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Minimally Invasive Surgery Deserts: Is There a Role for Robotic Assisted Surgery?
Brian Mitzman1,2, Shaneeta Johnson3,4, Maureen Lichtveld5
1Department of Surgery, University of Utah Health, Salt Lake City, UT. (Dr. Mitzman).
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 13, 2025
Summary
Minimally invasive surgery (MIS) offers benefits but faces access barriers like training and hospital factors. Robotic assisted surgery may overcome these challenges, improving MIS accessibility through enhanced training and remote capabilities.
Area of Science:
- Surgical Innovation
- Medical Technology Adoption
Background:
- Minimally invasive surgery (MIS) provides significant patient and hospital advantages over traditional open surgery.
- Despite proven benefits, widespread adoption of MIS is hindered by several access barriers.
Purpose of the Study:
- To identify the primary barriers limiting access to minimally invasive surgery (MIS).
- To explore the potential of robotic assisted surgery (RAS) in overcoming these adoption barriers.
Main Methods:
- Literature review and analysis of identified barriers to MIS adoption.
- Assessment of robotic assisted surgery (RAS) features relevant to overcoming identified challenges.
Main Results:
- Key barriers to MIS include surgeon training, the learning curve, patient health literacy, and hospital characteristics (e.g., location, size).
- Robotic assisted surgery (RAS) presents potential solutions through features facilitating tele-mentoring and remote access.
Conclusions:
- Addressing barriers to MIS adoption is crucial for broader implementation.
- Robotic assisted surgery (RAS) shows promise in enhancing MIS accessibility and potentially democratizing its use.

