Managerial perspectives of scaling up robotic-assisted surgery in healthcare systems:A systematic literature review  

作　　者：Ravichandran Anitha Komattu Chacko John Gnanadhas Jabarethina 

机构地区：[1]Sri Ramachandra Faculty of Management Sciences,Sri Ramachandra Institute of Higher Education and Research(Category-I Deemed to be University),Chennai,India

出　　处：《Laparoscopic, Endoscopic and Robotic Surgery》2024年第3期113-122,共10页腔镜、内镜与机器人外科（英文）

基　　金：The authors are the awardees of the Indian Council of Social Science Research(ICSSR)Research Program(F.No.G-11/2021-22/ICSSR/RP);This paper is largely an outcome of the research program sponsored by the ICSSR.However,the responsibility for the facts stated,opinions expressed,and conclusions drawn is entirely that of the authors.

摘　　要：Objectives Robotic-assisted surgery(RAS)is a minimally invasive technique practiced in multiple specialties.Standard training is essential for the acquisition of RAS skills.The cost of RAS is considered to be high,which makes it a burden for institutes and unaffordable for patients.This systematic literature review(SLR)focused on the various RAS training methods applied in different surgical specialties,as well as the cost elements of RAS,and was to summarize the opportunities and challenges associated with scaling up RAS.Methods An SLR was carried out based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses reporting guidelines.The PubMed,EBSCO,and Scopus databases were searched for reports from January 2018 through January 2024.Full-text reviews and research articles in the English language from Asia-Pacific countries were included.Articles that outlined training and costs associated with RAS were chosen.Results The most common training system is the da Vinci system.The simulation technique,which includes dry-lab,wet-lab,and virtual reality training,was found to be a common and important practice.The cost of RAS encompasses the installation and maintenance costs of the robotic system,the operation theatre rent,personnel cost,surgical instrument and material cost,and other miscellaneous charges.The synthesis of SLR revealed the challenges and opportunities regarding RAS training and cost.Conclusions The results of this SLR will help stakeholders such as decision-makers,influencers,and end users of RAS to understand the significance of training and cost in scaling up RAS from a managerial perspective.For any healthcare innovation to reach a vast population,cost-effectiveness and standard training are crucial.

关 键 词：da Vinci system Healthcare Robotic-assisted surgery Robotic surgery Robotic training Robotic surgery cost 

分 类 号：TP242[自动化与计算机技术—检测技术与自动化装置]