[Clinical effectiveness and safety of robotic surgery]

Lee SH, Kim JH, Hwang JS, Choi JE, Shin EH, Lee NR, Son SK, You JY, Lim SW, Rha KH, Bae JS, Seo HJ, Lee KY, Hyung WJ
Record ID 32014001097
Original Title: 로봇수술의 안전성과 유효성 분석
Authors' recommendations: 1. Prostate Cancer Although there was a high degree of heterogeneity, robot surgery is superior in terms of safety, peri-operative outcome, functional outcome, and oncological outcome compared with laparoscopic or open surgery. However, it is not sufficient to support long-term outcomes. Well designed long term follow-up prospective studies and cost effectiveness study are needed. 2. Kidney Cancer Evaluation of the treatment effect of robotic surgery in partial nephrectomy was hampered by the insufficient number of studies and the level of evidence was not robust for evaluating treatment effects. Well designed randomized clinical studies are needed. 3. Rectal Cancer The conversion rate to open surgery was significantly low in robotic surgery. Recently, urinary function and sexual function after robotic surgery has been improved. Thus, it is expected that robotic surgery in rectal cancer patients will become more common. This needs to be verified by large prospective randomized clinical trials. 4. Gastric Cancer Comparing the surgical performance of the RAG group and the LAG group in gastric cancer revealed no differences in mortality rate and complication rate. The postoperative hospital stay in the RAG group was slightly shorter than in the LAG group. Considering that robotic surgery is the early stages of use in gastric cancer, precise evaluation of surgical outcomes in clinical practice is necessary through prospective randomized controlled studies after overcoming the learning curve. 5. Thyroid Cancer Robot-assisted surgery for thyroid cancer is not a minimally invasive technique, but rather is a remote access technique. This runs contrary to the view of robot-assisted surgery for other oncological diseases, such as prostate cancer, for which less pain and faster recovery are the main strong points. In addition, new complications, such as brachial plexus injury, has been are reported, albeit rarely. Considering the exorbitant cost of robotic thyroid surgery and the lack of evidence concerning its surgical effectiveness, social consensus is essential to determine if robot-assisted surgery is appropriate for patients with thyroid cancer. Well designed, long-term, follow-up prospective studies are also needed to evaluate the clinical safety and effectiveness based on a sufficient quantity of evidence.
Project Status: Completed
Year Published: 2014
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: South Korea
MeSH Terms
  • Neoplasms
  • Surgical Procedures, Operative
Organisation Name: National Evidence-based healthcare Collaborating Agency
Contact Address: National Evidence-based Healthcare Collaborating Agency (NECA), 3~5F Health and Welfare Social Administration B/D, 400 Neungdong-ro, Gwangjin-gu, Seoul, Korea.
Contact Name: int@neca.re.kr
Contact Email: int@neca.re.kr
Copyright: National Evidence-based Healthcare Collaborating Agency (NECA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.