Stand van zaken: Centralisatie van robotchirurgie: Betere resultaten en besparing van kosten

• In the University Medical Center Utrecht, the Netherlands, robot-assisted surgical procedures are performed weekly within the departments of Surgery, Gynaecology and Urology. • Training for robot-assisted minimally invasive surgical procedures can be divided into two parts: system training and procedure training. After completing training modules, medical specialists are proctored by a specialist experienced in robotic surgery until they fully master the procedure. • Centralization of robotic surgery results in high volume centres. Robot-assisted operations performed in these centres show a lower rate of post-operative complications, resulting in shorter hospital stay and a reduction in costs. • In high volume centres, adequate system training and procedure training can be provided. A good training leads to a more efficient use of operating time and moreover reduces the costs of the learning curve of the surgeon. • It is aimed that in the future, almost all technically difficult minimally invasive surgical procedures will be performed with the robotic surgical system.