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Transitioning from single-boom to modular multi-cart robotic platforms: Practical implications for colorectal

Michael Osseis1, Christian Mouawad2

  • 1Department of Digestive Surgery, University Medical Center Hôtel-Dieu de France, Saint Joseph University of Beirut Faculty of Medicine, Beirut, Lebanon.

Journal of Minimal Access Surgery
|February 26, 2026
PubMed
Summary

Modular robotic platforms offer flexibility in colorectal surgery, comparable to traditional systems. Understanding the strengths of each robotic system is key for optimizing surgical practice and patient outcomes.

Keywords:
Colorectal surgeryminimally invasive surgical proceduresrobotics

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Area of Science:

  • Surgical Technology
  • Robotics in Medicine
  • Colorectal Surgery

Background:

  • The evolution of robotic surgical systems has led to the development of modular multi-cart platforms, distinct from traditional single-boom systems.
  • These advancements present new considerations for surgical ergonomics and workflow efficiency in complex procedures like colorectal surgery.

Purpose of the Study:

  • To compare the ergonomic and workflow implications of modular multi-cart robotic platforms versus established single-boom systems in colorectal surgery.
  • To evaluate the perioperative outcomes and identify the complementary strengths of different robotic architectures for surgical practice.

Main Methods:

  • Comparative analysis of single-boom and modular multi-cart robotic platforms.
  • Assessment of ergonomic factors, port-placement flexibility, team integration, and console design.
  • Evaluation of perioperative outcomes and setup times during early adoption phases.

Main Results:

  • Modular platforms provide enhanced individualised docking, port-placement flexibility, and team integration via open-console design.
  • Established systems retain advantages in master-control ergonomics, camera responsiveness, and integrated accessory ecosystems.
  • Comparative studies indicate comparable perioperative outcomes between modular and traditional systems, with potential for longer setup times in modular systems initially.

Conclusions:

  • Both single-boom and modular multi-cart robotic systems have distinct advantages and disadvantages for colorectal surgery.
  • Understanding these complementary strengths is crucial for informed selection and optimization of robotic platforms.
  • Further research and experience will refine the integration and utilization of modular systems in surgical settings.