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Robotic-Assisted Surgery in Emergency General Surgery: A Prospective, Single-Center, Case Series
Thalia Petropoulou1,2,3, Kyriacos Evangelou4, Andreas Polydorou3
1Department of General Surgery, Brighton and Sussex University Hospitals NHS Trust, Brighton, GBR.
Cureus
|November 3, 2025
Summary
Robotic surgery is feasible and safe for emergency general surgery in selected patients, showing promising outcomes with no conversions or 90-day mortality. Experienced teams and institutional support are key for this innovative approach.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Emergency Medicine
Background:
- Robotic-assisted surgery offers benefits in elective procedures but is understudied in emergency settings.
- This study explores robotic surgery's application in emergency general surgery.
Purpose of the Study:
- To evaluate the feasibility and safety of robotic surgery in emergency general surgical cases.
- To assess perioperative outcomes in patients undergoing emergency robotic surgery.
Main Methods:
- Observational, single-center study of 12 patients undergoing emergency robotic surgery.
- Procedures performed by a single, experienced robotic surgeon.
- Descriptive statistics used due to small sample size; no inferential testing.
Main Results:
- Median age 73 years; common indications included obstructing colon tumors and incarcerated hernias.
- No conversions to open or laparoscopic surgery; one intraoperative ureteric injury managed robotically.
- Low complication rate (16.7% minor), no postoperative intensive care, short hospital stay (median 2 days), and no 90-day readmissions or mortality.
Conclusions:
- Robotic-assisted emergency general surgery appears safe and feasible for carefully selected patients.
- Experienced surgical teams and institutional support are crucial for success.
- Further multicenter studies are needed to confirm findings and optimize patient selection.
