Perception of Robotic-assisted Surgery (RAS) Among Medical Students: a Systematic Review and Meta-analysis

Overview

Journal J Robot Surg

Publisher Springer

Specialties Biotechnology
General Surgery

Date 2024 Feb 27

PMID 38413513

Authors

Gyan Chand

Suyash Singh

Sanjay Dhiraaj

Basant Kumar

Asha Shetty

Kurvatteppa Halemani

Tanmoy Ghatak

Affiliations

Soon will be listed here.

Abstract

Introduction: Robotic surgery, also known as robotic-assisted surgery (RAS), involves a camera and a small surgical instrument attached to a robotic arm. A trained surgeon operates the robot from a viewing screen while being in the same room.

Methodology: This review was prepared following Cochrane collaboration guidelines and reported using the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) statement. Two authors independently searched and appraised the studies published in PubMed, cumulative index to nursing and allied health literature (CINAHL), Embase, Clinical Key, and Google Scholar. Pooled data analyzed and reported in RevMan software version-5.4.

Results: This systematic review and meta-analysis comprised 1400 medical students, from 8 studies. The participants' age ranged from 23 to 49 years. Similarly, the sample size ranged from 25 and 300. The pooled prevalence of the existing studies revealed that 29.8% of medical students, were favorable towards RAS. Effect size (ES), 95% confidence intervals (CI) and heterogeneity (I) [ES = 29.8, 95% CI 16.4-43.2, I = 95.1%, P < 0.00]. About 40% of Australian medical students' positive opinion on RAS [ES = 40.4, 95% CI 25.7-55.2]. Similarly, 34.2% of students from Saudi Arabia [ES = 29.8, 95% CI 22.4-90.8, I = 99.3%, P < 0.00], 27.8% students from Canada [ES = 27.8, 95% CI 15.9-39.6], 24.8% from USA [ES = 24.8, 95% CI 6.9-42.7, I = 77.3%, P < 0.00] and 24% [ES = 24, 95% CI 18-30] from India favorable towards RAS.

Discussion: Medical students from developed nations display favorable attitudes towards RAS. However, implementing of revised curriculum at the beginning of the graduation level sparks medical students' attitude towards robotic surgery.

References

Lane T . A short history of robotic surgery. Ann R Coll Surg Engl. 2018; 100(6_sup):5-7. PMC: 5956578. DOI: 10.1308/rcsann.supp1.5. View

Casas-Yrurzum S, Gimeno J, Casanova-Salas P, Garcia-Pereira I, Garcia Del Olmo E, Salvador A . A new mixed reality tool for training in minimally invasive robotic-assisted surgery. Health Inf Sci Syst. 2023; 11(1):34. PMC: 10397172. DOI: 10.1007/s13755-023-00238-7. View

Valles-Peris N, Barat-Auleda O, Domenech M . Robots in Healthcare? What Patients Say. Int J Environ Res Public Health. 2021; 18(18). PMC: 8466583. DOI: 10.3390/ijerph18189933. View

Laut J, Porfiri M, Raghavan P . The Present and Future of Robotic Technology in Rehabilitation. Curr Phys Med Rehabil Rep. 2017; 4(4):312-319. PMC: 5461931. DOI: 10.1007/s40141-016-0139-0. View

Green C, Mahuron K, Harris H, OSullivan P . Integrating Robotic Technology Into Resident Training: Challenges and Recommendations From the Front Lines. Acad Med. 2019; 94(10):1532-1538. PMC: 6768698. DOI: 10.1097/ACM.0000000000002751. View

Bora G, Narain T, Sharma A, Mavuduru R, Devana S, Singh S . Robot-assisted surgery in India: A SWOT analysis. Indian J Urol. 2020; 36(1):1-3. PMC: 6961426. DOI: 10.4103/iju.IJU_220_19. View

Gupta A, Chennatt J, Singla T, Rajput D, Bindal V . Training and credentialing in Robotic Surgery in India: Current perspectives. J Minim Access Surg. 2022; 18(4):497-504. PMC: 9632699. DOI: 10.4103/jmas.jmas_348_21. View

Garfjeld Roberts P, Glasbey J, Abram S, Osei-Bordom D, Bach S, Beard D . Research quality and transparency, outcome measurement and evidence for safety and effectiveness in robot-assisted surgery: systematic review. BJS Open. 2020; 4(6):1084-1099. PMC: 7709372. DOI: 10.1002/bjs5.50352. View

Page M, McKenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow C . The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372:n71. PMC: 8005924. DOI: 10.1136/bmj.n71. View

10.

Sultan I, Bardi M, Baatta A, Almaghrabi S, Mohammed R . Medical Students' Attitude Towards Robotic Surgery: A Cross-Sectional Survey. J Med Educ Curric Dev. 2022; 9:23821205211066483. PMC: 8755928. DOI: 10.1177/23821205211066483. View

11.

McBride K, Steffens D, Duncan K, Bannon P, Solomon M . Knowledge and attitudes of theatre staff prior to the implementation of robotic-assisted surgery in the public sector. PLoS One. 2019; 14(3):e0213840. PMC: 6417692. DOI: 10.1371/journal.pone.0213840. View

12.

Farivar B, Flannagan M, Leitman I . General surgery residents' perception of robot-assisted procedures during surgical training. J Surg Educ. 2014; 72(2):235-42. DOI: 10.1016/j.jsurg.2014.09.008. View

13.

Locke J, Robinson M, MacNeily A, Goldenberg S, Black P . Evolving attitudes toward robotic surgery among Canadian urology residents. Can Urol Assoc J. 2017; 11(7):E266-E270. PMC: 5519384. DOI: 10.5489/cuaj.4222. View

14.

Turner S, Mormando J, Park B, Huang J . Attitudes of robotic surgery educators and learners: challenges, advantages, tips and tricks of teaching and learning robotic surgery. J Robot Surg. 2019; 14(3):455-461. PMC: 8507581. DOI: 10.1007/s11701-019-01013-1. View

15.

Khalafallah Y, Bernaiche T, Ranson S, Liu C, Collins D, Dort J . Residents' Views on the Impact of Robotic Surgery on General Surgery Education. J Surg Educ. 2020; 78(3):1007-1012. DOI: 10.1016/j.jsurg.2020.10.003. View

16.

Lin L, Chu H . Quantifying publication bias in meta-analysis. Biometrics. 2017; 74(3):785-794. PMC: 5953768. DOI: 10.1111/biom.12817. View

17.

Feizi N, Tavakoli M, Patel R, Atashzar S . Robotics and AI for Teleoperation, Tele-Assessment, and Tele-Training for Surgery in the Era of COVID-19: Existing Challenges, and Future Vision. Front Robot AI. 2021; 8:610677. PMC: 8079974. DOI: 10.3389/frobt.2021.610677. View

18.

Chen R, Armijo P, Krause C, Siu K, Oleynikov D . A comprehensive review of robotic surgery curriculum and training for residents, fellows, and postgraduate surgical education. Surg Endosc. 2019; 34(1):361-367. DOI: 10.1007/s00464-019-06775-1. View

19.

Kanji F, Catchpole K, Choi E, Alfred M, Cohen K, Shouhed D . Work-system interventions in robotic-assisted surgery: a systematic review exploring the gap between challenges and solutions. Surg Endosc. 2021; 35(5):1976-1989. PMC: 8058237. DOI: 10.1007/s00464-020-08231-x. View

20.

Boys J, Alicuben E, DeMeester M, Worrell S, Oh D, Hagen J . Public perceptions on robotic surgery, hospitals with robots, and surgeons that use them. Surg Endosc. 2015; 30(4):1310-6. DOI: 10.1007/s00464-015-4368-6. View