University of California
Type of paper: Thesis/Dissertation Chapter
Robotic Surgery Disposal
What is the Environmental Collateral Effects of Minimally Robotic Surgery?
Two small studies have looked specifically at differences in communication between laparoscopic and robotic surgery. Both studies found a significant increase in oral communication between the surgeon and the rest of the team in robotic surgery, particularly in relation to the orientation and localization of organs and the manipulation of instruments, with the effect found to be more pronounced in teams that have less experience in robotic surgery. If use of robotic surgery interferes with standard practices of coordination among the OT team, the achievement of seamless, efficient, and timely teamwork may be hampered. It is important to understand any change in communication patterns because of the well-documented relationship between communication and patient safety, with failures in communication and teamwork being identified as key factors in adverse events in the OT. Communication and teamwork around robotic surgery are likely to be influenced by processes associated with the introduction of robotic surgery, such as training and changes in team structure, but equally the integration of robotic surgery in surgical practice may be dependent on the extent to which it is consistent with existing practices for coordination.
How is Robotic Surgery Disposal conducted?
For robotic surgery to provide the most benefit for patients, it is first necessary to understand the organizational and social factors that support the successful integration of robotic surgery, by which we mean that it becomes embedded into surgical practice, being used routinely and successfully for surgical operations where it offers advantages to the patient. It is also necessary to understand the impacts of robotic surgery on communication, teamwork, and decision making in the OT and how OT teams manage those impacts. Robotic-assisted surgery has evolved over the past two decades with constantly improving technology, assisting surgeons in multiple subspecialty disciplines. Patient positioning requirements can cause significant physiologic effects and may result in many complications. Good communication among team members and knowledge of the nuances of robotic surgery have the potential to improve patient outcomes, increase efficiency, and reduce surgical and anesthetic complications.
Robotic surgeries of long duration are associated with both increased risks to patients as well as distinct challenges for care providers As robotic surgery is increasingly utilized, operations with long surgical times may become more common due to increased case complexity and surgeons overcoming the learning curve.