The Use of Robotic Surgery in Canada
CUA Online Library. Elzayat E. 06/25/13; 31349; MP-08.19
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Abstract
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Introduction and Objectives: We implemented a robotic surgery program composed of 9 surgeons and a specialized operating room team.
For the first year we only performed radical prostatectomy or radical hysterectomy. The objective of this study was to compare the
number of robotic assisted procedures performed at our institution to other Canadian hospitals. Method: The number of robotic assisted
procedures performed at each hospital was obtained from Minogue Medical Inc, the supplier of the daVinci Surgical System® in Canada.
Data was deidentified so no surgeon specific information was available. The number of cases performed within the past year and during
the first year of implementation was calculated for each hospital. Results: Between October 31, 2011 and October 31, 2012, 102 surgeons
across 6 surgical specialties performed 2304 robotic assisted procedures at 18 Canadian hospitals. The median number of procedures per
hospital was 116 (IQR 54 to 211). The median number of robotic surgeons at each hospital was 5 (IQR 4 to 8). Each additional robotic
surgeon at a hospital was associated with an average of 25 additional procedures per year (p=0.008). The median number of specialties
was 2 (IQR 1 to 3). Each additional specialty that performed robotic surgery at a hospital was associated with an average of 55 additional
procedures per year (p=0.02). During the first 12 months of robotic surgery implementation, we performed 215 procedures. Among other
hospitals, the median number of procedures within the first year of implementation was 76 (IQR 41 to 123). Conclusions: Robotic surgery
is frequently performed in Canada. Using a multi-surgeon approach limited to 2 procedures, there has been rapid uptake at our institution.
While multiple factors are likely associated with surgical volume, it seems logical that a greater number of robotic surgeons limited to
select procedures will result in a larger number of cases completed and improved operating room efficiency.
For the first year we only performed radical prostatectomy or radical hysterectomy. The objective of this study was to compare the
number of robotic assisted procedures performed at our institution to other Canadian hospitals. Method: The number of robotic assisted
procedures performed at each hospital was obtained from Minogue Medical Inc, the supplier of the daVinci Surgical System® in Canada.
Data was deidentified so no surgeon specific information was available. The number of cases performed within the past year and during
the first year of implementation was calculated for each hospital. Results: Between October 31, 2011 and October 31, 2012, 102 surgeons
across 6 surgical specialties performed 2304 robotic assisted procedures at 18 Canadian hospitals. The median number of procedures per
hospital was 116 (IQR 54 to 211). The median number of robotic surgeons at each hospital was 5 (IQR 4 to 8). Each additional robotic
surgeon at a hospital was associated with an average of 25 additional procedures per year (p=0.008). The median number of specialties
was 2 (IQR 1 to 3). Each additional specialty that performed robotic surgery at a hospital was associated with an average of 55 additional
procedures per year (p=0.02). During the first 12 months of robotic surgery implementation, we performed 215 procedures. Among other
hospitals, the median number of procedures within the first year of implementation was 76 (IQR 41 to 123). Conclusions: Robotic surgery
is frequently performed in Canada. Using a multi-surgeon approach limited to 2 procedures, there has been rapid uptake at our institution.
While multiple factors are likely associated with surgical volume, it seems logical that a greater number of robotic surgeons limited to
select procedures will result in a larger number of cases completed and improved operating room efficiency.
Introduction and Objectives: We implemented a robotic surgery program composed of 9 surgeons and a specialized operating room team.
For the first year we only performed radical prostatectomy or radical hysterectomy. The objective of this study was to compare the
number of robotic assisted procedures performed at our institution to other Canadian hospitals. Method: The number of robotic assisted
procedures performed at each hospital was obtained from Minogue Medical Inc, the supplier of the daVinci Surgical System® in Canada.
Data was deidentified so no surgeon specific information was available. The number of cases performed within the past year and during
the first year of implementation was calculated for each hospital. Results: Between October 31, 2011 and October 31, 2012, 102 surgeons
across 6 surgical specialties performed 2304 robotic assisted procedures at 18 Canadian hospitals. The median number of procedures per
hospital was 116 (IQR 54 to 211). The median number of robotic surgeons at each hospital was 5 (IQR 4 to 8). Each additional robotic
surgeon at a hospital was associated with an average of 25 additional procedures per year (p=0.008). The median number of specialties
was 2 (IQR 1 to 3). Each additional specialty that performed robotic surgery at a hospital was associated with an average of 55 additional
procedures per year (p=0.02). During the first 12 months of robotic surgery implementation, we performed 215 procedures. Among other
hospitals, the median number of procedures within the first year of implementation was 76 (IQR 41 to 123). Conclusions: Robotic surgery
is frequently performed in Canada. Using a multi-surgeon approach limited to 2 procedures, there has been rapid uptake at our institution.
While multiple factors are likely associated with surgical volume, it seems logical that a greater number of robotic surgeons limited to
select procedures will result in a larger number of cases completed and improved operating room efficiency.
For the first year we only performed radical prostatectomy or radical hysterectomy. The objective of this study was to compare the
number of robotic assisted procedures performed at our institution to other Canadian hospitals. Method: The number of robotic assisted
procedures performed at each hospital was obtained from Minogue Medical Inc, the supplier of the daVinci Surgical System® in Canada.
Data was deidentified so no surgeon specific information was available. The number of cases performed within the past year and during
the first year of implementation was calculated for each hospital. Results: Between October 31, 2011 and October 31, 2012, 102 surgeons
across 6 surgical specialties performed 2304 robotic assisted procedures at 18 Canadian hospitals. The median number of procedures per
hospital was 116 (IQR 54 to 211). The median number of robotic surgeons at each hospital was 5 (IQR 4 to 8). Each additional robotic
surgeon at a hospital was associated with an average of 25 additional procedures per year (p=0.008). The median number of specialties
was 2 (IQR 1 to 3). Each additional specialty that performed robotic surgery at a hospital was associated with an average of 55 additional
procedures per year (p=0.02). During the first 12 months of robotic surgery implementation, we performed 215 procedures. Among other
hospitals, the median number of procedures within the first year of implementation was 76 (IQR 41 to 123). Conclusions: Robotic surgery
is frequently performed in Canada. Using a multi-surgeon approach limited to 2 procedures, there has been rapid uptake at our institution.
While multiple factors are likely associated with surgical volume, it seems logical that a greater number of robotic surgeons limited to
select procedures will result in a larger number of cases completed and improved operating room efficiency.
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