For years I used to riff on making a name for myself by pioneering robotic breast surgery. It was a joke. It was always a joke. Or so I thought until, damn, a group did it, recently reported it, and—of cours3—were hailed as having made a major advance.
https://twitter.com/DrJenGunter/status/1108190371589177344 …
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It is generally a loss-leader. Patients like the idea of the robot, but in truth many surgical procedures can still be done via lap with less of a capital investment. Supposedly it decreases the learning curve for laparoscopy, or that is what I was told during the training.
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The weird thing is how, once the hospital has made the investment, they are willing to keep losing money on that loss leader, double down and buy a second unit, and spend cash recruiting, promoting and supporting surgeons that use it over everyone else.
End of conversation
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Medicine can be so counter-intuitive. I remember seeing a Da Vinci procedure on video. It was really impressive, and sure *seemed* like a good idea.
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Intuitive (smartly) never claimed, or actually studied whether, the robot produced "better outcomes". All their (crappy) studies showed was non-inferiority to OPEN surgery (never laparoscopic), bragging about less pain, shorter hospital stays.
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