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RACS ASC 2025
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Rising Adoption of Robotic Upper Gastrointestinal and Hepatopancreatobiliary Surgery in Australia 2013–2023
Verbal Presentation
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Verbal Presentation

4:48 pm

03 May 2025

Meeting Room C4.4

THE DAVID FLETCHER AWARD FOR CLINICAL RESEARCH IN HPB SURGERY

Disciplines

HPB Surgery

Talk Description

Institution: Australian National Univeristy - ACT, Australia

Purpose: This study examines trends in the utilisation of robotic surgery for upper gastrointestinal (UGI) and hepatopancreatobiliary (HPB) procedures in Australia from 2013 to 2023. Methodology: A retrospective observational study design was used to analyse the trends in the use of robotic UGI and HPB surgery in Australia. Annual procedure numbers were obtained from Device Technologies, the local distributor of the da Vinci Robotic System. Trends were assessed using Pearson's correlation. Results: A total of 19,663 robotic general surgery procedures were performed from 2013 to 2023, including 3,971 (20.2%) UGI and HPB procedures. Over the study period, use of robotic approaches for UGI and HPB procedures increased (r=0.961, p<0.001). Bariatric procedures, such as sleeve gastrectomy (994 procedures, 26.4%) and gastric bypass (824 procedures, 21.9%), were the most common procedures performed robotically, followed by cholecystectomy (518 procedures 13.0%) and pancreatectomy (365 procedures, 9.2%). From 2021 to 2023, the use of robotic approaches for sleeve gastrectomy (7 procedures, 3.61% decrease) and gastric bypass (42 procedures, 30.4% decrease) decreased, while robotic cholecystectomy (111 procedures, 74.0% increase), hiatal hernia repair (44 procedures, 55.0% increase) and pancreatectomy (41 procedures, 43.2% increase) increased the most. Conclusion: Robotic surgery for UGI and HPB procedures has increased significantly over the past 10 years, reflecting its growing interest among surgeons. Notably, there has been a recent increase in the adoption of robotic approaches for non-bariatric UGI and HPB procedures. These findings can inform the development of practice guidelines and training programs in robotic surgery.
Presenters
Authors
Authors

Mr Edwin Hur-Thompson - , Ms Xiyu Chen - , Mr Sameesh Gupta - , Ms Sarah Duffy - , A/Prof Christos Apostolou -