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Medtronic einstein platform3/1/2023 Furthermore, surgeons expect significant growth in robotic colorectal, gastric, hernia, hepatobiliary, and pancreatic procedures ( 4). According to an RBC Capital Markets 2015 survey, surgeons expect that their robotic surgery volumes will account for up to 35% of their operative volume in 2018. In 2017, Intuitive noted a 32% year-over-year growth in the use of its robotic surgery systems among general surgeons ( 3). This has led to increasing patient and surgeon demand for access to robotic surgery. Its success has been fueled in part by studies demonstrating quicker patient recovery times, less blood loss, and less pain, especially when compared to conventional open surgery. Since that time, it has become a staple of the American healthcare system, with more than 2,800 hospitals investing in the technology by 2017 ( 2). The company’s marketing has focused heavily on da Vinci’s ability to deliver improved dexterity, visualization, and consistency when compared to the current standard laparoscopic surgical technique. Despite these early successes, robotic surgery did not enter the mainstream until 2000, when da Vinci (developed by Intuitive Surgical) was first approved for use by the US Food and Drug Administration (FDA). With its success, the first robotic-assisted laparoscopic cholecystectomy was then performed in 1987 ( 1). Robotic-assisted surgery was first performed in 1985 to conduct a neurosurgical procedure requiring delicate precision. Received: 30 April 2019 Accepted: Published. Keywords: Robotic surgery intuitive surgical laparoscopic surgery economic value analysis While more research is needed, this report suggests that it is indeed possible to derive significant value from robotic surgery. The increased demand and da Vinci’s perceived flaws have sparked new competition aimed at improving value by improving quality and lowering costs. However, in current research, robotic surgery has not proven itself superior to conventional laparoscopy costs often exceed those of laparoscopy. Intuitive Surgical has entrenched itself in the American Healthcare system with its aggressive marketing and advanced robotic surgery system. The robotic surgery industry continues to grow exponentially it is clear that it is here to stay. As healthcare executives, this raises a dilemma: “Is robotic surgery worth it?” In short, the answer is “yes!” This requires careful consideration of several factors including a shift in frame of comparison, a focus on long-term outcomes, finding ways to increase robotic volume, and considering the effect of competition. Moreover, research to date has not proven robotic surgery superior to conventional laparoscopy for a majority of surgeries. However, current offerings require large initial capital investments and have high recurrent costs. Heavy marketing of da Vinci, and its role in improving minimally invasive surgery have led to substantial growth at hospitals and surgical centers around the country. The demand for robotic surgery is at an all-time high and continues to grow. As it continues to develop its competitive advantage in robotic surgery, it is imperative for the modern health care systems to remain well-informed on the current state of robotic surgery and its role in improving health care quality and providing value to the system. Policy of Dealing with Allegations of Research MisconductĪbstract: Despite its significant associated costs, demand for robotic surgery continues to grow exponentially, with surgeons and patients alike increasingly gravitating towards health systems that provide access to robotic surgery.Policy of Screening for Plagiarism Process.
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