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Robotic Surgery

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June 11, 2020
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Minimally invasive surgery may increase risk for death in early-stage gynecologic cancers

Minimally invasive surgery may increase risk for death in early-stage gynecologic cancers

Minimally invasive surgical procedures appeared associated with an elevated risk for recurrence or death vs. open surgery among women with early-stage gynecologic cancers, according to results of two studies published in JAMA Oncology.

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January 28, 2020
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Robotic system for TKA requires simple and complex workflow adaptations

Robotic system for TKA requires simple and complex workflow adaptations

KOLOA, Hawaii — Use of a robotic system for total knee arthroplasty requires simple and complex adaptations to workflow compared with conventional instruments, according to a presenter at Orthopedics Today Hawaii.

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December 16, 2019
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Robotic-assisted UKA yielded excellent survivorship at 5 years

Robotic-assisted UKA yielded excellent survivorship at 5 years

Patients who underwent unicompartmental knee arthroplasty undertaken with robotic assistance experienced excellent mid-term survivorship compared with patients whose surgery was performed manually, according to results presented at a meeting.

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December 16, 2019
10 min read
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Work out robotics value equation before adoption

Work out robotics value equation before adoption

Adoption of robotic systems by orthopedic surgeons has been slow and limited due to lack of improved efficiencies, the requirement of significant capital expenditure and no convincing evidence of changes in outcomes, according to an article in The Journal of Arthroplasty, by Brian S. Parsley, MD, in 2018. However, since these were first introduced in the specialty, robotics have continued to evolve, Parsley noted, which provide greater opportunities for advanced surgical planning, optimization of component placement and improved overall mechanical alignment.

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December 16, 2019
2 min read
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Do the outcomes of orthopedic surgery performed with robotics outweigh the costs?

Do the outcomes of orthopedic surgery performed with robotics outweigh the costs?

There are two areas in orthopedic surgery where robotics has been employed successfully: joint arthroplasty and pedicle screw instrumentation in spine surgery. In joint arthroplasty, robotics is used to aid the accuracy of bone cuts in total knee arthroplasty and the accurate placement of the acetabular component in total hip arthroplasty. Many cadaveric and retrospective clinical studies have demonstrated high accuracy with bone cuts in arthroplasty leading to improved overall implant alignment and increased accuracy of screw placement in pedicle instrumentation. Despite these advantages, however, it is unclear whether robotic assistance results in improved outcomes that justify its added costs. For example, the advantages gained from robotics must outweigh the added costs of the robotic system itself, the annual service and maintenance fees of the system, as well as the cost of disposables. One also has to factor in the possible increased anesthesia and operative time in the beginning of the learning curve for the surgeon, as well as the cost of preoperative advanced imaging or the use of intraoperative CT/fluoroscopy to register the patient to be tracked by the navigational system. One area where robotic surgery may improve cost-effectiveness is by decreasing the revision rates of joint arthroplasty and spine surgery. Some studies suggest a decreased need for revision surgery with robotic assistance; however, these studies, at present, are generally retrospective studies with implicit bias. Robotics in orthopedic surgery is here to stay and will help surgeons in particularly complex cases; however, more evidence is needed to determine whether outcomes truly outweigh the costs in more routine surgical procedures.

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November 25, 2019
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Robotic-assisted kidney transplantation seen as safe for patients with obesity

Robotic-assisted kidney transplantation seen as safe for patients with obesity

Researchers of a published study found patients with obesity who underwent robotic-assisted kidney transplantation had comparable patient and graft survival to those without obesity who underwent open transplant during the same time period. The rate of surgical complications was also low.

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November 05, 2019
4 min read
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Remote robotic-assisted technology could change future of PCI

Remote robotic-assisted technology could change future of PCI

The concept of robotic-assisted PCI has been successfully implemented since 2011, allowing for precise navigation of catheters and stents while reducing radiation-related risks.

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October 29, 2019
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Siemens acquires robotic PCI technology for $1.1 billion

Siemens acquires robotic PCI technology for $1.1 billion

Siemens announced it has acquired Corindus Vascular Robotics, manufacturer of robotic-assisted PCI systems, for $1.1 billion.

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October 14, 2019
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Robotic retinal surgery could mitigate human limitations

Robotic retinal surgery could mitigate human limitations

SAN FRANCISCO — Robotic-assisted or fully robotic retinal surgery could improve patient outcomes by mitigating human limitations, according to a speaker here.

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September 17, 2019
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Call for applications now open for new fellowship on robotics

EFORT is proud to announce new a new fellowship, which is supported by Stryker, focused on robotics.

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