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

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.