Workflow in Robotic Surgery

  • Olivia R. EnrightEmail author
  • Michael G. Patane


The introduction of a robotic system into the operating room (OR) creates the need for an organized workflow. This chapter discusses the workflow in robotic surgery, including room setup, positioning, room flow, staffing, and instrumentation. A case workflow checklist (Table 7.1) outlines all the major steps to promote a seamless operation.


Operating room OR Workflow Checklist Staffing Instrumentation Time-out 

Suggested Reading

  1. Ahmad N, Hussein AA, Cavuoto L, Sharif M, Allers JC, Hinata N, et al. Ambulatory movements, team dynamics and interactions during robot-assisted surgery. BJU Int. 2016;118(1):132–9.CrossRefPubMedCentralGoogle Scholar
  2. Ballantyne GH. Robotic surgery, telerobotic surgery, telepresence, and telementoring. Review of early clinical results Surg Endosc. 2002;16(10):1389–402.PubMedPubMedCentralGoogle Scholar
  3. Catchpole K, Perkins C, Bresee C, Solnik MJ, Sherman B, Fritch J, et al. Safety, efficiency and learning curves in robotic surgery: a human factors analysis. Surg Endosc. 2016;30(9):3749–61.CrossRefPubMedCentralGoogle Scholar
  4. Fong Y, Woo Y, Giulianotti PC. Robotic surgery: the promise and finally the progress. Hepatobiliary Surg Nutr. 2017;6(4):219–21.CrossRefPubMedCentralGoogle Scholar
  5. Kassahun Y, Yu B, Tibebu AT, Stoyanov D, Giannarou S, Metzen JH, et al. Surgical robotics beyond enhanced dexterity instrumentation: a survey of machine learning techniques and their role in intelligent and autonomous surgical actions. Int J Comput Assist Radiol Surg. 2016;11(4):553–68.CrossRefPubMedCentralGoogle Scholar
  6. Leung U, Fong Y. Robotic liver surgery. Hepatobiliary Surg Nutr. 2014;3(5):288–94.PubMedPubMedCentralGoogle Scholar
  7. Mantoo S, Rigaud J, Naulet S, Lehur PA, Meurette G. Standardized surgical technique and dedicated operating room environment can reduce the operative time during robotic-assisted surgery for pelvic floor disorders. J Robot Surg. 2014;8(1):7–12.CrossRefPubMedCentralGoogle Scholar
  8. Nota CL, Rinkes IHB, Hagendoorn J. Setting up a robotic hepatectomy program: a Western-European experience and perspective. Hepatobiliary Surg Nutr. 2017;6(4):239–45.CrossRefPubMedCentralGoogle Scholar
  9. Patti JC, Ore AS, Barrows C, Velanovich V, Moser AJ. Value-based assessment of robotic pancreas and liver surgery. Hepatobiliary Surg Nutr. 2017;6(4):246–57.CrossRefPubMedCentralGoogle Scholar
  10. Randell R, Greenhalgh J, Hindmarsh J, Dowding D, Jayne D, Pearman A, et al. Integration of robotic surgery into routine practice and impacts on communication, collaboration, and decision making: a realist process evaluation protocol. Implement Sci. 2014;9:52.CrossRefPubMedCentralGoogle Scholar
  11. Yuh B. The bedside assistant in robotic surgery—keys to success. Urol Nurs. 2013;33(1):29–32.CrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Memorial Sloan Kettering Cancer CenterNew YorkUSA
  2. 2.Department of SurgeryMemorial Sloan Kettering Cancer CenterNew YorkUSA

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