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Robotic surgery in healthcare: current challenges, technological advances, and global implementation prospects
David B Olawade1,2,3,4, Sheila Marinze5, Kusal Weerasinghe6
1Department of Allied and Public Health, School of Health, Sport and Bioscience, University of East London, London, UK. d.olawade@yorksj.ac.uk.
Journal of Robotic Surgery
|September 9, 2025
Summary
Robotic surgery offers enhanced precision but faces global adoption barriers like cost and training. Advances in AI and telemedicine may improve accessibility and patient outcomes.
Area of Science:
- Surgical Technology
- Medical Robotics
- Healthcare Innovation
Background:
- Robotic surgery provides enhanced precision, minimal invasiveness, and improved patient outcomes.
- Significant geographic disparities exist in robotic surgery research and implementation.
- High costs, training needs, and ethical concerns hinder widespread adoption.
Purpose of the Study:
- To review the multifaceted aspects of robotic surgery.
- To examine challenges, advances, and future prospects for robotic surgery integration.
- To provide a globally minded analysis of implementation barriers.
Main Methods:
- Narrative review of 48 studies.
- Analysis of geographic disparities in research and implementation.
- Examination of financial, training, ethical, and medico-legal obstacles.
Main Results:
- 68.8% of studies originated from high-income countries, indicating geographic disparities.
- High costs, lack of standardized training, and ethical/medico-legal issues are major obstacles.
- Artificial intelligence (AI), machine learning (ML), telemedicine, and remote surgery show promise for enhancing systems and access.
Conclusions:
- Addressing cost, training, and accessibility barriers is crucial for realizing robotic surgery's potential.
- Development of affordable, portable systems and data-driven analytics are key future directions.
- A multi-stakeholder approach is vital for overcoming barriers and optimizing patient care through robotic surgery.
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