Robo-Surgeons vs Robo-Sceptics
To day is the era of Robotic Surgery and procuring Robots
have become a fashion of Indian Urologists as well. Those having Robot at their
centre have started believing that those do not have one should refrain from
performing most of Urological Surgeries. Is this practicable in a country like
ours. Many are not insured and are financially weak. Those not insured will
have to pay from their own pocket for treatment. In fact, you had mentioned I a
previous write up that many in India can afford such treatments and to say they
cannot is a myth in present day India. Though the number of Robots availability
has risen leaps and bounds in India, how many of them are functioning cost
effectively. It is said in some articles that unless a minimum of 150 Robot
Assisted Surgeries are performed at a centre, having a robot is not cost
effective. Another aspect that is considered by many is that the overall
results of a procedure done by Open technology or by Lap Technology do not
differ much barring excessive costs that are involved when performed
How much of these facts should be taken into consideration
when we attempt to procure a robot at a centre should be taken. This is not â€˜shouting
Sour Grapesâ€™ by those not having a robot but should all cases be referred to
centres having a robot and such centres not having a robot refrain from
performing such procedures.
However much the protagonists of Robot Surgeries claim,
India being a vast country with varying Socioeconomic levels, many may not be
able to travel long distances for getting the so called â€˜Idealâ€™ treatment.
Should they undergo the needed procedure at a close by centre or not is a question that need consideration.
We had a debate on the need of Robotic Surgery in India in
formative years at USICON, Pune Conference 2013. Much water has flown under the
bridge since then with many obtaining Robots for their centre. Prokar Dasgupta
in a write up in BJUI had mentioned that Robotic Surgery is not that Important
than performing a proper procedure within the means available in a country.
I hope this will create some debate as to â€˜whether Robotic
Surgery Replace Open and lap Proceduresâ€™. I am providing an article â€˜Robo-surgeons
vs Robo-scepticsâ€™: can we afford robotic technology or can we afford not to? as
a beginning for this debate.
With warm regards,