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Surg Endosc. 2015 Oct;29(10):2873-84. doi: 10.1007/s00464-015-4428-y. Epub 2015 Jul 24.

SAGES TAVAC safety and effectiveness analysis: da Vinci ® Surgical System (Intuitive Surgical, Sunnyvale, CA).

Author information

1
Department of Surgery, University of Nevada School of Medicine, 1701 W. Charleston Blvd. Suite 400, Las Vegas, NV, 89102, USA. stsuda@medicine.nevada.edu.
2
Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA.
3
Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
4
Department of Surgery, Stanford School of Medicine, Stanford, CA, USA.
5
Department of Surgery, University of California San Diego School of Medicine, La Jolla, CA, USA.
6
Department of Surgery, Harvard Medical School, Boston, MA, USA.
7
Department of Surgery, Florida Hospital, Orlando, FL, USA.
8
Department of Surgery, University of Texas Medical School at Houston, Houston, TX, USA.
9
Department of Surgery, George Washington University, Washington, DC, USA.
10
Department of Surgery, University of Washington, Seattle, WA, USA.

Abstract

BACKGROUND:

The da Vinci(®) Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) is a computer-assisted (robotic) surgical system designed to enable and enhance minimally invasive surgery. The Food and Drug Administration (FDA) has cleared computer-assisted surgical systems for use by trained physicians in an operating room environment for laparoscopic surgical procedures in general, cardiac, colorectal, gynecologic, head and neck, thoracic and urologic surgical procedures. There are substantial numbers of peer-reviewed papers regarding the da Vinci(®) Surgical System, and a thoughtful assessment of evidence framed by clinical opinion is warranted.

METHODS:

The SAGES da Vinci(®) TAVAC sub-committee performed a literature review of the da Vinci(®) Surgical System regarding gastrointestinal surgery. Conclusions by the sub-committee were vetted by the SAGES TAVAC Committee and SAGES Executive Board. Following revisions, the document was evaluated by the TAVAC Committee and Executive Board again for final approval.

RESULTS:

Several conclusions were drawn based on expert opinion organized by safety, efficacy, and cost for robotic foregut, bariatric, hepatobiliary/pancreatic, colorectal surgery, and single-incision cholecystectomy.

CONCLUSIONS:

Gastrointestinal surgery with the da Vinci(®) Surgical System is safe and comparable, but not superior to standard laparoscopic approaches. Although clinically acceptable, its use may be costly for select gastrointestinal procedures. Current data are limited to the da Vinci(®) Surgical System; further analyses are needed.

KEYWORDS:

Abdominal surgery; Cost; Da Vinci® Surgical System; Effectiveness; Gastrointestinal surgery; Safety

PMID:
26205559
DOI:
10.1007/s00464-015-4428-y
[Indexed for MEDLINE]

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