Evidence map›Paper›PMID 42444290›Full record

ArticleWorld journal of surgery2026

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

Yuman Fong, Dimitri A Raptis, Louis Kavoussi, Sherry M Wren, Dennis Fowler, Mehran Anvari, Francesco Bianco, Xiao Liang, Zheyong Li, Xiaoyu Yin and 41 more

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

51 authors.

Yuman FongCity of Hope National Medical Cancer Center, Duarte, California, USA.ORCID https://orcid.org/0000-0002-8934-9959
Dimitri A RaptisKing Faisal Specialist Hospital and Research Centre, Alfaisal University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-0898-3270
Louis KavoussiNorthwell, New Hyde Park, New York, USA.
Sherry M WrenStanford University, Palo Alto, California, USA.ORCID https://orcid.org/0000-0002-5723-8226
Dennis FowlerSovato Health, Santa Barbara, California, USA.
Mehran AnvariMcMaster University, Hamilton, Ontario, Canada.
Francesco BiancoUniversity of Illinois Chicago, Chicago, Illinois, USA.
Xiao LiangSir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China.
Zheyong LiSir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China.
Xiaoyu YinThe First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Micaela PiccoliOspedale Civile Baggiovara, Azienda Ospedaliero, Universitaria di Modena, Modena, Italy.
Saad AldousariKuwait University, Sabah Al-Ahmad Urology Center, Kuwait, Kuwait.ORCID https://orcid.org/0000-0002-6045-5272
John MarksLankenau Medical Center, Main Line Health, Wynnewood, Pennsylvania, USA.
Baiyong ShenRuijin Hospital, Shanghai Jiaotong University Medical School, Shanghai, China.
Clifford KoUniversity of California, Los Angeles, California, USA.
Jelle RuurdaUtrecht University Medical Center, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0001-6584-1677
Barbara SeeligerDepartment of Digestive and Endocrine Surgery, University Hospitals of Strasbourg, Strasbourg, France.
Jeroen HagendoornUtrecht University Medical Center, Utrecht, the Netherlands.
Rahila EssaniAdvent Health, Celebration, Florida, USA.
R Matthew WalshCleveland Clinic, Cleveland, Ohio, USA.
Dmitry OleynikovMonmouth Medical Center, Long Branch, New Jersey, USA.
Stephanie B JonesNorthwell, New Hyde Park, New York, USA.
Vivek BindalMax Healthcare, New Delhi, India.ORCID https://orcid.org/0000-0002-7891-7316
Hyun Koo KimKorea University, Seoul, South Korea.
Woo Jin HyungYonsei University College of Medicine, Severance Hospital, Seoul, South Korea.
Laleh MelstromCity of Hope National Medical Cancer Center, Duarte, California, USA.ORCID https://orcid.org/0000-0001-6279-7981
Daniel HashimotoUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
Francesco CelottoDepartment of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova, Italy.ORCID https://orcid.org/0000-0002-1881-0605
Liaohai Leo ChenWorcester Polytechnic Institute, Worcester, Massachusetts, USA.
Bryan M BurtUniversity of California, Los Angeles, California, USA.
Kelly LafaroJohns Hopkins University, Baltimore, Maryland, USA.
Fernando ElliMayo Clinic, Jacksonville, Florida, USA.
Yusef KudsiBrigham and Women's Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-6723-0909
Francesca RattiIRCCS San Raffaele Scientific Institute, Milano, Italy.ORCID https://orcid.org/0000-0002-8108-9064
Erik WilsonMemorial Hermann-Texas Medical Center, Houston, Texas, USA.
Paolo Pietro BianchiUniversità di Milano, Milan, Italy.
Annette MorganCity of Hope National Medical Cancer Center, Duarte, California, USA.
Stephen T BartlettUniversity of Illinois Chicago, Chicago, Illinois, USA.
Laila RashidiMultiCare Health System, Tacoma, Washington, USA.
Liu YuMicroport Medbot, Shanghai, China.
Bill GawkinsJohnson and Johnson, New Brunswick, New Jersey, USA.
Piet HinoulVirtual Incision Corporation, Lincoln, Nebraska, USA.
Bill PeineMedtronic, Ashland, Massachusetts, USA.
Yanghee WooCity of Hope National Medical Cancer Center, Duarte, California, USA.
Mustafa RaoofCity of Hope National Medical Cancer Center, Duarte, California, USA.
Daniel JonesRutgers New Jersey Medical School, Newark, New Jersey, USA.
Supriya DeshpandeCity of Hope National Medical Cancer Center, Duarte, California, USA.
Jordana BernardSovato Health, Santa Barbara, California, USA.ORCID https://orcid.org/0009-0006-6263-2072
Yulun WangSovato Health, Santa Barbara, California, USA.
Dieter C BroeringKing Faisal Specialist Hospital and Research Centre, Alfaisal University, Riyadh, Saudi Arabia.
Pier Cristoforo GiulianottiUniversity of Illinois Chicago, Chicago, Illinois, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImplementation 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.

methodsThe 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.

resultsMultiple 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).

conclusionsThere 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.

Indexed as

Robotic Surgical ProceduresTelemedicineHumansdanish model of consensusmedical ethicsregulatory approvalremote robotic surgeryremote surgeryreviewrobotic‐assisted surgeryrobotic workflowtelesurgery

Identifiers

PMID42444290
PMCPMC13460931

What OpenQuestion holds

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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.