Robotic surgery has revolutionized modern medicine with its precision, less invasive techniques, and improved ergonomics for surgeons. Nevertheless, there are certain issues that must be addressed to ensure patient safety during robotic-assisted surgeries, such as:
- Surgeons must receive sufficient training in this area because employing robotic systems requires a different skill set than traditional surgery. Complications including extended operating times, mishandled instruments, or unintentional tissue damage might result from inadequate training. Create standardized training curricula that incorporate modules based on simulation. Demand ongoing skill evaluations and certifications.
- Due of their intricate hardware and software, robotic systems are prone to malfunctions. Surgery can be disrupted and the patient put in danger by mechanical failures, software bugs, or calibration problems. Routine upkeep and system inspections prior to operation. Technical assistance on-site throughout procedures.
- Controlling the robotic system still heavily relies on the surgeon. Results may be compromised by an over-reliance on automation or by postponing human intervention. Make sure the surgeon’s and the robotic system’s roles are clearly defined. Encourage effective communication among the surgical team members.
- Not every patient is a good fit for robotic surgery. Obesity, anatomical differences, and pre-existing conditions are some examples of factors that can make robotic surgeries more difficult. Establish precise standards for choosing patients. Perform comprehensive pre-operative evaluations.
- For patient safety, issues must be identified right away. Robotic devices’ visual limitations may make it difficult to regulate bleeding or conceal specific anatomical markers. Make use of cutting-edge intra-operative monitoring and imaging technologies. Teach surgeons how to troubleshoot and switch to open surgery if necessary.
- For the sake of patient trust and legal clarity, accountability must be established in the event of difficulties. There may be disagreements over whether issues resulted from system failure or surgeon error. Keep thorough records of the surgeon’s actions and the robotic system logs. Inform patients about the advantages and disadvantages of robotic surgery.
- Robotic surgery procedures that are consistent improve safety and lower outcome variability. Inconsistent patient care may result from different institutions’ different protocols. Put evidence-based recommendations into practice. Encourage healthcare groups to work together to achieve best practices.
- Continuous safety improvements are ensured by outcome evaluation. Little information on the long-term effects of specific robotic operations. Provide reliable mechanisms for reporting issues and close calls. Promote innovation and research to improve methods and technology.
Although robotic surgery has a lot of potential, patient safety requires a multipronged strategy that includes ethical considerations, technological management, training, and a dedication to ongoing development. Robotic-assisted operations can produce better results while lowering risks if the right precautions are taken.
References
- Safety in Robotic surgeries: protocols and practices to protect patients, North Texas surgical specialists
- Improving Patient Safety with Robotic Surgery, World Laparoscopy Hospital
- Robotic Surgery, Cleveland Clinic
- Pai S N, Jeyaraman M, Jeyaraman N, et al. (August 17, 2023) In the Hands of a Robot, From the Operating Room to the Courtroom: The Medicolegal Considerations of Robotic Surgery. Cureus 15(8): e43634. DOI 10.7759/cureus.43634
- Quick Safety 3: Potential risks of robotic surgery, The Joint Commission International, updated March 2021