OC-021 HYBRID ROBOTIC SURGERY - USING LAPAROSCOPY TO BETTER ROBOTIC OUTCOMES

Abstract

Abstract Aim To show that Hybrid Robotic Surgery is essential for a successful and a cost effective General Surgery Robotic Surgery Program Material & Methods 38 Consecutive cases of General Surgery done from October 2021 to June 2022 were studied with respect to usage of Robotic Instruments & Laparoscopic Instruments, the utility of each instrument, Surgical time, costs & patient outcomes. Results A Hybrid approach by using Laparoscopic Instruments (Ports and/or Instruments) was necessary in 38/38 patients (100%) for atleast some step & in 32/38 patients for atleast one important surgical step. Robotic Platform was used to perform Hernia Surgery like TAPP (Trans Abdominal Pre-Peritoneal) & IPOM (Intra-peritoneal Onlay Meshplasty) (n=23). Laparoscopic Instruments were used in all the cases 23/23 (100%). Conclusions Usage of Laparoscopic Instruments helped reduce the Surgery duration, decrease use of Robotic instruments, help negate the Haptic blind spots proving to be a cost effective & a tool for optimal Robotic utilization. Laparoscopic instrumentation and steps remain an integral part of Robotic Surgery. The findings highlight the need for dual instrument set, both Robotic & Laparoscopic Instruments, in each Robotic Surgery and underscores the importance of adequate Laparoscopy knowledge and skills for a Robotic Surgery Program.