Abstract
Minimally invasive surgery (MIS) has revolutionized surgical practices, with robotic-assisted surgery (RAS) significantly advancing. However, the understanding and acceptance of RAS vary, impacting its widespread adoption. This study aims to assess Saudi Arabians’ attitudes and comprehension of RAS, which is crucial for promoting its integration into surgical procedures. A cross-sectional study was conducted in various Saudi Arabian cities. A total of 1449 participants were included, while participants with cognitive issues were excluded. Demographic information, knowledge, technology experience, attitudes, and perceptions about RAS were collected using an online self-administered questionnaire. Data were analyzed using descriptive and inferential statistics. Of the participants, 51.1% demonstrated awareness of RAS, mainly through social media (36.9%). Factors influencing awareness included gender, education, income, occupation, computer literacy, and technology comfort. Gender disparities were evident in attitudes and perceptions toward RAS. Concerns about RAS included robot malfunction (62.0%), surgical errors (45.4%), and surgeon competency (44.7%). 36.4% of the participants believe RAS is faster, 29.9% believe RAS is less painful, and 25.3% believe RAS has fewer complications. Positive perceptions encompassed the belief that robot-using surgeons are more skilled (44.5%) and hospitals offering RAS are better (54.3%). Notably, 47.7% expressed willingness to consider RAS as a treatment option. The study underscores the significance of promoting awareness and informed decisions to ensure the successful integration of RAS in surgical practices. Addressing concerns and misconceptions and enhancing public comprehension are pivotal for facilitating informed decision-making and fostering RAS acceptance within Saudi Arabia’s surgical landscape.
Similar content being viewed by others
Data availability
Not applicable.
References
Talamini M, Chapman S, Horgan S, Melvin WS (2003) A prospective analysis of 211 robotic-assisted surgical procedures. Surg Endosc. https://doi.org/10.1007/s00464-002-8853-3
Shah J, Vyas A, Vyas D (2014) The history of robotics in surgical Specialties. Amer J Robot Surg. https://doi.org/10.1166/ajrs.2014.1006
Yuh BE, Hussain A, Chandrasekhar R et al (2010) Comparative analysis of global practice patterns in urologic robot-assisted surgery. J Endourol 24(10):1637–1644
Azhar RA, Elkoushy MA, Aldousari S (2019) Robot-assisted urological surgery in the middle east: where are we and how far can we go? Arab J Urol 17(2):106–113
Chandra V, Nehra D, Parent R, Woo R, Reyes R, HernandezBoussard T, Dutta S (2010) A comparison of laparoscopic and robotic-assisted suturing performance by experts and novices. Surgery 147:830–839. https://doi.org/10.1016/j.surg.2009.11.002
Boys JA, Alicuben ET, DeMeester MJ, Worrell SG, Hagen JA, DeMeester SR (2016) Public perceptions on robotic surgery, hospitals with robots, and surgeons that use them. Surg Endosc. https://doi.org/10.1007/s00464-015-4368-6
Ross SB, Hernandez JM, Sperry S et al (2012) Puplic perception of less surgery and notes. J Gastrointest Surg. https://doi.org/10.1007/s11605-011-1763-8
Irani M, Prabakar C, Nematian S, Julka N, Bhatt D, Bral P (2016) Patient perceptions of open, laparoscopic, and robotic gynecological surgeries. Biomed Res Int. https://doi.org/10.1155/2016/4284093..
Ahn K, Donnellan N, Lee T (2014) Patient perception of robotic surgery in gynecology. J Minim Invasive Gynecol. https://doi.org/10.1016/j.jmig.2014.08.251
Ajayi KV, Wachira E, Onyeaka HK, Montour T, Olowolaju S, Garney W (2022) The use of digital health tools for health promotion among women with and without chronic diseases: insights from the 2017–2020 health information national trends survey. JMIR Publications Inc
Al Saffer Q, Al-Ghaith T, Alshehri A, Al-Mohammed R, Al Homidi S, Hamza MM et al (2021) The capacity of primary health care facilities in Saudi Arabia: infrastructure, services, drug availability, and human resources. BMC Health Serv Res. https://doi.org/10.1186/s12913-021-06355-x
Lindberg MH, Chen G, Olsen JA, Abelsen B (2022) Combining education and income into a socioeconomic position score for use in studies of health inequalities. BMC Pub Health. https://doi.org/10.1186/s12889-022-13366-8
Early Mobilisation in the surgical robot assisted spinal surgery. (2019) Case medical research [Internet]. Case Med J. 10.31525/ct1-nct04133103
Alduraywish S, Altamimi L, Aldhuwayhi R, AlZamil L, Alzeghayer L, Alsaleh F, Aldakheel F, Tharkar S (2020) Sources of health information and their impacts on medical knowledge perception among the Saudi Arabian population: cross-sectional study. J Med Int Res. https://doi.org/10.2196/14414
McDermott H, Choudhury N, Lewin-Runacres M, Aemn I, Moss E (2019) Gender differences in understanding and acceptance of robot-assisted surgery. J Robot Surg. https://doi.org/10.1007/s11701-019-00960-z
Chan KS, Kwan JR, Shelat VG (2022) Awareness, perception, knowledge, and attitude toward robotic surgery in a general surgical outpatient clinic in Singapore, Asia. J Clini Transl Res 8(3):224
Ahmad A, Ahmad ZF, Carleton JD, Agarwala A (2016) Robotic surgery: current perceptions and the clinical evidence. Surg Endos. https://doi.org/10.1007/s00464-016-4966-y
Hopkins DJ, Kim E, Kim S (2017) Does newspaper coverage influence or reflect public perceptions of the economy? Res Politics. https://doi.org/10.1177/2053168017737900
M. Zineddine and N. Arafa 2013 Attitude towards robot-assisted surgery: UAE context, 2013 9th International Conference on Innovations in Information Technology (IIT), Al Ain, United Arab Emirates doi: https://doi.org/10.1109/Innovations.2013.6544414.
Aldousari S, Buabbas A, Yaiesh S, Alyousef R, Al-Enezi A, Abul F (2018) Perceptions of robot-assisted surgery: Results of a survey of surgeons in Kuwait. Arab J Urol. https://doi.org/10.1016/j.aju.2018.10.079
Funding
This research did not receive any specific grant or external funding.
Author information
Authors and Affiliations
Contributions
A.H.H designed the methodology; A.H.H, H.I.Al-M, and R.I.A involved in formal analysis; A.H.M and M.H.M investigated the data; H.T.A collected the resources; M.A.A, H.N.M, and I.A.H curated the data; H.N.M and A.H.H wrote the original draft; and A.A.A wrote, reviewed, and edited the manuscript. All authors have read and agreed to the published version of the manuscript.
Corresponding author
Ethics declarations
Conflict of interest
There are no conflicts of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Arishi, A.A., Hakami, I.A., Mashbari, H.N. et al. Knowledge, attitude, and perception of robotic-assisted surgery among the general population in Saudi Arabia: a cross-sectional study. J Robotic Surg 18, 196 (2024). https://doi.org/10.1007/s11701-024-01892-z
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s11701-024-01892-z