Telerobotic assistance in general surgery: current awareness and attitudes amongst UK surgeons
Identifieur interne : 004F67 ( Istex/Corpus ); précédent : 004F66; suivant : 004F68Telerobotic assistance in general surgery: current awareness and attitudes amongst UK surgeons
Auteurs : A. Smith ; P J Guillou ; D G JayneSource :
- The International Journal of Medical Robotics and Computer Assisted Surgery [ 1478-5951 ] ; 2004-06.
English descriptors
Abstract
Introduction:: Telerobotic‐assistance represents the next major advance in minimal access surgery. Its introduction into general surgery in the UK has been slow in comparison to the USA and continental Europe, and the reasons for this are unclear. Methods:: In September 2003, three hundred questionnaires designed to assess the awareness and attitudes of UK surgeons to telerobotic systems were sent to members of the Association of Endoscopic Surgeons of Great Britain and Ireland. Results:: 97 of the 300 (32%) questionnaires were returned. Overall, surgeons had a reasonable level of awareness of telerobotic systems, the general surgical procedures that had been performed, and the potential advantages to laparoscopic surgery. Only 18% had any actual exposure to telerobotic systems. The majority was enthusiastic about its introduction into general surgery, but opinion was divided about its role in routine surgical practice. The main benefits of telerobotic assistance were believed to be the improved instrumentation and computer‐enhanced operative vision. Equipment and ongoing service costs were perceived as overwhelming factors limiting the implementation of telerobotics in the UK. Previous exposure to telerobotic systems increased surgeons' appreciation of the potential advantages, but had little impact on the enthusiasm of surgeons for the new technology, which was high regardless of previous exposure. Conclusions:: The implementation of telerobotics into general surgical practice in the UK is generally favoured by laparoscopic surgeons. The main limiting factors appear to be logistical concerns and financial constraints. Copyright © 2004 Robotic Publications Ltd.
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DOI: 10.1002/rcs.8
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Smith</name><affiliation><mods:affiliation>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</mods:affiliation></affiliation></author><author><name sortKey="Guillou, P J" sort="Guillou, P J" uniqKey="Guillou P" first="P J" last="Guillou">P J Guillou</name><affiliation><mods:affiliation>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</mods:affiliation></affiliation></author><author><name sortKey="Jayne, D G" sort="Jayne, D G" uniqKey="Jayne D" first="D G" last="Jayne">D G Jayne</name><affiliation><mods:affiliation>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:87F34897D64AB9DEAC9F807E436FFF9DC43D57EA</idno><date when="2004" year="2004">2004</date><idno type="doi">10.1002/rcs.8</idno><idno type="url">https://api.istex.fr/document/87F34897D64AB9DEAC9F807E436FFF9DC43D57EA/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">004F67</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Telerobotic assistance in general surgery: current awareness and attitudes amongst UK surgeons</title><author><name sortKey="Smith, A" sort="Smith, A" uniqKey="Smith A" first="A" last="Smith">A. Smith</name><affiliation><mods:affiliation>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</mods:affiliation></affiliation></author><author><name sortKey="Guillou, P J" sort="Guillou, P J" uniqKey="Guillou P" first="P J" last="Guillou">P J Guillou</name><affiliation><mods:affiliation>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</mods:affiliation></affiliation></author><author><name sortKey="Jayne, D G" sort="Jayne, D G" uniqKey="Jayne D" first="D G" last="Jayne">D G Jayne</name><affiliation><mods:affiliation>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The International Journal of Medical Robotics and Computer Assisted Surgery</title><title level="j" type="abbrev">Int. J. Med. Robotics Comput. Assist. Surg.</title><idno type="ISSN">1478-5951</idno><idno type="eISSN">1478-596X</idno><imprint><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2004-06">2004-06</date><biblScope unit="volume">1</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="77">77</biblScope><biblScope unit="page" to="82">82</biblScope></imprint><idno type="ISSN">1478-5951</idno></series><idno type="istex">87F34897D64AB9DEAC9F807E436FFF9DC43D57EA</idno><idno type="DOI">10.1002/rcs.8</idno><idno type="ArticleID">RCS8</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1478-5951</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>laparoscopic surgery</term><term>surgical technologies</term><term>telerobotic surgery</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Introduction:: Telerobotic‐assistance represents the next major advance in minimal access surgery. Its introduction into general surgery in the UK has been slow in comparison to the USA and continental Europe, and the reasons for this are unclear. Methods:: In September 2003, three hundred questionnaires designed to assess the awareness and attitudes of UK surgeons to telerobotic systems were sent to members of the Association of Endoscopic Surgeons of Great Britain and Ireland. Results:: 97 of the 300 (32%) questionnaires were returned. Overall, surgeons had a reasonable level of awareness of telerobotic systems, the general surgical procedures that had been performed, and the potential advantages to laparoscopic surgery. Only 18% had any actual exposure to telerobotic systems. The majority was enthusiastic about its introduction into general surgery, but opinion was divided about its role in routine surgical practice. The main benefits of telerobotic assistance were believed to be the improved instrumentation and computer‐enhanced operative vision. Equipment and ongoing service costs were perceived as overwhelming factors limiting the implementation of telerobotics in the UK. Previous exposure to telerobotic systems increased surgeons' appreciation of the potential advantages, but had little impact on the enthusiasm of surgeons for the new technology, which was high regardless of previous exposure. Conclusions:: The implementation of telerobotics into general surgical practice in the UK is generally favoured by laparoscopic surgeons. The main limiting factors appear to be logistical concerns and financial constraints. Copyright © 2004 Robotic Publications Ltd.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>A Smith</name><affiliations><json:string>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</json:string></affiliations></json:item><json:item><name>P J Guillou</name><affiliations><json:string>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</json:string></affiliations></json:item><json:item><name>D G Jayne</name><affiliations><json:string>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>telerobotic surgery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>laparoscopic surgery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>surgical technologies</value></json:item></subject><articleId><json:string>RCS8</json:string></articleId><language><json:string>eng</json:string></language><abstract>Introduction:: Telerobotic‐assistance represents the next major advance in minimal access surgery. Its introduction into general surgery in the UK has been slow in comparison to the USA and continental Europe, and the reasons for this are unclear. Methods:: In September 2003, three hundred questionnaires designed to assess the awareness and attitudes of UK surgeons to telerobotic systems were sent to members of the Association of Endoscopic Surgeons of Great Britain and Ireland. Results:: 97 of the 300 (32%) questionnaires were returned. Overall, surgeons had a reasonable level of awareness of telerobotic systems, the general surgical procedures that had been performed, and the potential advantages to laparoscopic surgery. Only 18% had any actual exposure to telerobotic systems. The majority was enthusiastic about its introduction into general surgery, but opinion was divided about its role in routine surgical practice. The main benefits of telerobotic assistance were believed to be the improved instrumentation and computer‐enhanced operative vision. Equipment and ongoing service costs were perceived as overwhelming factors limiting the implementation of telerobotics in the UK. Previous exposure to telerobotic systems increased surgeons' appreciation of the potential advantages, but had little impact on the enthusiasm of surgeons for the new technology, which was high regardless of previous exposure. Conclusions:: The implementation of telerobotics into general surgical practice in the UK is generally favoured by laparoscopic surgeons. The main limiting factors appear to be logistical concerns and financial constraints. 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J. Med. Robotics Comput. Assist. Surg.</title><idno type="pISSN">1478-5951</idno><idno type="eISSN">1478-596X</idno><idno type="DOI">10.1002/(ISSN)1478-596X</idno><imprint><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2004-06"></date><biblScope unit="volume">1</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="77">77</biblScope><biblScope unit="page" to="82">82</biblScope></imprint></monogr><idno type="istex">87F34897D64AB9DEAC9F807E436FFF9DC43D57EA</idno><idno type="DOI">10.1002/rcs.8</idno><idno type="ArticleID">RCS8</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2004</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Introduction:: Telerobotic‐assistance represents the next major advance in minimal access surgery. Its introduction into general surgery in the UK has been slow in comparison to the USA and continental Europe, and the reasons for this are unclear. Methods:: In September 2003, three hundred questionnaires designed to assess the awareness and attitudes of UK surgeons to telerobotic systems were sent to members of the Association of Endoscopic Surgeons of Great Britain and Ireland. Results:: 97 of the 300 (32%) questionnaires were returned. Overall, surgeons had a reasonable level of awareness of telerobotic systems, the general surgical procedures that had been performed, and the potential advantages to laparoscopic surgery. Only 18% had any actual exposure to telerobotic systems. The majority was enthusiastic about its introduction into general surgery, but opinion was divided about its role in routine surgical practice. The main benefits of telerobotic assistance were believed to be the improved instrumentation and computer‐enhanced operative vision. Equipment and ongoing service costs were perceived as overwhelming factors limiting the implementation of telerobotics in the UK. Previous exposure to telerobotic systems increased surgeons' appreciation of the potential advantages, but had little impact on the enthusiasm of surgeons for the new technology, which was high regardless of previous exposure. Conclusions:: The implementation of telerobotics into general surgical practice in the UK is generally favoured by laparoscopic surgeons. The main limiting factors appear to be logistical concerns and financial constraints. Copyright © 2004 Robotic Publications Ltd.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>telerobotic surgery</term></item><item><term>laparoscopic surgery</term></item><item><term>surgical technologies</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article-category</head><item><term>Original Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2004-01-09">Registration</change><change when="2004-06">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/87F34897D64AB9DEAC9F807E436FFF9DC43D57EA/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>John Wiley & Sons, Ltd.</publisherName><publisherLoc>Chichester, UK</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1478-596X</doi><issn type="print">1478-5951</issn><issn type="electronic">1478-596X</issn><idGroup><id type="product" value="RCS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY">The International Journal of Medical Robotics and Computer Assisted Surgery</title><title type="short">Int. 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Its introduction into general surgery in the UK has been slow in comparison to the USA and continental Europe, and the reasons for this are unclear.</p></section><section xml:id="abs1-2"><title type="main">Methods:</title><p>In September 2003, three hundred questionnaires designed to assess the awareness and attitudes of UK surgeons to telerobotic systems were sent to members of the Association of Endoscopic Surgeons of Great Britain and Ireland.</p></section><section xml:id="abs1-3"><title type="main">Results:</title><p>97 of the 300 (32%) questionnaires were returned. Overall, surgeons had a reasonable level of awareness of telerobotic systems, the general surgical procedures that had been performed, and the potential advantages to laparoscopic surgery. Only 18% had any actual exposure to telerobotic systems. The majority was enthusiastic about its introduction into general surgery, but opinion was divided about its role in routine surgical practice. The main benefits of telerobotic assistance were believed to be the improved instrumentation and computer‐enhanced operative vision. Equipment and ongoing service costs were perceived as overwhelming factors limiting the implementation of telerobotics in the UK. Previous exposure to telerobotic systems increased surgeons' appreciation of the potential advantages, but had little impact on the enthusiasm of surgeons for the new technology, which was high regardless of previous exposure.</p></section><section xml:id="abs1-4"><title type="main">Conclusions:</title><p>The implementation of telerobotics into general surgical practice in the UK is generally favoured by laparoscopic surgeons. The main limiting factors appear to be logistical concerns and financial constraints. Copyright © 2004 Robotic Publications Ltd.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Telerobotic assistance in general surgery: current awareness and attitudes amongst UK surgeons</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Telerobotic assistance in general surgery</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Telerobotic assistance in general surgery: current awareness and attitudes amongst UK surgeons</title></titleInfo><name type="personal"><namePart type="given">A</namePart><namePart type="family">Smith</namePart><affiliation>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</affiliation><description>Correspondence: Academic Surgical Unit, St. James's University Hospital, Leeds, UK===</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P J</namePart><namePart type="family">Guillou</namePart><affiliation>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D G</namePart><namePart type="family">Jayne</namePart><affiliation>Academic Surgical Unit, St. James's University Hospital, Leeds, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>John Wiley & Sons, Ltd.</publisher><place><placeTerm type="text">Chichester, UK</placeTerm></place><dateIssued encoding="w3cdtf">2004-06</dateIssued><dateValid encoding="w3cdtf">2004-01-09</dateValid><copyrightDate encoding="w3cdtf">2004</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">4</extent><extent unit="tables">1</extent><extent unit="references">21</extent></physicalDescription><abstract lang="en">Introduction:: Telerobotic‐assistance represents the next major advance in minimal access surgery. Its introduction into general surgery in the UK has been slow in comparison to the USA and continental Europe, and the reasons for this are unclear. Methods:: In September 2003, three hundred questionnaires designed to assess the awareness and attitudes of UK surgeons to telerobotic systems were sent to members of the Association of Endoscopic Surgeons of Great Britain and Ireland. Results:: 97 of the 300 (32%) questionnaires were returned. Overall, surgeons had a reasonable level of awareness of telerobotic systems, the general surgical procedures that had been performed, and the potential advantages to laparoscopic surgery. Only 18% had any actual exposure to telerobotic systems. The majority was enthusiastic about its introduction into general surgery, but opinion was divided about its role in routine surgical practice. The main benefits of telerobotic assistance were believed to be the improved instrumentation and computer‐enhanced operative vision. Equipment and ongoing service costs were perceived as overwhelming factors limiting the implementation of telerobotics in the UK. Previous exposure to telerobotic systems increased surgeons' appreciation of the potential advantages, but had little impact on the enthusiasm of surgeons for the new technology, which was high regardless of previous exposure. Conclusions:: The implementation of telerobotics into general surgical practice in the UK is generally favoured by laparoscopic surgeons. The main limiting factors appear to be logistical concerns and financial constraints. Copyright © 2004 Robotic Publications Ltd.</abstract><subject lang="en"><genre>keywords</genre><topic>telerobotic surgery</topic><topic>laparoscopic surgery</topic><topic>surgical technologies</topic></subject><relatedItem type="host"><titleInfo><title>The International Journal of Medical Robotics and Computer Assisted Surgery</title></titleInfo><titleInfo type="abbreviated"><title>Int. J. Med. Robotics Comput. 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