Connect
MJA
MJA

Robotic surgery: will it be evidence-based or just “toys for boys”?

Guy J Maddern
Med J Aust 2007; 186 (5): . || doi: 10.5694/j.1326-5377.2007.tb00876.x
Published online: 5 March 2007

Surgeons and government must work together to evaluate new surgical technologies

Robot-assisted surgery has been evolving over the past decade, from simple adjustable arms to support cameras in laparoscopic surgery, through to the more sophisticated four-armed machines now being installed in a number of hospitals in Australia.1 The name “robot” is somewhat misleading, as these devices do not perform autonomous tasks, but are under the direct control of a surgeon who usually works from a remote console to insert robot-controlled instruments into a patient. This technology has certainly made a number of surgical procedures, such as total prostatectomy and cardiac anastomosis (coronary artery bypass grafting), somewhat easier to perform; however, the true benefit of these interventions is yet to be clearly demonstrated.2


  • Discipline of Surgery, The University of Adelaide, Adelaide, SA.


Correspondence: guy.maddern@adelaide.edu.au

Competing interests:

I am the Surgical Director and a member of the Management Committee of ASERNIP-S.

  • 1. O’Malley PJ, Van Appledorn S, Bouchier-Hayes DM, et al. Robotic radical prostatectomy in Australia: initial experience. World J Urol 2006; 24: 165-170.
  • 2. Tooher R, Pham C. The da Vinci surgical robotics system: technology overview. ASERNIP-S report no. 45. Adelaide: ASERNIP-S, July 2004. http://www.surgeons.org/AM/Template.cfm?Section=ASERNIP_S_Publications&Template=/CM/ContentDisplay.cfm&ContentFileID=1887 (accessed Dec 2006).
  • 3. Maxwell-Armstrong CA, Steele RJ, Amar SS, et al. Long-term results of the Angelchik prosthesis for gastro-oesophageal reflux. Br J Surg 1997; 84: 862-864.
  • 4. Mathus-Vliegen EM, Tytgat GN, Veldhuyzen-Offermans EA. Intragastric balloon in the treatment of super-morbid obesity. Double-blind, sham-controlled, crossover evaluation of 500-milliliter balloon. Gastroenterology 1990; 99: 362-369.
  • 5. Wykypiel H, Wetscher GJ, Klaus A, et al. Robot-assisted laparoscopic partial posterior fundoplication with the DaVinci system: initial experiences and technical aspects. Langenbecks Arch Surg 2003; 387: 411-416.
  • 6. Committee for Evaluation and Diffusion of Innovative Technologies. Robotic surgery using telemanipulators. CEDIT Recommendation Ref 02.01/Re1/02. Paris: CEDIT; Assistance Publique–Hôpitaux de Paris, 2002. http://cedit.aphp.fr/english/index_present.html (accessed Dec 2006).
  • 7. Berlinger NT. Robotic surgery — squeezing into tight places. N Engl J Med 2006; 354: 2099-2101.
  • 8. Satava RM. Looking forward. Surg Endosc 2006; 20 Suppl 2: S503-S504.
  • 9. Satava RM. Days 2 and 3 of the dawn of modern military surgery: the sequel to Senn. J Am Coll Surg 2005; 200: 316-320.

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.