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Clinical Recommendations for Remote Robotic Assisted Surgery From the CRSA 2025 International Consensus Conference.

Yuman Fong¹, Dimitri A Raptis², Louis Kavoussi³

¹City of Hope National Medical Cancer Center, Duarte, California, USA.

World Journal of Surgery

|July 14, 2026

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Summary

Remote robotic-assisted surgery (rRAS) offers improved global access to surgical care. International guidelines were developed to ensure safe and effective rRAS implementation with advanced technology.

Area of Science:

Robotics and Telemedicine
Surgical Innovation

Background:

Remote robotic-assisted surgery (rRAS) can enhance global access to high-quality surgical care.
Advances in robotic systems and telecommunications enable reliable, secure connectivity for rRAS.
Increased interest in rRAS is driven by technological progress and telemedicine adoption.

Purpose of the Study:

To develop international clinical recommendations for remote robotic-assisted surgery (rRAS).

Main Methods:

The Clinical Robotic Surgery Association (CRSA) convened an expert conference using the Danish Model of Consensus.
Experts addressed key issue categories, with guidelines reviewed and approved by a jury.
Consensus was reached on guidelines for rRAS implementation.

Keywords:

danish model of consensus medical ethics regulatory approval remote robotic surgery remote surgery review robotic workflow robotic‐assisted surgery telesurgery

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Main Results:

Recommendations were approved across six categories: Operating Models, Roles and Responsibilities, Clinical Pathway, Emergency Management, Technical Considerations, and Medico-legal/Ethical Considerations.
Specific numbers of recommendations were established for each category, totaling over 20 guidelines.
The results provide a framework for rRAS implementation.

Conclusions:

rRAS can be performed safely and effectively with current technology and established safeguards.
The adoption of remote robotic-assisted surgery is projected to accelerate rapidly.