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Trends of robotic-assisted surgery for thyroid, colorectal, stomach and hepatopancreaticobiliary cancer: 10 year Korea trend investigation

Authors
 Liang An  ;  Kyo Sun Hwang  ;  Shin-Hoo Park  ;  You Na Kim  ;  Se-Jin Baek  ;  Sungsoo Park  ;  Woo Jin Hyung  ;  Woung Youn Chung  ;  Seon-Hahn Kim 
Citation
 ASIAN JOURNAL OF SURGERY, Vol.44(1) : 199-205, 2021-01 
Journal Title
ASIAN JOURNAL OF SURGERY
ISSN
 1015-9584 
Issue Date
2021-01
MeSH
Biliary Tract Neoplasms / surgery* ; Colorectal Neoplasms / surgery* ; Digestive System Surgical Procedures / methods ; Digestive System Surgical Procedures / statistics & numerical data ; Female ; Humans ; Laparoscopy / methods ; Laparoscopy / statistics & numerical data ; Liver Neoplasms / surgery* ; Male ; Pancreatic Neoplasms / surgery* ; Republic of Korea / epidemiology ; Retrospective Studies ; Robotic Surgical Procedures / methods ; Robotic Surgical Procedures / statistics & numerical data ; Robotic Surgical Procedures / trends* ; Stomach Neoplasms / surgery* ; Thyroid Neoplasms / surgery* ; Time Factors
Keywords
Laparoscopic cancer surgery ; Minimally invasive treatment ; Robotic cancer surgery
Abstract
Background: The current position of robotic surgery in the field of minimally invasive surgery remains ambiguous. We evaluated long-term trends of robotic general surgery and the future direction of its development.

Methods: Data on robotic cancer surgeries between 2005 and 2014 were retrospectively collected by volunteer institutions in the Republic of Korea. Spearman's correlation and logistic regression analyses were used to compare robotic and laparoscopic surgery trends in general surgery.

Results: The odds that robotic surgery was performed instead of laparoscopic surgery significantly decreased in the fields of colorectal, stomach, and hepato-biliary-pancreatic surgery (odds ratio [OR]: 0.95, 95% confidence interval [CI]: 0.93-0.97; OR: 0.90, 95% CI: 0.88-0.92; and OR: 0.71, 95% CI: 0.65-0.78, respectively), except for thyroid surgery (OR: 1.28, 95% CI: 1.25-1.30). Of the total numbers of each procedure, proportions of robotic intersphincteric resections, abdominoperineal resections, and pylorus-preserving surgery performed significantly increased (r = 0.98, P < .001; r = 0.78, P = .01; and r = 0.86, P = .007, respectively).

Conclusions: The use of robotic surgery failed to preponderate that of laparoscopic surgery, except for thyroid surgery. Robotic surgery is increasingly preferred for limited fields or complex surgeries, but the use of robotics in simple surgeries has decreased.
Files in This Item:
T202125970.pdf Download
DOI
10.1016/j.asjsur.2020.05.029
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Chung, Woong Youn(정웅윤)
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190325
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