目录1。Introduction ................................................................................................................................ 7 2.上下文和理性.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Material and method ................................................................................................................ 10 3.1.研究类型和目标........................................................................................................................................................................................................................................................................................................... 10 3.2。Study population ....................................................................................................................... 10 3.3.研究人群的选择阶段和不同目标的子种群。113.4。Population distribution criteria ................................................................................................. 12 3.4.1.Classification of hospitals .......................................................................................................... 12 3.4.2.根据专业，方法和类型的手术分类........................................... 12 3.4.3。Geographic distribution ............................................................................................................. 12 3.5.Statistical Analyses .................................................................................................................... 13 4.目标1：2021年和2022年在法国机器人辅助手术的全国概述.... 14 4.1。Method ...................................................................................................................................... 14 4.2.Results ....................................................................................................................................... 15 4.3.Conclusions ................................................................................................................................ 18 5.目标2：评估2022年法国的不同手术方法及其区域差异，特别是对于机器人辅助手术的率。Method ...................................................................................................................................... 19 5.2.Objective 2 population .............................................................................................................. 20 5.3.Results ....................................................................................................................................... 21 5.3.1.Global vision on all specialties ................................................................................................... 21 5.3.2.Urology ...................................................................................................................................... 24 5.3.3.General and digestive - non bariatric ........................................................................................ 26 5.3.4.根据专业的机器人活动在区域中的分布。一般和消化 - 减肥剂................................................................................................................................................................................................................................................................................... 28 5.3.5。Gynecology - hysterectomies .................................................................................................... 30 5.3.6.Gynecology - sacrocolpopexies ................................................................................................. 32 5.3.7.Thoracic ..................................................................................................................................... 34 5.3.8.Conclusions ................................................................................................................................ 38 6.Objective 3: ............................................................................................................................... 40 Estimation of the real-life impact of RAS for soft tissue compared to other surgical approaches in terms of length of stay, rate of ICU stay, and 30- and 90-days revision rates ..................................... 40 Statistical comparison between « laparo/thoracoscopic » approach and « robotic - high volume hospitals » approach ............................................................................................................................ 40 6.1.Method ...................................................................................................................................... 40 6.2.Results for each type of surgeries ............................................................................................. 43 6.2.1.Urology ...................................................................................................................................... 43 6.2.2.一般和消化 - 非减肥剂................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... 47 6.2.3。一般和消化 - 减肥剂......................................................................................................................................................................................................... 51 6.2.4。Gynecology - hysterectomies .................................................................................................... 53 6.2.5.Gynecology - sacrocolpopexies ................................................................................................. 55 6.2.6.Thoracic ..................................................................................................................................... 57 6.3.Conclusions ................................................................................................................................ 59 7.General discussion .................................................................................................................... 62 7.1.Elements for which our study provides answers ....................................................................... 62 7.2.上下文紧急情况....................................................................................................................................................................................................................................................................................................................................... 67 7.3。Switch to Surgery 4.0 ................................................................................................................. 68 7.4.Conditions for completing Surgery 3.0 ...................................................................................... 69 7.4.1.Yellow Item: relevance of care and health democracy .............................................................. 69 7.4.2.Green Item: standardization of practices and surgical procedures ........................................... 70