Unlocking the Potential: Overcoming Barriers to the Adoption of Robotics in Coronary Artery Bypass Surgery.

IF 1.6 Q2 SURGERY
Yazan N AlJamal, Husam H Balkhy
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Abstract

Objective: This study aims to identify the perceived barriers and factors contributing to the slow adoption of robotic technology among coronary surgeons.

Methods: We administered an anonymous online survey during the 2023 Society for Thoracic Surgeons (STS) Coronary Conference and included questions about factors associated with the lack of, or slow adoption of, robotics in coronary artery bypass surgery.

Results: A total of 75 coronary surgeons completed the anonymous online survey. Of these respondents, 30 surgeons (39.4%) reported having more than 15 years of experience as independent coronary surgeons. Among the 71 surgeons (95%) who were not using robotic technology, the barriers to adoption (from most important to less important) were lack of skill or experience with robotic technology (mean score, 2.56 ± 1.84), followed by the lack of referral of patients with hybrid or single-vessel disease from cardiologists (2.81 ± 1.76), the need for more support and learning opportunities (e.g., hands-on courses, online courses; 3.44 ± 1.98), and more data to support the efficacy and safety of robotic coronary surgery (3.63 ± 2.22). Moreover, 38 surgeons (50%) expressed a willingness to consider robotic coronary surgery if industry provided appropriate devices such as stabilizers and automated anastomotic devices. Finally, 53 surgeons (69.7%) reported being unaware of the Thoracic Surgery Foundation and STS Advanced Robotic Cardiac Surgery Fellowship award with a coronary track.

Conclusions: The findings from this survey identify the barriers to adopting robotic technology in coronary surgery. Addressing these barriers through targeted interventions could foster wider acceptance and use of robotic technology in coronary bypass surgery.

释放潜力:克服在冠状动脉搭桥手术中采用机器人的障碍。
目的:本研究旨在确定导致冠状动脉外科医生缓慢采用机器人技术的障碍和因素。方法:我们在2023年胸外科学会(STS)冠状动脉会议期间进行了一项匿名在线调查,包括与冠状动脉搭桥手术中缺乏或缓慢采用机器人技术相关的因素。结果:共有75名冠状动脉外科医生完成了匿名在线调查。在这些受访者中,30名外科医生(39.4%)报告有超过15年的独立冠状动脉外科经验。在没有使用机器人技术的71名外科医生(95%)中,采用机器人技术的障碍(从最重要到不重要)是缺乏机器人技术的技能或经验(平均得分为2.56±1.84),其次是缺乏混合或单血管疾病患者从心脏病专家那里转诊(2.81±1.76),需要更多的支持和学习机会(例如,实践课程,在线课程;3.44±1.98),更多数据支持机器人冠状动脉手术的有效性和安全性(3.63±2.22)。此外,38名外科医生(50%)表示,如果行业提供适当的设备,如稳定器和自动吻合装置,他们愿意考虑机器人冠状动脉手术。最后,53名外科医生(69.7%)报告不知道胸外科基金会和STS先进机器人心脏手术奖学金奖与冠状动脉轨道。结论:这项调查的结果确定了在冠状动脉手术中采用机器人技术的障碍。通过有针对性的干预措施解决这些障碍,可以促进机器人技术在冠状动脉搭桥手术中的广泛接受和使用。
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来源期刊
CiteScore
2.00
自引率
6.70%
发文量
80
期刊介绍: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery is the first journal whose main mission is to disseminate information specifically about advances in technology and techniques that lead to less invasive treatment of cardiothoracic and vascular disease. It delivers cutting edge original research, reviews, essays, case reports, and editorials from the pioneers and experts in the field of minimally invasive cardiothoracic and vascular disease, including biomedical engineers. Also included are papers presented at the annual ISMICS meeting. Official Journal of the International Society for Minimally Invasive Cardiothoracic Surgery
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