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by foldedcornice 1442 days ago
I'm curious to learn more about the main advantages of the da Vinci machines in certain contexts, over 'straight-stick' surgery.

The article's author, who is a roboticist rather than a surgeon, paints a picture where robotic surgery does not have a clear advantage over straight-stick surgery due to a lack of training: "In fact, a recent survey of 50 randomized control trials that compared robotic surgery to conventional and laparoscopic surgeries found that outcomes were comparable, and robotic surgeries were actually a bit slower. From my perspective, focusing on education, it’s something of a miracle that outcomes aren’t worse, given that residents are going to their first jobs without the necessary experience. "

To learn from an alternative perspective, what might be an example of a patient condition or objective where robotic surgery may have a meaningful advantage over conventional surgery?

1 comments

> To learn from an alternative perspective, what might be an example of a patient condition or objective where robotic surgery may have a meaningful advantage over conventional surgery?

Stereotactic surgery in Neurosurgery.

Aren't these non-intrusive and done using gamma knives?

I read somewhere that computer+radiologist perform the planning of beams and the gamma knive does all the work

You still have biopsies, SEEGs and anything else that requires deep brain invasive action.
Another example is robotic-assisted pedicle screw insertion in patients with challenging spinal deformities
Radiation oncologist*, this is far outside my (radiologist) scope!