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Global Evolution of Robotic Colorectal Surgery: Lessons from Hong Kong's Innovation and Implementation.

Trevor M Yeung¹, Justin N F Lam¹, Rossetti H Y Lam¹

¹Division of Colorectal Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, China.

|May 4, 2026

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Robotic colorectal surgery enhances minimally invasive procedures with improved visualization and instrumentation. Despite challenges like cost, robotic platforms offer better patient outcomes compared to traditional laparoscopic methods.

Area of Science:

Minimally Invasive Surgery
Surgical Robotics
Colorectal Surgery

Background:

Robotic colorectal surgery offers advantages like enhanced visualization and instrument dexterity for complex pelvic procedures.
The evolution spans multi-port, single-port, modular, and endoluminal robotic systems.
Hong Kong serves as a model for overcoming implementation barriers through innovation and policy.

Purpose of the Study:

To review the global evolution of robotic colorectal surgery.
To highlight Hong Kong's pioneering role and innovative contributions.
To discuss the benefits and challenges of widespread robotic implementation.

Main Methods:

Narrative review of robotic colorectal surgery advancements.
Case examples from The Chinese University of Hong Kong's pioneering trials.

Keywords:

governance innovation robotic colorectal surgery training

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Analysis of factors influencing international adoption.

Main Results:

Robotic platforms provide superior visualization, stability, and instrumentation for colorectal procedures.
Evidence supports robotic over laparoscopic surgery, showing reduced complications and improved functional/oncologic outcomes.
Pioneering trials include da Vinci SP, Sentire C1000, and EndoMaster EASE for robotic endoscopic submucosal dissection (ESD).

Conclusions:

Robotic colorectal surgery is a rapidly advancing field with significant patient benefits.
Integrated innovation, training, and policy frameworks are crucial for global implementation.
Addressing challenges like cost, training access, and governance is essential for wider adoption.