An main depth psychology of reports gathered by the U.S. Food and Drug Administration since 2000 shows that robotic surgery is n’t as good as some people might assume .

operation involving robots , wherea sawbones guides the steady and precise movements of a machinelike branch , have increase dramatically in recent year . Asreportedin MIT Technology Review , patients underwent more than 1.7 million machinelike procedure in the United States from 2007 to 2013 . A newstudyby Jai Raman and colleagues at the Rush University Medical Center in Chicago designate these surgeries are n’t without risks .

By analyse aesculapian procedure involving robotic equipment and techniques , the research worker discovered that “ adverse event ” occur in about 550 out of 100,000 procedures ( 0.55 % ) . An inauspicious event is defined as a complication that has a “ significant negative shock for the patient role . ” What ’s more , the researchers found that the bit of death and injuries has increased 30 times since 2007 , and that some chassis of surgery are more high-risk than others . For instance , the mortality charge per unit is almost 10 times higher for head , neck opening , and cardiothoracic surgery .

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Technology Review furnish a summary of the cause :

These include the equipment arcing or spark off during an operation , event that burned 193 affected role between 2000 and 2013 ; in another family of incidents burned or disordered piece fell into the patient ’s body , which occurred over 100 clock time and kill one patient ; and another category need uncontrolled movement of the instruments , which injured 52 patients and killed two of them . system of rules computer error such as the release of video feed contribute to almost 800 other adverse effect .

Curiously , although the database contains report of 144 expiry during robotlike surgery , the circumstances involved were register in item in only a tiny fraction of cases . However , over 60 percent of these incident were get by twist malfunctions while the residue were due to factors such as operator error and the inherent risks of the surgery .

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This all sounds pretty amazing — and it is — but as noted in the TR article , Raman et al . failed to discuss “ how these injury and death rates compare to procedures that take place without robotic techniques . ” Indeed , it ’s hard to put these figures into context without knowing how they equate to similar operation involving human surgeons . That say , a written report from 2013 conclude thatrobots are n’t skilful at perform surgery , they just be more .

At the very least , this study shows there ’s considerable room for melioration .

[ MIT Technology Review ]

Photo: Jae C. Hong

learn the entire survey at the pre - print arXiv : “ Adverse upshot in Robotic Surgery : A Retrospective Study of 14 Years of FDA Data ” . An early rendering of this study was presented at the fiftieth Annual Meeting of the Society of Thoracic Surgeons in January 2015 .

medical technologyMedicineRoboticsRobotsScienceTechnology

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