Özet:

Objective: Robotic surgery is the newest of minimal invasive surgery developments. The opinions of surgeons are different about this topic, though robotic surgery is in a widespread period. This period is going to take some time. The advantages and disadvantages of robotic surgery is going to play a role in this period. The aim of this study to reveal the generality of robotic surgery in Turkey and the factors effect that.Material and Methods: A questionnaire on the advantages and disadvantages of robotic surgery was prepared. It was sent to 104 actively working robotic surgeons via the SurveyMonkey System. The answers of the 41 responders (39.4%) were evaluated. Results: Of the 41 responders, 32 had been working as a specialist for more than 10 years. Eighty percent of them (n=32) stated that they had advanced endoscopic surgery experience. Thirty-one stated that endoscopic experience was an advantage for performing robotic surgery. Forty percent of responders (n=15) had received robotic surgery training abroad and sixty percent (n=25) in Turkey. Even though there were some attendees who thought training abroad was important, 80% of the responders believed that training in Turkey was necessary. We found that 22% (n=9) of the responders had performed more than 100 robotic procedures while 60% (n=25) had performed less than 25. These numbers were less than 10% of the routine operations for 73% (n=30) of the participants. Ninety percent (n=37) of the surgeons stated that not touching the patient was not a limitation. Seventy-six percent reported that robotic surgery training should take place after the residency period. When the superiority of robotic to endoscopic surgery was queried, 83% (n=34) stated that robotic surgery was superior. The advantages of robotic surgery were listed as follows; 98% (n=40) three dimensional – magnified imaging, 88% (n=36) surgeon–controlled camera, 85% (n=35) wrist motion instruments, 75% easier suturing, 73% no camera and instrument tremor, 68% advanced imaging techniques and ergonomy. When the limitations of robotic surgery were queried, 63% (n=25) of the participants reported that robotic surgery had some limitations when compared to endoscopic surgery, and 65% stated that robotic surgery was more disadvantageous when it comes to conversion to open surgery. Ninety percent (n=37) of the surgeons thought that robotic surgery would become widespread in Turkey. The obstacles in front of robotic surgery were determined as cost (100%), insufficiency of health insurance paybacks (66%), long preparation time (20%), and the difficulty of assuring the equipment and a team.conclusion: Robotic surgery is considered to have a wide range of usage in Turkey. Arrangements regarding the cost should be done and national training facilities should be increased to accelerate this process

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