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Related Experiment Videos

Robotic surgery governance structures: a systematic review.

Eoghan Burke1, Michael Devine2, Patricia Harkins3

  • 1Royal College of Surgeons in Ireland, Dublin, Ireland. eoghanburke@rcsi.ie.

Journal of Robotic Surgery
|May 15, 2025
PubMed
Summary

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This summary is machine-generated.

Robotic-assisted surgery (RAS) requires robust governance for safe implementation. This review synthesizes international guidelines, offering recommendations for RAS governance committees to ensure patient safety and optimize training.

Area of Science:

  • Surgical Innovation
  • Medical Governance
  • Healthcare Policy

Background:

  • Robotic-assisted surgery (RAS) has grown in popularity since its FDA approval in 2000, offering benefits like enhanced visualization and instrument dexterity.
  • Despite advantages, RAS complexity poses patient risks, especially during surgeon training and the initial learning curve.
  • Effective governance is crucial for regulating training, ensuring patient safety, and maximizing the benefits of RAS programs.

Purpose of the Study:

  • To systematically review and synthesize international evidence on governance structures for robotic-assisted surgery (RAS) programs.
  • To identify existing guidelines and extract key recommendations for establishing robust RAS governance.
  • To propose a consensus-based framework for RAS governance committees, addressing composition, meeting frequency, and scope of responsibilities.
Keywords:
Governance structuresPrivilegesRobotic-assisted surgeryTraining

Related Experiment Videos

Main Methods:

  • Systematic literature review conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.
  • Identification and extraction of key recommendations from all available international guidelines on RAS governance structures.
  • Consensus-building to formulate recommendations for RAS governance committee composition, meeting frequency, and remit.

Main Results:

  • This systematic review identified three guidelines providing recommendations for RAS governance structures.
  • Key recommendations were extracted to form a holistic set of guidelines for RAS program governance.
  • Consensus was reached on recommendations for governance committee composition, meeting frequency, and remit, including training, credentialing, quality assurance, and professional development.

Conclusions:

  • Established governance structures are essential for the safe and effective implementation of robotic-assisted surgery programs.
  • The proposed recommendations for RAS governance committees can serve as a template for developing new and improving existing programs.
  • Future research should focus on RAS team credentialing and the development of vendor-agnostic training pathways to further enhance safety and standardization.