Next-generation robotics in gastrointestinal surgery

Nat Rev Gastroenterol Hepatol. 2020 Jul;17(7):430-440. doi: 10.1038/s41575-020-0290-z. Epub 2020 Apr 8.

Abstract

The global numbers of robotic gastrointestinal surgeries are increasing. However, the evidence base for robotic gastrointestinal surgery does not yet support its widespread adoption or justify its cost. The reasons for its continued popularity are complex, but a notable driver is the push for innovation - robotic surgery is seen as a compelling solution for delivering on the promise of minimally invasive precision surgery - and a changing commercial landscape delivers the promise of increased affordability. Novel systems will leverage the robot as a data-driven platform, integrating advances in imaging, artificial intelligence and machine learning for decision support. However, if this vision is to be realized, lessons must be heeded from current clinical trials and translational strategies, which have failed to demonstrate patient benefit. In this Perspective, we critically appraise current research to define the principles on which the next generation of gastrointestinal robotics trials should be based. We also discuss the emerging commercial landscape and define existing and new technologies.

Publication types

  • Review

MeSH terms

  • Digestive System Surgical Procedures / education
  • Digestive System Surgical Procedures / methods
  • Digestive System Surgical Procedures / trends*
  • Humans
  • Robotic Surgical Procedures / education
  • Robotic Surgical Procedures / methods
  • Robotic Surgical Procedures / trends*