Current Trend of Robotic Thoracic and Cardiovascular Surgeries in Korea: Analysis of Seven-Year National Data
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 Janu...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society for Thoracic and Cardiovascular Surgery
2015-10-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2015.48.5.311 |
| _version_ | 1811255938671181824 |
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| author | Chang Hyun Kang Jin San Bok Na Rae Lee Young Tae Kim Seon Heui Lee Cheong Lim |
| author_facet | Chang Hyun Kang Jin San Bok Na Rae Lee Young Tae Kim Seon Heui Lee Cheong Lim |
| author_sort | Chang Hyun Kang |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T17:32:32Z |
| format | Article |
| id | doaj.art-fc251a276b8a4f5ab9ca9933c10dd42d |
| institution | Directory Open Access Journal |
| issn | 2233-601X 2093-6516 |
| language | English |
| last_indexed | 2024-04-12T17:32:32Z |
| publishDate | 2015-10-01 |
| publisher | Korean Society for Thoracic and Cardiovascular Surgery |
| record_format | Article |
| series | Korean Journal of Thoracic and Cardiovascular Surgery |
| spelling | doaj.art-fc251a276b8a4f5ab9ca9933c10dd42d2022-12-22T03:23:06ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162015-10-0148531131710.5090/kjtcs.2015.48.5.311Current Trend of Robotic Thoracic and Cardiovascular Surgeries in Korea: Analysis of Seven-Year National DataChang Hyun Kang0Jin San Bok1Na Rae Lee2Young Tae Kim3Seon Heui Lee4Cheong Lim5Seoul National University HospitalSeoul National University HospitalNational Evidence-based Healthcare Collaborating AgencySeoul National University HospitalGachon UniversitySeoul National University Bundang HospitalBackground: 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.http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2015.48.5.311RoboticsCardiac surgeryThoracic surgery |
| spellingShingle | Chang Hyun Kang Jin San Bok Na Rae Lee Young Tae Kim Seon Heui Lee Cheong Lim Current Trend of Robotic Thoracic and Cardiovascular Surgeries in Korea: Analysis of Seven-Year National Data Korean Journal of Thoracic and Cardiovascular Surgery Robotics Cardiac surgery Thoracic surgery |
| title | Current Trend of Robotic Thoracic and Cardiovascular Surgeries in Korea: Analysis of Seven-Year National Data |
| title_full | Current Trend of Robotic Thoracic and Cardiovascular Surgeries in Korea: Analysis of Seven-Year National Data |
| title_fullStr | Current Trend of Robotic Thoracic and Cardiovascular Surgeries in Korea: Analysis of Seven-Year National Data |
| title_full_unstemmed | Current Trend of Robotic Thoracic and Cardiovascular Surgeries in Korea: Analysis of Seven-Year National Data |
| title_short | Current Trend of Robotic Thoracic and Cardiovascular Surgeries in Korea: Analysis of Seven-Year National Data |
| title_sort | current trend of robotic thoracic and cardiovascular surgeries in korea analysis of seven year national data |
| topic | Robotics Cardiac surgery Thoracic surgery |
| url | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2015.48.5.311 |
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