title: The impact of robotic surgery in urology.
abstract: BACKGROUND
  More than a decade ago, robotic surgery was introduced into urology. Since then, the urological community started to look at surgery from a different angle. The present, the future hopes, and the way we looked at our past experience have all changed.
  
  
  METHODS
  Between 2000 and 2011, the published literature was reviewed using the National Library of Medicine database and the following key words: robotic surgery, robot-assisted, and radical prostatectomy. Special emphasis was given to the impact of the robotic surgery in urology. We analyzed the most representative series (finished learning curve) in each one of the robotic approaches regarding perioperative morbidity and oncological outcomes.
  
  
  RESULTS
  This article looks into the impact of robotics in urology, starting from its background applications before urology, the way it was introduced into urology, its first steps, current status, and future expectations. By narrating this journey, we tried to highlight important modifications that helped robotic surgery make its way to its position today. We looked as well into the dramatic changes that robotic surgery introduced to the field of surgical training and its consequence on its learning curve.
  
  
  CONCLUSIONS
  Basic surgical principles still apply in Robotics: experience counts, and prolonged practice provides knowledge and skills. In this way, the potential advantages delivered by technology will be better exploited, and this will be reflected in better outcomes for patients.
authors.affiliation: Departamento de Urología, Confederación Americana de Urología, Miami, FL, Estados Unidos; Departamento de Urología, Global Robotics Institute, Celebration, FL, Estados Unidos; Departamento de Urología, Clínica de Marly, Bogotá, Colombia. Electronic address: camgiedel@gmail.com.
authors.forename: C A
authors.initials: CA
authors.lastname: Giedelman
authors.forename: H
authors.initials: H
authors.lastname: Abdul-Muhsin
authors.forename: O
authors.initials: O
authors.lastname: Schatloff
authors.forename: K
authors.initials: K
authors.lastname: Palmer
authors.forename: L
authors.initials: L
authors.lastname: Lee
authors.forename: R
authors.initials: R
authors.lastname: Sanchez-Salas
authors.forename: X
authors.initials: X
authors.lastname: Cathelineau
authors.forename: H
authors.initials: H
authors.lastname: Dávila
authors.forename: L
authors.initials: L
authors.lastname: Cavelier
authors.forename: M
authors.initials: M
authors.lastname: Rueda
authors.forename: V
authors.initials: V
authors.lastname: Patel
mesh_terms: D006801:Humans; D012371:Robotics / Q000193:education; D013520:Urologic Surgical Procedures / Q000193:education / Q000379:methods*
keywords: Cirugía robótica; Curva de aprendizaje; Historia; History; Learning curve; Robotic surgery; Urology; Urología