[First national survey on use of robotics for visceral surgery in Germany].
BACKGROUND
The operation robot is the most advanced technology available in minimally invasive surgery for facilitating complex surgical procedures and is increasingly used in visceral surgery; however, to date no data are available concerning its use in visceral surgery in Germany.


OBJECTIVE
The aim of the survey was to document the development and current state of the art of robotics for visceral surgery in Germany.


METHODS
All 41 surgical departments with access to the da Vinci robot were invited to participate in the survey. Data were acquired with a specially designed Excel spreadsheet, documenting all procedures and also the dignity in gastrointestinal operations for each year since inception of the robot program up to 2015.


RESULTS
Of the 41 surgical departments with an active robotic program only 23 participated in the analysis. The overall volume rose steadily from 4 procedures in 2010 to 50 in 2012, 106 in 2013, 441 in 2014 and reached 819 in 2015. In this period 2 centers had > 200 operations, 1 center had 150, 3 centers had ≥ 100, 3 departments had ≥ 50 and 14 departments had < 50 operations. The type of robotic procedures used encompassed the full scope of laparoscopic surgery. Colorectal surgery was predominant with 50 % of all procedures and was performed in 87 % of the departments. Thymus resections amounted to 10 % of all surgical procedures and gastric surgery to 9 %. Approximately 5 % of all cases involved the esophagus, gall bladder and pancreas. Hepatic surgery amounted to only 2.4 % and all other operations even less and were performed in only a few departments.


CONCLUSIONS
Despite a doubling of procedures in recent years, robotics is still in the initial phase for visceral surgery in Germany.
Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Erlanger Allee 101, 07740, Jena, Deutschland. hermann.kissler@med.uni-jena.de.
H J
HJ
Kissler
Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Erlanger Allee 101, 07740, Jena, Deutschland.
A
A
Bauschke
Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Erlanger Allee 101, 07740, Jena, Deutschland.
U
U
Settmacher
D005858:Germany; D006302:Health Services Research / Q000706:statistics & numerical data; D006801:Humans; D065287:Robotic Surgical Procedures / Q000706:statistics & numerical data*; D014600:Utilization Review; D014781:Viscera / Q000601:surgery*
Colorectal surgery; Laparoscopic surgery; Minimally invasive surgery; Robotic surgical procedures; Survey