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Robotassisterad bäcken- och njurkirurgi – en utvärdering
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Society and Health. Linköping University, Faculty of Medicine and Health Sciences.
Västerviks sjukhus, Sverige.
Region Östergötland. Linköping University, Department of Biomedical and Clinical Sciences, Division of Clinical Chemistry and Pharmacology. Linköping University, Faculty of Medicine and Health Sciences.
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2022 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 119, article id 21172Article, review/survey (Refereed) Published
Abstract [en]

Current studies indicate that robotic-assisted surgery is not inferior to laparoscopic or open surgery regarding oncologic or functional outcomes. An exception may be uterine cervix cancer, where the survival after minimal invasive surgery might not be as good as after open surgery. There is less bleeding and need for blood transfusion after robotic-assisted surgery, and postoperative complications are similar to open or laparoscopic surgery. Robotic-assisted surgery offers ergonomic advantages compared to laparoscopic surgery. The effect of the surgical learning curve is not sufficiently studied. Presently robotic-assisted surgery is not cost-effective due to high costs of investments. The operation is more time consuming than laparoscopic or open surgery with risks of delaying and cancellation of other operations.

Abstract [sv]

Onkologiskt och funktionellt resultat vid robotassisterad kirurgi skiljer sig inte från laparoskopisk eller öppen kirurgi. Ett undantag kan vara sämre överlevnad vid cervixcancer.

Robotassisterad kirurgi är inte kostnadseffektiv i dagsläget på grund av investeringskostnaderna.

Robotassisterad kirurgi erbjuder ergonomiska fördelar och ger ingen ökning av postoperativa komplikationer. Operationstiderna är längre, men möjligen är blödning och transfusionsbehov mindre och vårdtiden kortare.

Inlärningseffekterna är ofullständigt undersökta.

Det finns etiska skäl att vara observant på undanträngningseffekter till följd av ökad användning av robotkirurgi.

Place, publisher, year, edition, pages
Stockholm, Sweden: Sveriges läkarförbund , 2022. Vol. 119, article id 21172
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Cancer and Oncology
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URN: urn:nbn:se:liu:diva-192046PubMedID: 35471726OAI: oai:DiVA.org:liu-192046DiVA, id: diva2:1740030
Available from: 2023-02-28 Created: 2023-02-28 Last updated: 2023-05-02Bibliographically approved

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Sjödahl, RuneDavidson, ThomasLennmarken, ClaesGustavsson, ErikTheodorsson, Elvar

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Sjödahl, RuneDavidson, ThomasLennmarken, ClaesGustavsson, ErikTheodorsson, Elvar
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Faculty of Medicine and Health SciencesDivision of Surgery, Orthopedics and OncologyDepartment of Surgery in LinköpingDivision of Society and HealthRegion ÖstergötlandDivision of Clinical Chemistry and PharmacologyFaculty of Arts and SciencesDivision of Philosophy and Applied EthicsDepartment of Clinical Chemistry
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