Evidence map›Paper›PMID 41603987›Full record

ArticleJournal of robotic surgery2026

Adoption and expansion of robotic surgery across General Surgery in the United Kingdom: a 10-year procedure-specific analysis (2015-2024).

Neil Donald, Joseph Sebastian, Giuseppe Preziosi

Abstract read
In one paragraph

Article in Journal of robotic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Neil DonaldDepartment of General Surgery, Queen Elizabeth The Queen Mother Hospital, East Kent Hospitals University NHS Foundation Trust, Margate , England. n.donald@doctors.org.uk.
Joseph SebastianDepartment of General Surgery, Queen Elizabeth The Queen Mother Hospital, East Kent Hospitals University NHS Foundation Trust, Margate , England.
Giuseppe PreziosiDepartment of General Surgery, Queen Elizabeth The Queen Mother Hospital, East Kent Hospitals University NHS Foundation Trust, Margate , England.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic surgery (RS) has become an increasingly integral component of minimally invasive surgery (MIS) within General Surgery (GS) over the past 20 years. However, national-level data describing its adoption remain limited. This study provides the first procedure-specific analysis of RS utilization and growth trends of GS procedures within the United Kingdom (UK). Freedom of Information requests were submitted to 153 UK hospitals, requesting annual procedure specific data on six common robotically performed surgeries (colectomy, anterior resection/abdominoperineal resection [AR/APR], cholecystectomy, hernia repair, fundoplication, and gastrectomy) from 2015 to 2024. Stratified data by open, laparoscopic and robotic approaches were provided and analysed for trends using linear regression across centres that provided complete 10-year datasets. 70 trusts provided data totalling 1,054,576 procedures. Robotic utilisation increased markedly from 0.4% in 2015 to 7.0% in 2024 (12.8% of MIS). The largest proportional increases were observed in colectomies (+ 5,240%) and AR/APRs (+ 1,517%). Significant positive trends were detected for robotic approaches in 5 of 6 procedures. Open surgery demonstrated a significant trend (r =-0.77, P < 0.05), while laparoscopic approaches remained stable. Median institutional RS volume in 2024 was 84 cases (IQR 48–155), with wide inter-centre variability. RS within UK GS has expanded substantially, particularly in colorectal procedures, accelerating growth suggesting RS may soon become the dominant minimally invasive modality. Nonetheless, utilisation remains low in high-volume procedures such as cholecystectomy and hernia repair. Standardised data collection, formal training frameworks, and cost-effectiveness evaluation will be essential to support safe and equitable expansion of RS across the UK.

Indexed as

General SurgeryRobotic Surgical ProceduresCholecystectomyColectomyFundoplicationHerniorrhaphyHumansLaparoscopyMinimally Invasive Surgical ProceduresUnited KingdomColorectal SurgeryGeneral SurgeryHealthcare TechnologyMinimally Invasive SurgeryRobotic SurgerySurgerySurgical RoboticsUpper GI Surgery

Identifiers

PMID41603987
PMCPMC12852285

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.