ROBOTIC SURGERY IN THE ROMANIAN HEALTH SYSTEM

I. Slavu1, V. Braga1, A. Kraft1, L. Alecu 1

1The General Surgery Department, “Prof. Dr. Agrippa Ionescu” Emergency Clinical Hospital


Corresponding author: Lucian Alexu
Phone no. 0040212228129
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

Robotic surgery appeared in the Romanian health system in 2008 with the purchase of the first two surgical robots. One of them belonged to “Dan Setlacec” Center of General Surgery and Liver Transplantation - Fundeni and the second to Floreasca Emergency Clinical Hospital. Funding was provided by the Ministry of Health special program. Since the first year of operation by the robotic system, the Fundeni Center has performed about 200 interventions. A key objective of the program was to identify the interventions that are cost efficient, i.e., around 9,000 RON for each surgical intervention. Subsequently, another 7 robotic systems were put into operation, out of which three are in urology and four in general surgery. Given the high cost of consumables and post-warranty maintenance, the operation of these robotic systems could only be done through the national health system, or private sector. The operation of the program allowed for an annual limited number of cases, and since 2013 the program funding has ceased. During this period, a significant experience was gained using robotic surgery in general surgery, urology and gynecology as well.

 

Keywords: Da Vinci, robotic surgery, health system

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