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Surgical Endoscopy

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01-04-2014 | Letter To the Editor

The end of robot-assisted laparoscopy? A critical appraisal of scientific evidence on the use of robot-assisted laparoscopic surgery

Authors: Jeroen Heemskerk, Nicole D. Bouvy, Cor G. M. I. Baeten

Published in: Surgical Endoscopy | Issue 4/2014

Abstract

Background

Robot-assisted laparoscopy has been used in a wide variety of surgical fields; however, the financial costs involved are high and convincing proof of superiority in terms of quality of life, cost effectiveness and survival is often lacking. Possibly, there might be small benefits for the patient or for the surgeon’s health that might warrant the use of robotics in limited fields of surgery.

Methods

We performed a critical appraisal of the literature, searching for scientific evidence supporting the use of robotics in daily laparoscopic surgery.

Results

Convincing evidence supporting the use of robotics is lacking.

Conclusion

In an era of worldwide economic crisis, it is about time to start a critical discussion as to whether we should drastically limit, or even abandon, the use of robot-assisted laparoscopic surgery and focus on more cost-effective strategies of healthcare improvement. We suggest the use of robotics should be limited to well-powered, randomized clinical trials in a limited field of research.

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Title: The end of robot-assisted laparoscopy? A critical appraisal of scientific evidence on the use of robot-assisted laparoscopic surgery
Authors: Jeroen Heemskerk
Nicole D. Bouvy
Cor G. M. I. Baeten
Publication date: 01-04-2014
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 4/2014
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-013-3306-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The end of robot-assisted laparoscopy? A critical appraisal of scientific evidence on the use of robot-assisted laparoscopic surgery

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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