Robotic bedside assistance: When surgical evolution outruns regulation.

Area of Science:

• Surgical Innovation
• Perioperative Care
• Healthcare Policy

Background:

• Robotic surgery in England is projected to increase significantly, from 70,000 procedures in 2023-24 to over 500,000 annually by 2035.
• This expansion necessitates a redefinition of perioperative roles, particularly bedside assistance, which currently lacks regulatory clarity.
• Existing national initiatives have not yet addressed the specific governance needs for this evolving role.

Purpose of the Study:

• To highlight the urgent need for national guidance on the scope and responsibilities of bedside assistants in robotic surgery.
• To address the potential risks to perioperative practitioners and patients due to inconsistent practice and lack of clear governance.
• To advocate for leadership from perioperative bodies in developing specific national guidance.

Main Methods:

• This is a viewpoint article, analyzing the current landscape of robotic surgery expansion and its impact on perioperative roles.
• It reviews the lack of regulatory clarity and the variability in scope and responsibilities of bedside assistants.
• It emphasizes the need for proactive development of national guidance.

Main Results:

• The rapid growth of robotic surgery presents challenges in defining and regulating the role of bedside assistants.
• Significant variation exists in the scope and responsibilities of bedside assistants, influenced by professional background and qualifications.
• Current lack of clear governance poses liability risks for practitioners and risks inconsistent patient care.

Conclusions:

• There is an urgent requirement for national guidance on bedside assistance in robotic surgery.
• Perioperative bodies should lead the development of this guidance to ensure safe practice and professional accountability.
• Clear governance is essential for managing the evolving surgical landscape and protecting patients.