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Related Experiment Video

Updated: Jul 27, 2025

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
06:48

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

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The evolution and development of a robotic acute care surgery program.

Crisanto M Torres1, Katherine Florecki, Jafar Haghshenas

  • 1From the Division of Trauma and Acute Care Surgery (C.M.T.), Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts; Division of Acute Care Surgery (K.F., M.M., A.K., J.V.S.), Johns Hopkins Hospital, Baltimore, Maryland; Division of Trauma and Acute Care Surgery (J.H.), University of Illinois-Chicago School of Medicine, Chicago, Illinois; Department of Surgery (J.V.S.), Johns Hopkins School of Medicine, Baltimore, Maryland; and Department of Surgery (C.L.), Johns Hopkins School of Nursing, Baltimore, Maryland.

The Journal of Trauma and Acute Care Surgery
|June 6, 2023
PubMed
Summary

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Implementing a robotic acute care surgery program expands minimally invasive surgery access for emergency general surgery patients. This initiative enhances surgical capabilities and improves patient outcomes in critical care settings.

Area of Science:

  • Surgical Innovation
  • Robotic Surgery
  • Acute Care Surgery

Background:

  • Emergency general surgery (EGS) involves over 850,000 annual operations in the US.
  • EGS patients face disproportionately high complication and mortality rates.
  • Minimally invasive surgery (MIS) can reduce EGS patient burden, but adoption is limited.

Purpose of the Study:

  • To describe the development and implementation of a robotic acute care surgery program.
  • To expand access to MIS for EGS patients.
  • To support acute care surgeons in adopting new technologies.

Main Methods:

  • A robotics acute care surgery program was established at a high-volume academic institution.
  • Surgeons and fellows completed a defined robotics clinical pathway.

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  • A robotic surgical platform was implemented for 24/7 EGS case use.

    • Main Results:

    • Three attending surgeons and two fellows achieved proficiency in robotic surgery.
    • The program enabled routine, around-the-clock robotic platform use for EGS cases.
    • Trained surgeons and fellows actively utilized the robotic system.

    Conclusions:

    • Robotic surgical technology offers new applications in emergency surgery.
    • A dedicated robotic acute care surgery program diversifies surgical practice.
    • This program increases access to MIS for EGS patients, irrespective of time.