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by the_erd
1243 days ago
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Reminiscent of robotic surgery - it took years for surgical outcomes on these platforms to actually improve on average outcomes over manual surgery, and for individual surgeons, the learning curve was also unfavorable. Prostate surgery was a leading application for robot surgery because it's challenging to access the prostate and remove cancerous parts while preserving nerve/prostate function. A decade ago I saw a robotic prostate surgeon at a leading (ivy) research university hospital present data showing that although it could achieve superior outcomes (quicker return to urinary continence, faster mean return time of erection), a surgeon needed to perform literally hundreds-to-thousands of robotic surgeries before they could achieve equivalency in outcomes, and then to get to superiority. A surgeon in training could achieve statistically average outcomes via traditional laparoscopic prostate surgery much faster. Mind you, this was literally a decade after the daVinci was approved for this type of surgery (FDA approved in 2001). |
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