Authors
Yuman Fong, Dimitri A Raptis, Louis Kavoussi, Sherry M Wren, Dennis Fowler, Mehran Anvari, Francesco Bianco, Xiao Liang, Zheyong Li, Xiaoyu Yin, Micaela Piccoli, Saad Aldousari, John Marks, Baiyong Shen, Clifford Ko, Jelle Ruurda, Barbara Seeliger, Jeroen Hagendoorn, Rahila Essani, R Matthew Walsh, Dmitry Oleynikov, Stephanie B Jones, Vivek Bindal, Hyun Koo Kim, Woo Jin Hyung, Laleh Melstrom, Daniel Hashimoto, Francesco Celotto, Liaohai Leo Chen, Bryan M Burt, Kelly Lafaro, Fernando Elli, Yusef Kudsi, Francesca Ratti, Erik Wilson, Paolo Pietro Bianchi, Annette Morgan, Stephen T Bartlett, Laila Rashidi, Liu Yu, Bill Gawkins, Piet Hinoul, Bill Peine, Yanghee Woo, Mustafa Raoof, Daniel Jones, Supriya Deshpande, Jordana Bernard, Yulun Wang, Dieter C Broering, Pier Cristoforo Giulianotti
Published in
World journal of surgery. Jul 14, 2026. Epub Jul 14, 2026.
Abstract
Implementation of remote robotic-assisted surgery (rRAS) has the potential to significantly improve access to high-quality surgical care for patients worldwide. Advances in robotic systems and telecommunications now enable highly reliable, low latency, and cybersecure connectivity. These technological developments, together with the broader adoption of telemedicine, have driven an increasing interest in the implementation of rRAS.
The Clinical Robotic Surgery Association (CRSA) convened a conference to develop international clinical recommendations for rRAS using the Danish Model of Consensus. The society identified five key issue categories and invited a panel of experts to address specific questions for each. Panel members and a jury of 10 unbiased, non-expert in rRAS professionals participated in a day-long conference on November 19, 2025 (Los Angeles, USA). During the conference, participants presented, discussed, and reached consensus on specific guidelines relevant to each category. Immediately after the conference, the jury reviewed and approved the recommended guidelines.
Multiple recommendations were approved for each of the following categories: Operating Models, Roles and Responsibilities (2 recommendations), Clinical Pathway (2 recommendations), Emergency Management (8 recommendations), Technical Considerations (5 recommendations), and Medico-legal and Ethical Considerations (4 recommendations).
There was consensus that with recent advances in telecommunication and robotic technologies, rRAS can be offered safely and effectively if the identified safeguards are realized. Adoption of rRAS is expected to continue advancing rapidly.
PMID:
42444290
Bibliographic data and abstract were imported from PubMed on 14 Jul 2026.
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