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Title: 前立腺がんに対するロボット支援鏡視下手術の現状とロボット手術機器導入を促す要因--アンケート調査による検討--
Other Titles: Robot-Assisted Laparoscopic Radical Prostatectomy for Patients with Prostatic Cancer and Factors Promoting Installation of the Robotic Surgical Equipment-Questionnaire Survey
Authors: 塚本, 泰司  KAKEN_name
田中, 滋  KAKEN_name
Author's alias: Tsukamoto, Taiji
Tanaka, Shigeru
Keywords: Robotic surgery
Issue Date: 31-Aug-2015
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 61
Issue: 8
Start page: 321
End page: 328
Abstract: We conducted a questionnaire survey of hospitals with robot-assisted surgical equipment to study changes of the surgical case loads after its installation and the managerial strategies for its purchase. The study included 154 hospitals (as of April 2014) that were queried about their radical prostatectomy case loads from January 2009 to December 2013, strategies for installation of the equipment in their hospitals, and other topics related to the study purpose. The overall response rate of hospitals was 63%, though it marginally varied according to type and area. The annual case load was determined based on the results of the questionnaire and other modalities. It increased from 3, 518 in 2009 to 6, 425 in 2013. The case load seemed to be concentrated in hospitals with robot equipment since the increase of their number was very minimal over the 5 years. The hospitals with the robot treated a larger number of newly diagnosed patients with the disease than before. Most of the patients were those having localized cancer that was indicated for radical surgery, suggesting again the concentration of the surgical case loads in the hospitals with robots. While most hospitals believed that installation of a robot was necessary as an option for treatment procedures, the future strategy of the hospital, and other reasons, the action of the hospital to gain prestige may be involved in the process of purchasing the equipment. In conclusion, robot-assisted laparoscopic radical prostatectomy has become popular as a surgical procedure for prostate cancer in our society. This may lead to a concentration of the surgical case load in a limited number of hospitals with robots. We also discuss the typical action of an acute-care hospital when it purchases expensive clinical medical equipment.
Rights: 許諾条件により本文は2016/09/01に公開
PubMed ID: 26411654
Appears in Collections:Vol. 61 No. 8

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