo M. Rocco
    • 3
  • Vipul R. Patel
    • 4
    • 5
    • 1
  1. 1.Florida Hospital Celebration Health Global Robotics InstituteCelebrationUSA
  2. 2.Section of UrologyUniversity of Chicago Medical CenterChicagoUSA
  3. 3.Department of Urology, School of Robotic SurgeryFondazione IRCCS Ca’ Granda - Ospedale Maggiore PoliclinicoMilanItaly
  4. 4.Florida Hospital Global Robotics Institute Florida Hospital Celebration HealthCelebrationUSA
  5. 5.University of Central Florida College of Medicine, Florida Hospital Celebration HealthCelebrationUSA

Personalised recommendations