Robotic Surgery

  • Danuta LichosikEmail author
Part of the Principles of Specialty Nursing book series (PSN)


Throughout the history of nursing, the discoveries and system of belief of yesterday have served as a platform for the innovations of today. That is especially true for minimally invasive surgery (MIS) approach; exactly indeed perioperative practitioners have been challenged to stay abreast of technology in a field that is a constantly changing landscape of new techniques and improved instruments and equipment. The “laparoscopic revolution” of the 1980s propelled and encouraged the changes toward a less invasive approaches and new techniques, such as modern robot-assisted surgery. Science and technology are advancing at an incredible pace. Over the last several decades, there has been technological advancement in the operating room. The use of robotics is expanding rapidly in the medical arena. The evolution of robotics in surgery is presented within the context of virtual reality, telepresence, telemanipulation, and passive (i.e., master-slave) robotic surgical systems. A critical analysis of these new developments becomes a duty in the perioperative nursing.

Minimally invasive surgeries, including robotic-assisted surgeries, are performed in many hospitals in the world, especially in genitourinary, gynecology, general, pediatric, cardiothoracic, head and neck, and breast surgery.

Nursing care for patients undergoing robotic surgery has crucial importance. The target is to reduce the risk during surgical procedures by adequate perioperative nursing for patients undergoing robotic procedure. The nursing team needs to strictly follow the protocols and specific procedures. Working tools must be shared and followed by all team members.

Starting a robotic surgery program implies an organizing effort that has to be evaluated. The program can be challenging as multiple members of the team are learning the technology and their own personal roles on the team. Important is to point out that robotic surgery program needs frequent update and audit regarding efficiency, outcomes, and patient satisfaction.


Robotic surgery da Vinci Surgical System Robotic surgery program Multidisciplinary approach Nurses’ roles Challenges and opportunities for OR nurses Education Training Learning curve Perioperative nursing care Patient advocacy 

further Reading

  1. Ewing DR, Pigazz IA, Wang Y, et al. Robots in the operating room–the history. Semin Laparosc Surg. 2004;11:63.PubMedGoogle Scholar
  2. Turner WF Jr, Sloan JH. Robotic assisted coronary artery bypass on a beating heart: initial experience and implications for the future. Ann Thorac Surg. 2006;82:790.CrossRefGoogle Scholar
  3. Marescaux J, Leroy J, Gagner M, et al. Transatlantic robot-assisted telesurgery. Nature. 2001;413:379.CrossRefGoogle Scholar
  4. Hill JW, Holst PA, Jensen JF, et al. Telepresence interface with applications to microsurgery and surgical simulation. Stud Health Technol Inform. 1998;50:96.PubMedGoogle Scholar
  5. AORN. Perioperative standards and recommended practices. Denver: AORN Inc; 2010.Google Scholar
  6. Stanton C. Robotics a new addition to SA. AORN Connect. 2009;7(5):12. Accessed 16 Feb 2010.Google Scholar
  7. Resin S, Firat O, Sozbilen M. Single-incision laparoscopic cholecystectomy: is it more than a challenge? Surg Endosc. 2010;24(6):68–71.Google Scholar
  8. Spinoglio G, et al. Robotic surgery: current applications and new trends, updates in surgery. Single-Site Surgery, Springer-Verlag Italia 2015:18(2):179–91.Google Scholar
  9. Hanks RG. The medical-surgical perspective of advocate role. Nurs Forum. 2010;45(2):97–107.CrossRefGoogle Scholar
  10. Boyle HJ. Patient advocacy in the perioperative setting. AORN J. 2005;82(2):250–62.CrossRefGoogle Scholar
  11. Pritchard MJ. Identifying and assessing anxiety in pre-operative patients. Nurs Stand. 2009;23(51):35–45.CrossRefGoogle Scholar
  12. Kruglikova I, et al. Assessment of early learning curves among nurses and physicians using a high-fidelity virtual-reality colonoscopy simulator. Surg Endosc. 2010;24(2):366–70.. Epub 2009 Jun 18CrossRefGoogle Scholar
  13. Cabello JM, et al. Camera and trocar placement for robot-assisted radical and partial nephrectomy: which configuration provides optimal visualization and instrument mobility? J Robot Surg. 2009;3(8):155–9.CrossRefGoogle Scholar
  14. Phillips NM. Berry and Kohn’s operating room technique. 11th ed. St. Louis: Elsevier; 2007.Google Scholar
  15. Spinoglio G, editor & Others. Robotic surgery: current applications and new trends, updates in surgery. Right colectomy with complete mesocolic four-arm technique excision. Springer-Verlag Italia 2015:13(5):125–32.Google Scholar
  16. Protocols and procedures, European Institute of Oncology, Operating theatre, 2007–13.Google Scholar
  17. Kaul S, Shah NL, Menon M. Learning curve using robotic surgery. Curr Urol Rep. 2006;7(2):125–9.CrossRefGoogle Scholar
  18. Allgower CE, et al. The robotic revolution: advancing laparoscopy and urology further into the future. Contemp Urol. 2006;18(10):28, 30–2Google Scholar
  19. Sim HG, Yip SKH, Cheng CWS. Equipment and technology in surgical robotics. World J Urol. 2006;24(2):128–35.CrossRefGoogle Scholar
  20. Le CQ, Gettman MT. Laparoscopic and robotic radical prostatectomy. Expert Rev Anticancer Ther. 2006;6(7):1003–21.CrossRefGoogle Scholar
  21. Kumar R, Hemal AK. The “scrubbed surgeon” in robotic surgery. World J Urol. 2006;24(4):144–7.CrossRefGoogle Scholar
  22. AORN standards, recommended practices and guidelines. Denver: The Association; 2006.Google Scholar
  23. AORN statement on operating room staffing skill mix for direct caregivers. AORN J. 2005;81(6):1204–5.Google Scholar
  24. Beyea SC. Patient advocacy- nurses keeping patient’s safe. AORN J. 2005;81(5):1046–7.CrossRefGoogle Scholar
  25. Francis P. Evolution of robotics in surgery and implementing a perioperative robotics nurse specialist role. AORN J. 2006;83(3):630–50.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.European Institute of OncologyMilanItaly

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