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Current Trend of Robotic Thoracic and Cardiovascular Surgeries in Korea: Analysis of Seven-Year National Data.

Kang CH, Bok JS, Lee NR, Kim YT, Lee SH, Lim C - Korean J Thorac Cardiovasc Surg (2015)

Bottom Line: Centralization of robotic operation was significantly (p<0.0001) more common in cardiac surgery than in thoracic surgery.Trend analysis of robotic and cardiovascular operations demonstrated a gradual increase in the surgical volume in Korea.Meanwhile, centralization of surgical cases toward specific surgeons in specific hospitals was observed.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.

ABSTRACT

Background: Robotic surgery is an alternative to minimally invasive surgery. The aim of this study was to report on current trends in robotic thoracic and cardiovascular surgical techniques in Korea.

Methods: Data from the National Evidence-based Healthcare Collaborating Agency (NECA) between January 2006 and June 2012 were used in this study, including a total of 932 cases of robotic surgeries reported to NECA. The annual trends in the case volume, indications for robotic surgery, and distribution by hospitals and surgeons were analyzed in this study.

Results: Of the 932 cases, 591 (63%) were thoracic operations and 340 (37%) were cardiac operations. The case number increased explosively in 2007 and 2008. However, the rate of increase regained a steady state after 2011. The main indications for robotic thoracic surgery were pulmonary disease (n=271, 46%), esophageal disease (n=199, 34%), and mediastinal disease (n=117, 20%). The main indications for robotic cardiac surgery were valvular heart disease (n=228, 67%), atrial septal defect (n=79, 23%), and cardiac myxoma (n=27, 8%). Robotic thoracic and cardiovascular surgeries were performed in 19 hospitals. Three large volume hospitals performed 94% of the case volume of robotic cardiac surgery and 74% of robotic thoracic surgery. Centralization of robotic operation was significantly (p<0.0001) more common in cardiac surgery than in thoracic surgery. A total of 39 surgeons performed robotic surgeries. However, only 27% of cardiac surgeons and 23% of thoracic surgeons performed more than 10 cases of robotic surgery.

Conclusion: Trend analysis of robotic and cardiovascular operations demonstrated a gradual increase in the surgical volume in Korea. Meanwhile, centralization of surgical cases toward specific surgeons in specific hospitals was observed.

No MeSH data available.


Related in: MedlinePlus

Annual trend of robotic thoracic and cardiovascular surgery. In the early period, explosive increase of robotic surgery was observed. The rate of increase reached to steady state after 2010.
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f1-kjtcv-48-311: Annual trend of robotic thoracic and cardiovascular surgery. In the early period, explosive increase of robotic surgery was observed. The rate of increase reached to steady state after 2010.

Mentions: The overall trend in the occurrence of robotic thoracic and cardiac surgery is shown in Fig. 1. In the early period of robotic surgery, few robotic thoracic and cardiac operations were performed in Korea. In 2006, only 13 thoracic and cardiac robotic operations were performed. The indications for robotic surgery in 2006 were: esophageal disease (n=5), valvular heart disease (n=4), mediastinal disease (n=2), and atrial septal defects (n=2). The number of annual cases increased to 231 in 2011. Of the 932 total cases that were performed over this interval, 591 (63%) were robotic thoracic operations and 340 (37%) were robotic cardiac operations. In 2007 and 2008, the number of robotic operations increased explosively, with an annual rate of increase of 284% in 2007. However, the rate of increase then sharply decreased, dropping to 3% in 2011 (Table 1).


Current Trend of Robotic Thoracic and Cardiovascular Surgeries in Korea: Analysis of Seven-Year National Data.

Kang CH, Bok JS, Lee NR, Kim YT, Lee SH, Lim C - Korean J Thorac Cardiovasc Surg (2015)

Annual trend of robotic thoracic and cardiovascular surgery. In the early period, explosive increase of robotic surgery was observed. The rate of increase reached to steady state after 2010.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4622026&req=5

f1-kjtcv-48-311: Annual trend of robotic thoracic and cardiovascular surgery. In the early period, explosive increase of robotic surgery was observed. The rate of increase reached to steady state after 2010.
Mentions: The overall trend in the occurrence of robotic thoracic and cardiac surgery is shown in Fig. 1. In the early period of robotic surgery, few robotic thoracic and cardiac operations were performed in Korea. In 2006, only 13 thoracic and cardiac robotic operations were performed. The indications for robotic surgery in 2006 were: esophageal disease (n=5), valvular heart disease (n=4), mediastinal disease (n=2), and atrial septal defects (n=2). The number of annual cases increased to 231 in 2011. Of the 932 total cases that were performed over this interval, 591 (63%) were robotic thoracic operations and 340 (37%) were robotic cardiac operations. In 2007 and 2008, the number of robotic operations increased explosively, with an annual rate of increase of 284% in 2007. However, the rate of increase then sharply decreased, dropping to 3% in 2011 (Table 1).

Bottom Line: Centralization of robotic operation was significantly (p<0.0001) more common in cardiac surgery than in thoracic surgery.Trend analysis of robotic and cardiovascular operations demonstrated a gradual increase in the surgical volume in Korea.Meanwhile, centralization of surgical cases toward specific surgeons in specific hospitals was observed.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.

ABSTRACT

Background: Robotic surgery is an alternative to minimally invasive surgery. The aim of this study was to report on current trends in robotic thoracic and cardiovascular surgical techniques in Korea.

Methods: Data from the National Evidence-based Healthcare Collaborating Agency (NECA) between January 2006 and June 2012 were used in this study, including a total of 932 cases of robotic surgeries reported to NECA. The annual trends in the case volume, indications for robotic surgery, and distribution by hospitals and surgeons were analyzed in this study.

Results: Of the 932 cases, 591 (63%) were thoracic operations and 340 (37%) were cardiac operations. The case number increased explosively in 2007 and 2008. However, the rate of increase regained a steady state after 2011. The main indications for robotic thoracic surgery were pulmonary disease (n=271, 46%), esophageal disease (n=199, 34%), and mediastinal disease (n=117, 20%). The main indications for robotic cardiac surgery were valvular heart disease (n=228, 67%), atrial septal defect (n=79, 23%), and cardiac myxoma (n=27, 8%). Robotic thoracic and cardiovascular surgeries were performed in 19 hospitals. Three large volume hospitals performed 94% of the case volume of robotic cardiac surgery and 74% of robotic thoracic surgery. Centralization of robotic operation was significantly (p<0.0001) more common in cardiac surgery than in thoracic surgery. A total of 39 surgeons performed robotic surgeries. However, only 27% of cardiac surgeons and 23% of thoracic surgeons performed more than 10 cases of robotic surgery.

Conclusion: Trend analysis of robotic and cardiovascular operations demonstrated a gradual increase in the surgical volume in Korea. Meanwhile, centralization of surgical cases toward specific surgeons in specific hospitals was observed.

No MeSH data available.


Related in: MedlinePlus