Skip to content
DraconiticResearch
Search Sources API
203,203 studies31 sourcesUpdated 16 min ago
Peer-reviewedCC BY-NC-NDJournal of robotic surgery

Adoption of robot-assisted minimally invasive surgery across surgical specialties in France: a nationwide population-based study.

  • Anaïs Havet1,2
  • François Bettega3,4
  • Violaine Fernandez3,5
  • Clara Bouvard3
  • Cécile Payet3,5
  • Jean-Christophe Lifante6
  • Christophe Tresallet7
  • Laurent Brunaud8
  • Xavier Armoiry4
  • Marie Viprey3,5
8 affiliations
  1. 1Research on Healthcare Performance (RESHAPE), INSERM U1290, UCBL 1, Lyon, France. [email protected].
  2. 2Health Data Department, Hospices Civils de Lyon, Lyon, France. [email protected].
  3. 3Research on Healthcare Performance (RESHAPE), INSERM U1290, UCBL 1, Lyon, France.
  4. 4Université Claude Bernard Lyon I, Laboratoire MATEIS (UMR 5510), Lyon, France.
  5. 5Health Data Department, Hospices Civils de Lyon, Lyon, France.
  6. 6Department of endocrine surgery, Hôpital Lyon Sud, Hospices Civils de Lyon, Lyon, France.
  7. 7Service de chirurgie digestive, bariatrique et endocrinienne CHU Avicenne, Assistance Publique des Hôpitaux de Paris, Université Sorbonne Paris Nord, Paris, France.
  8. 8Department of Surgery (CVMC), University of Lorraine, CHRU Nancy - Brabois Adultes Hospital, Vandoeuvre-lès-Nancy, France.
Read full textPDFDOICite

Abstract

Robotic minimally invasive surgery has been used in France for nearly two decades, with monitoring enabled by the National Health Data System (SNDS) since March 2020. No French study has comprehensively described robotic procedures, including ENT, at a fine geographical scale. We aimed to assess the use of robotic and non-robotic minimally invasive surgery over time and across French departments (administrative subdivisions), describe patient and healthcare facility characteristics and investigate determinants of robotic surgery use. We identified adults undergoing robotic or non-robotic minimally invasive procedures in urology, gynaecology, digestive, thoracic, and ENT specialties between January 2017 and June 2023. From July 2020, robotic surgery use was described by specialty, quarter and department, and temporal trends were assessed using SARIMA models. Determinants of robotic surgery use were identified by specialty using multivariable logistic regression models. Between January 2017 and June 2023, 914,350 minimally invasive surgeries were performed, including 432,505 from July 2020 onwards, of which 19.2% were robotic. This proportion varied by specialty (urology: 63.6%, thoracic surgery: 18.5%, ENT: 16.8%, gynaecology: 9.7%, digestive surgery: 6.5%). Across all specialties, the proportion of robotic surgeries increased by 0.66% points per quarter. Minimally invasive surgery volume and robotic surgery use varied substantially across departments. Robotic surgery use was associated with patient sociodemographic characteristics and facility characteristics (facility type, number of beds and surgical volume). Robotic surgery use is increasing in France, with substantial variation across specialties, departments, patient and healthcare facility characteristics. Further studies on safety and effectiveness are needed to complement real-world monitoring.

Related

  1. Length of stay and nhi-reimbursed expenditures after robotic-assisted surgery in taiwan: a nationwide population-based study
    Po-Da Chen, Ching-Hu Chung, Cheng-Yueh Lu +2
    Journal of Robotic SurgeryPeer-reviewedCC BY-NC-ND 4.0Full textSurgery & anaesthesiaPMC
  2. Increasing Adoption Trends of Gastric Per-Oral Endoscopic Myotomy Over Gastric Electrical Stimulation for Refractory Gastroparesis: A Nationwide Analysis.
    Mohamed H Eldesouki, Youssef Hafez, Ahmed Ibrahim +3
    Gastro hep advancesPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  3. Physician-Reported Practices and Innovation Adoption in Acute Kidney Injury Care in Saudi Arabia: A Nationwide Cross-Sectional Survey : Short title: Acute Kidney Injury Care and Innovation Adoption in Saudi Arabia.
    Abdulaziz Backer Albacker
    Galen medical journalPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  4. Navigation-Assisted Minimally Invasive Direct Pars Repair for Lumbar Spondylolysis
    Jack Mangan, Richard Schwend, John Anderson +2
    Journal of the Pediatric Orthopaedic Society of North AmericaPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  5. Temporal resolution shapes inferred higher-order interactions and information representation in neural population activity: A data-driven approach using minimally complex models
    Fariba Jangjoo
    PLOS OnePeer-reviewedCC BY 4.0Full textNeurosciencePhysiologyPLOS

Cite

BibTeXRIS
BibTeX
@article{havet2026adoption,
  title = {{Adoption of robot-assisted minimally invasive surgery across surgical specialties in France: a nationwide population-based study.}},
  author = {Anaïs Havet and François Bettega and Violaine Fernandez and Clara Bouvard and Cécile Payet and Jean-Christophe Lifante and Christophe Tresallet and Laurent Brunaud and Xavier Armoiry and Marie Viprey},
  journal = {Journal of robotic surgery},
  year = {2026},
  month = oct,
  doi = {10.1007/s11701-026-04081-2},
  url = {https://europepmc.org/article/MED/42891759},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Adoption of robot-assisted minimally invasive surgery across surgical specialties in France: a nationwide population-based study.
AU  - Anaïs Havet
AU  - François Bettega
AU  - Violaine Fernandez
AU  - Clara Bouvard
AU  - Cécile Payet
AU  - Jean-Christophe Lifante
AU  - Christophe Tresallet
AU  - Laurent Brunaud
AU  - Xavier Armoiry
AU  - Marie Viprey
PY  - 2026
DA  - 2026/10/17
JO  - Journal of robotic surgery
DO  - 10.1007/s11701-026-04081-2
UR  - https://europepmc.org/article/MED/42891759
AB  - Robotic minimally invasive surgery has been used in France for nearly two decades, with monitoring enabled by the National Health Data System (SNDS) since March 2020. No French study has comprehensively described robotic procedures, including ENT, at a fine geographical scale. We aimed to assess the use of robotic and non-robotic minimally invasive surgery over time and across French departments (administrative subdivisions), describe patient and healthcare facility characteristics and investigate determinants of robotic surgery use. We identified adults undergoing robotic or non-robotic minimally invasive procedures in urology, gynaecology, digestive, thoracic, and ENT specialties between January 2017 and June 2023. From July 2020, robotic surgery use was described by specialty, quarter and department, and temporal trends were assessed using SARIMA models. Determinants of robotic surgery use were identified by specialty using multivariable logistic regression models. Between January 2017 and June 2023, 914,350 minimally invasive surgeries were performed, including 432,505 from July 2020 onwards, of which 19.2% were robotic. This proportion varied by specialty (urology: 63.6%, thoracic surgery: 18.5%, ENT: 16.8%, gynaecology: 9.7%, digestive surgery: 6.5%). Across all specialties, the proportion of robotic surgeries increased by 0.66% points per quarter. Minimally invasive surgery volume and robotic surgery use varied substantially across departments. Robotic surgery use was associated with patient sociodemographic characteristics and facility characteristics (facility type, number of beds and surgical volume). Robotic surgery use is increasing in France, with substantial variation across specialties, departments, patient and healthcare facility characteristics. Further studies on safety and effectiveness are needed to complement real-world monitoring.
SN  - 1863-2483
SN  - 1863-2491
ER  -