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Next-generation robotics in gastrointestinal surgery

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Title: Next-generation robotics in gastrointestinal surgery
Authors: Kinross, JM
Mason, SE
Mylonas, G
Darzi, A
Item Type: Journal Article
Abstract: The global numbers of robotic gastrointestinal surgeries are increasing. However, the evidence base for robotic gastrointestinal surgery does not yet support its widespread adoption or justify its cost. The reasons for its continued popularity are complex, but a notable driver is the push for innovation — robotic surgery is seen as a compelling solution for delivering on the promise of minimally invasive precision surgery — and a changing commercial landscape delivers the promise of increased affordability. Novel systems will leverage the robot as a data-driven platform, integrating advances in imaging, artificial intelligence and machine learning for decision support. However, if this vision is to be realized, lessons must be heeded from current clinical trials and translational strategies, which have failed to demonstrate patient benefit. In this Perspective, we critically appraise current research to define the principles on which the next generation of gastrointestinal robotics trials should be based. We also discuss the emerging commercial landscape and define existing and new technologies.
Issue Date: 1-Jul-2020
Date of Acceptance: 9-Mar-2020
URI: http://hdl.handle.net/10044/1/82305
DOI: 10.1038/s41575-020-0290-z
ISSN: 1759-5045
Publisher: Nature Research
Start Page: 430
End Page: 440
Journal / Book Title: Nature Reviews Gastroenterology and Hepatology
Volume: 17
Issue: 7
Copyright Statement: © 2020 Springer-Verlag. The final publication is available at Springer via https://doi.org/10.1038/s41575-020-0290-z
Keywords: Science & Technology
Life Sciences & Biomedicine
Gastroenterology & Hepatology
RANDOMIZED CLINICAL-TRIAL
SHORT-TERM OUTCOMES
TOTAL MESORECTAL EXCISION
LOW ANTERIOR RESECTION
RECTAL-CANCER
LAPAROSCOPIC SURGERY
COLORECTAL SURGERY
SYSTEM
MULTICENTER
FUNDOPLICATION
Science & Technology
Life Sciences & Biomedicine
Gastroenterology & Hepatology
RANDOMIZED CLINICAL-TRIAL
SHORT-TERM OUTCOMES
TOTAL MESORECTAL EXCISION
LOW ANTERIOR RESECTION
RECTAL-CANCER
LAPAROSCOPIC SURGERY
COLORECTAL SURGERY
SYSTEM
MULTICENTER
FUNDOPLICATION
1101 Medical Biochemistry and Metabolomics
1103 Clinical Sciences
Gastroenterology & Hepatology
Publication Status: Published
Online Publication Date: 2020-04-08
Appears in Collections:Department of Surgery and Cancer
Institute of Global Health Innovation