Current status and prospects of robotic surgery adoption in obstetrics and gynecology: insights from a nationwide survey.

Abstract

This study aimed to elucidate the current status, disparities, and challenges in adopting gynecological robotic surgery in Japan. A cross-sectional online survey was conducted among 17,444 members of the Japan Society of Obstetrics and Gynecology between September and November 2023. The questionnaire assessed the demographics, robotic surgery implementation, and attitudes toward robotic surgery. Of the 1443 respondents (8.3% response rate), 46.0% worked in facilities without robotic systems. A total of 69.8% supported further promotion of robotic surgery, with younger generations showing greater interest. Healthcare economics was identified as the primary barrier (94.1%). Perceptions of benefits varied between malignant (75.4%) and benign (53.1%) conditions. Only 33.2% of participants endorsed robotic surgery training during residency. Regional differences were observed in attitudes towards educational benefits. Additionally, responses differed based on the number of laparoscopic surgeries performed and prior robotic surgery experience. This study revealed the significant challenges in accessing robotic surgery and limitations in insurance coverage. Disparities in the awareness of the benefits and conflicts of laparoscopic surgery were identified. The upcoming merger of the robotic and endoscopic surgery societies may drive further adoption. Comprehensive educational programs and awareness campaigns are vital for improving access and understanding among obstetricians and gynecologists in Japan.