Robotic Surgery Access, Effectiveness, and Training Are Reviewed

Shao JM, Dimick JB, Jackson HT. Seeing the Forest and the Trees: The Future of Robotic Surgery and the Path Forward. Ann Surg. 2025; in press.

Recent articles from the lay press have called attention to the divisions among surgeons regarding use of robotic techniques, as well as the complications and costs associated with robotic procedures. The authors provided perspectives gained from meaningful conversations among surgeons in a single department of surgery; these interactions focused on ways to embrace new technology while ensuring safe incorporation into clinical practice and training.

The authors noted that these conversations are also applicable to other innovative techniques such as endoluminal procedures and use of artificial intelligence. There was a lack of agreement among participants on whether minimally invasive surgical (MIS) techniques, including robotics, will be universally available given the costs of the equipment and training.

While surgeons may hope for a future where MIS is universally available, preparation for a future where there is disparate access is necessary.

Regarding training, the authors concluded that standardized approaches such as those included in Fundamentals of Laparoscopic Surgery educational program, sponsored by the Society of American Gastrointestinal and Endoscopic Surgeons and the ACS, will be needed to ensure that surgeons are prepared to provide the best possible operative care for their patients.

This article provided valuable insights, and surgeons are encouraged to review the full content.