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HONG NGUYEN GINA MOORE MARIO CONTRERAS Robotic Surgery

HONG NGUYEN GINA MOORE MARIO CONTRERAS Robotic Surgery

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Page 1: HONG NGUYEN GINA MOORE MARIO CONTRERAS Robotic Surgery

HONG NGUYENGINA MOORE

MARIO CONTRERAS

Robotic Surgery

Page 2: HONG NGUYEN GINA MOORE MARIO CONTRERAS Robotic Surgery

OPERATIONAL

A technique performed during surgery by a surgeon using a computer that controls very small instruments attached to a

robot Performed through smaller surgical cuts

can access hard-to-reach areas of body more easily Can allow a surgeon to perform a less-invasive procedure The surgeon can more easily see the area being operated on

in a much more comfortable position and can move in a more natural way

Robot reduces the surgeon's movements some of the hand tremors and movements that might otherwise make

the surgery less precise Can take longer to perform, d/t amount of time needed to set up

robot expensive to use and may not be available in many hospitals

Page 3: HONG NGUYEN GINA MOORE MARIO CONTRERAS Robotic Surgery

STRATEGIC

Robot-assisted prostate surgery costs more $1,500-$2,000 more per patient.

It is not clear whether its outcomes are better, worse or the same.

It is also not known whether robot-assisted prostate surgery gives better, worse or equivalent long-term cancer control than traditional methods Either with a 4 inch incision or with smaller incisions

One large national study, which compared outcomes among Medicare patients, indicated that surgery with a robot might lead to fewer in-hospital complications But that it might also lead to more impotence and incontinence Study included conventional laparoscopy patients among the ones

who had robot-assisted surgery, making it difficult to assess its conclusions

Page 4: HONG NGUYEN GINA MOORE MARIO CONTRERAS Robotic Surgery

CULTURAL

Marketing has moved into the breach hospitals and surgeons advertise their services with

claims that make critics raise their eyebrows For example, surgeons in private practice at the New

Jersey Center for Prostate Cancer and Urology advertise on their Web site that robot-assisted surgery provides: “cancer cure equally as well as traditional prostate surgery” “significantly improved urinary control”

Robot-assisted prostate surgery has grown at a nearly unprecedented rate

Page 5: HONG NGUYEN GINA MOORE MARIO CONTRERAS Robotic Surgery

POLITICAL

With drugs, the Food and Drug Administration requires extensive tests to determine safety and efficacy.

But surgeons are free to innovate, and few would argue that surgery can or should be held to the same standards as drugs.

Still, a situation like robot-assisted surgery illustrates how patients may end up making what can be life-changing decisions based on little more than assertive marketing or the personal prejudices of their surgeon.

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ProsPros ConsCons

Because the surgical cuts are typically smaller than with traditional open surgery, robotic surgery may lead to: Faster recovery Less pain and bleeding Less risk of infection Shorter hospital stay Smaller scars

Robots cost $1.39 million and $140,000 a year for the service contract

Ordinarily, MDs can feel how forcefully they are grabbing tissue, how well they are cutting, how their stitches are holding. With the robot, that is lost.

Robot is slow; typically takes 3.5 hours for a prostate operation, according to Intuitive, twice as long as traditional surgery.

Robotic surgery cannot be used for some complex procedures.

For example, it is not appropriate for certain types of heart surgery that require greater ability to move instruments in the patient's chest.

PROS and CONS

Page 7: HONG NGUYEN GINA MOORE MARIO CONTRERAS Robotic Surgery

BIBLIOGRAPHY

http://www.nlm.nih.gov/medlineplus/ency/article/007339.htm http://www.nytimes.com/2010/02/14/health/14robot.html?

pagewanted=all&_r=1& http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1084071/ http://www.businessweek.com/managing/content/mar2010/

ca2010039_575207.htm#p2