Springer Nature is making SARS-CoV-2 and COVID-19 research free View research | View latest news | Sign up for updates

Overcoming technical challenges with robotic surgery in gynecologic oncology

  • 298 Accesses

  • 17 Citations

Abstract

Background

The majority of data published on robotic surgery in gynecologic oncology has focused on patient outcomes and surgical data. We have found that technical challenges due to the complexity of the robotic technology create a separate set of issues, adding time and difficulty to the actual surgical procedure. This study focuses on these technical problems and identifies pitfalls and potential solutions in robotics.

Methods

All patients who underwent robotic surgery for gynecologic oncology indications from August 2006 through July 2008 were eligible for inclusion in the study. Data collected prospectively included demographics, surgical and clinicopathologic data, and technical problems with the robotic equipment.

Results

One hundred thirty-seven patients underwent robotic surgery during the study period. A total of 11 cases (8.02%) were associated with problems with robotic technology: 2/11 (18.2%) involved malfunction of robotic arms, 2/11 (18.2%) involved light or camera cords, and the remainder included a variety of problems, including malfunction of Maylard bipolar instrument [1/11 (9.1%)], power failure requiring reboot of robot [1/11 (9.1%)], port problems [2/11 (18.2%)], and 3/1 (27.3%) had miscellaneous problems. An estimated average of 25 min was added to each of these 11 cases in order to solve robot-related technological problems. No cases required conversion to laparotomy. All problems were solved by the robotic surgeon with the assistance of robotic surgery staff.

Conclusions

Surgeons performing robotic surgery must become familiar with troubleshooting robotic technology. Several issues related to technical problems may arise, delaying progression of the case, and potential solutions were identified. As this technology is implemented, robotic surgeons must be trained to solve problems related to the robotic technology and associated equipment. Failure to do so may add time and technical difficulty to robotic cases.

This is a preview of subscription content, log in to check access.

Fig. 1
Fig. 2

References

  1. 1.

    Talamini MA, Chapman S, Horgan WS, Melvin WS (2003) A prospective analysis of 211 robotic-assisted surgical procedures. Surg Endosc 17:1521–1524

  2. 2.

    Lavery HJ, Thaly R, Albala D, Ahlering T, Shalhav A, Lee D, Fagin R, Wiklund P, Dasgupta P, Costello AJ, Tewari A, Coughlin G, Patel VR (2008) Robotic equipment malfunction during robotic prostatectomy: a multi-institutional study. J Endourol 22(9):2165–2168

  3. 3.

    Andonian S, Okeke Z, Okeke DA, Rastinehad A, Vanderbrink BA, Richstone L, Lee BR (2008) Device failures associated with patient injuries during robotic-assisted laparoscopic surgeries: a comprehensive review of FDA MAUDE database. Can J Urol 15(1):3912–3916

Download references

Disclosures

Dr. Michael A. Finan and Dr. Rodney P. Rocconi serve as proctors for robotic surgery for Intuitive Surgical Inc. They both receive professional consulting fees for proctoring surgical cases. These fees do not present a conflict of interest or financial ties to disclose with regard to this article.

Author information

Correspondence to Michael A. Finan.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Finan, M.A., Rocconi, R.P. Overcoming technical challenges with robotic surgery in gynecologic oncology. Surg Endosc 24, 1256–1260 (2010). https://doi.org/10.1007/s00464-009-0756-0

Download citation

Keywords

  • Cancer
  • Gynecology and obstetrics
  • Technical
  • Human/robotic Robotic surgery