Factors Influencing Surgeon Use of the Robot for Bariatric Surgery

Document Type

Conference Proceeding

Publication Date

11-1-2023

Publication Title

J Am Coll Surg

Abstract

Introduction: Use of robotics in bariatric surgery is growing exponentially, despite few studies showing a benefit in patient outcomes or cost. Prior quantitative work hypothesized that this growth is stimulated by improved operative experience in complex procedures, enhanced ergonomics and visualization, and the prospect of machine learning. However, these factors, as well as factors that deter use of the robot, have never been explored from a surgeon's perspective. Within this context, we performed a qualitative study to explore factors related to adopting robotics in bariatric surgery. Methods: The study included semi-structured interviews with bariatric surgeons (n = 17) across 13 bariatric centers in Michigan. Eligible surgeons were those who had used robotics for bariatric surgery at some point. Transcripts were analyzed iteratively using thematic analysis. Results: Most surgeons acknowledged benefits of using a robotic- assisted approach, including improved operative experience in complex procedures, enhanced ergonomics, and visualization. However, surgeon viewpoints varied on factors influencing use of robotics. Diverging viewpoints centered around 3 themes (1) technological considerations (eg visualization, tactile feedback); (2) resource use (eg cost); and (3) future trends (eg staying relevant). Notably, for most, the decision to adopt or abandon was centered on individual preference, anecdotal experience, and predictions of future trends rather than any measurable patient or surgeon-level benefit (Table 1). Conclusion: The adoption of robotics in bariatric surgery remains controversial. Although most surgeons see potential advantages, there is a need for robust studies demonstrating measurable benefits to determine if a robotic-assisted approach in bariatric surgery is a sustainable decision. (Table Presented).

Volume

237

Issue

5

First Page

S24

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