A systematic review of current practices, challenges, and future directions of the use of robotic surgery in otolaryngology in Greece

Postgraduate Thesis uoadl:3443002 9 Read counter

Unit:
Κατεύθυνση Ελάχιστα Επεμβατική Χειρουργική, Ρομποτική Χειρουργική και Τηλεχειρουργική
Library of the School of Health Sciences
Deposit date:
2024-12-11
Year:
2024
Author:
Tsitsika Maria-Athina
Supervisors info:
Δημήτριος Δημητρούλης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Γεράσιμος Τσουρούφλης, Αναπληρωτής καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Στυλιανός Κύκαλος, Αναπληρωτής καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Συστηματική ανασκόπηση των τρεχουσών πρακτικών, προκλήσεων και μελλοντικών κατευθύνσεων της χρήσης ρομποτικής χειρουργικής στην ωτορινολαρυγγολογία στην Ελλάδα
Languages:
English
Translated title:
A systematic review of current practices, challenges, and future directions of the use of robotic surgery in otolaryngology in Greece
Summary:
Introduction: Robotic surgery is increasingly used in otolaryngology (ENT), particularly for complex
head and neck procedures. It offers a wide variety of advantages, including limited post-operative pain,
excellent aesthetic result, better vision in surgical field along with enhanced dexterity due to movement
adjustment by the robotic system, as well as minimal complications and hospital stay. However, higher
cost and limited availability of the robotic systems are a burden in wide clinical application.
Materials & Methods: This narrative review is a detailed assessment that looks at the existing situation,
problems, and prospects for robotic ENT surgery in Greece. It is based on PRISMA criteria. The included
studies were chosen based on specific criteria after thorough inspection of electronic databases of clinical
trials and medical journals (PubMed, Scopus, Web of Science).
Results: Despite steady adoption, Greece falls behind other European countries in deploying robotic
surgery technology. Various possible reasons may implement with the small number of ENT robotic
assisted surgeries, including the high cost and the availability of robotic systems mainly in large private or
public hospitals of the main cities of Greece (Athens and Thessaloniki). Training on robotic systems is also
very limited for surgery residents and young surgeons, although the learning curve of robotic assisted
surgeries in ENT is big.
Conclusions: Peer-reviewed literature was analysed to give a comparative comparison with other
European nations and investigate the economic, training, and geographic aspects that may be a burden for
the rise of robotic surgery in Greece. Through the review scope, this study also provided recommendations
concerning the implementation of robotic surgery in daily practice among surgeons in Greece, as well as
the difficulties that may rise in terms of robotic surgery training in resource limited countries.
Main subject category:
Health Sciences
Keywords:
Robotic surgery,ENT, Greece, TORS, Thyroidectomy, and Obstructive sleep apnea
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
50
Number of pages:
26
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