| Perceived Usefulness |
Pro |
There is a real advantage to using the robot.The benefits of robotic surgery are sharper vision.Robotic surgery is ideally used for very complex laparoscopic surgery.He just realized how truly precisely the robot reproduced his motions. |
|
Con |
There is no difference between the robot and the laparoscopic approach.You lose the tactile sensation of performing surgery.A surgeon must visually feel when too much tension is placed on the tissue.It is difficult to find common operations that can be performed with the robot. |
| Extrinsic Motivation |
Pro |
Robot surgery is faster and safer for the patient.The benefit of robotic surgery for the patient is smaller incisions. |
|
Con |
Patient outcomes are similar with the robot or with open surgery.There are certain conditions that exclude a patient from having robotic surgery. |
| Personal Outcome Expectation |
Pro |
Because I perform robotic surgery, more physicians refer their patients to me. |
|
Con |
There are no personal benefits to me performing surgery robotically. |
| Perceived Ease of Use & Complexity |
Pro |
I find using the da Vinci is very easy.I feel very comfortable with performing robotic surgery.After 25 cases, I could feel the tissue visually, even without tactile feedback.It is easier to learn to use da Vinci from open surgery than to learn general laparoscopy from open surgery. |
|
Con |
It takes time to learn to use the eyes to compensate for the limits of strength.New technology [such as the da Vinci] is a challenge like anything else.There is still an incredible learning curve that the surgeon must try to surmount.Robotic surgery does not save me time. |
| Subjective Norm |
Pro |
The reason the hospital purchases the robot is because medicine is competitive. |
|
Con |
The surgeons who don't like to operate [with the da Vinci] want to stick with the techniques they have already mastered. |
| Social Factors |
Pro |
Some surgeons perform surgery robotically because robotic surgery is popular. |
|
Con |
The patient is unfamiliar with the procedure performed with robotic technology. |
| Image |
Pro |
Robotic surgery simply raises the stature and gives us credibility. |
|
Con |
Surgeons don't want to be taught by peers. |
| Perceived Behavioral Control |
Pro |
We need to make sure the younger surgeons are using the robot.Surgeons are the ones who drove the hospital to buy the robot.Surgeons will be attracted to hospitals that have the best technology. |
|
Con |
The large size of the robot is a disadvantage.The robotic system is not simple.It is an expensive piece of equipment.Surgeons do not receive any incentives to use the robot from the hospital. |
| Facilitating Conditions |
Pro |
The training was sufficient for a surgeon like me.The technical backup is superb. |
|
Con |
Training in robotic surgery is expensive.I have to close my clinic and take half a day off to get training. |
| Attitude Toward Using Technology |
Pro |
Robot surgery becomes exciting… We are light years ahead of what we were thinking.It is as fun as pilots find flying airplanes or race car drivers find racing cars.I love performing surgeries robotically.I like to keep an open mind about technology. |
| Leadership |
Pro |
I encourage surgeons to use the robotI have trained more than 30 surgeons in IndianapolisI have been involved in helping to develop new instruments |
