Kyle Sheetz, MD Clinical Year 4 Resident, General Surgery Michigan Medicine

Use of Robotic Surgery Rapidly Increased For Common Surgical Procedures Interview with:

Kyle Sheetz, MD Clinical Year 4 Resident, General Surgery Michigan Medicine

Dr. Sheetz

Kyle Sheetz, MD
Clinical Year 4
Resident, General Surgery
Michigan Medicine What is the background for this study?

Response: There are concerns that robotic surgery is increasing for common surgical procedures with limited evidence and unclear clinical benefit. Prior studies describing the use of robotic surgery relied upon claims or billing data to identify robotic operations from laparoscopic or open ones. This may lead to inaccuracies as claims data may not provide specific codes for robotic operations. What are the main findings?

Response: We used clinical registry data – derived manually from patients charts – to detail the use of robotic surgery over time for common operations. The use of robotic surgery for all general surgery procedures in Michigan increased from 1.8% to 15.1% from 2012 to 2018. Hospitals that began performing robotic surgery had a broad and immediate increase in the use of robotic surgery, which was associated with a decrease in traditional laparoscopic minimally invasive surgery. What should readers take away from your report?

Response: These findings highlight a need to continually monitor the adoption of robotic surgery to ensure that enthusiasm for new technology does not outpace the evidence needed to use it in the most effective clinical contexts. What recommendations do you have for future research as a result of this work?

Response: There is a clear need for better studies detailing the real-world short- and long-term effectiveness of robotic surgery compared to more established approaches, like traditional laparoscopic minimally-invasive surgery.

No disclosures


Sheetz KH, Claflin J, Dimick JB. Trends in the Adoption of Robotic Surgery for Common Surgical Procedures. JAMA Netw Open. 2020;3(1):e1918911. doi:10.1001/jamanetworkopen.2019.18911


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Last Updated on January 13, 2020 by Marie Benz MD FAAD