The trends and evolution of robotic surgery in taiwan: a 14-year nationwide analysis (2011-2024)

Robotic surgery has revolutionized minimally invasive procedures by integrating advanced technology and improving outcomes. While adoption is increasing in East Asia, nationwide analyses across surgical specialties are limited. This study presents a 14-year analysis (2011-2024) of robotic surgery in Taiwan to elucidate trends on a national level and to provide insights to guide future surgical development and innovation.

Data were collected from the Taiwan National Health Insurance Research Database from January 2011 to December 2024. Key metrics included the number and growth of certified robotic surgeons and the distribution of robotic surgical cases by specialty. Statistics with a focus on trend analysis were examined using Microsoft Excel^® (Microsoft 365).

Between 2011 and 2024, Taiwan saw a 13-fold increase (from 6 to 78) in da Vinci system installations and a rise in certified robotic surgeons from 38 to 697. Robotic case volume increased 23-fold (from 732 to 16,770). Urology remained dominant (43.1%), followed by gynecology (22.3%), general surgery (10.3%) and colorectal surgery (8.7%). Emerging adoption in otorhinolaryngology (8.0%), thoracic surgery (5.1%), and cardiovascular surgery (2.5%) reflect growing confidence in robotics for complex, high-risk procedures. These trends underscore Taiwan's expanding multidisciplinary integration of robotic surgery.

This analysis highlights the evolution of robotic surgery in Taiwan, exemplifying broader innovation within East Asia. Robotic surgery remains promising across specialties, and ongoing technological integration and structured training are needed to sustain and expand its clinical impact.