Improving efficiency in robotic-assisted surgery: a practical guide for surgeons

Authors

• Charlotte Maene, Department of Obstetrics and Gynecology, Ostend Robotic Center, AZ Oostende Hospital, Oostende, Belgium.
• Youssef Youssef, Division of minimally invasive Gynecology, Women's health Institute, Cleveland Clinic, Cleveland, OH, USA.
• Serena Guerra, Department of Public Health, University of Naples Federico II, Naples, Italy.
• Jasmin Ghanbari, Faculty of Medicine, Medical University of Varna, Varna, Bulgaria.
• Stefaan Bafort, Department of Obstetrics and Gynecology, Ostend Robotic Center, AZ Oostende Hospital, Oostende, Belgium.
• Martin Martino, Department of Gynecologic Oncology and Women's Health, Ascension St. Vincent's, Jacksonville, FL, USA.
• Gaby Moawad, Department of Obstetrics and Gynaecology, The George Washington University Hospital, Washington, DC, USA. gnmoawad@gmail.com.

Document Type

Journal Article

Publication Date

2-26-2026

Journal

Journal of robotic surgery

Volume

20

Issue

1

DOI

10.1007/s11701-026-03222-x

Keywords

Efficiency; Healthcare systems; OR setting; Robotics; Sustainability

Abstract

The integration of robotic systems into minimally invasive surgery offers significant advantages, including enhanced precision, reduced invasiveness, and improved patient outcomes. However, sustaining these benefits requires optimization of operational efficiency to justify the substantial resource investment associated with robotic technologies. This review examines strategies to enhance efficiency in robotic-assisted surgery using a four-pillar framework: (1) team structure and leadership; (2) organization of care; (3) procedural standardization; and (4) parallel task overlap. Evidence from the literature and practice-informed observations suggests that well-coordinated multidisciplinary teams, structured perioperative planning, and optimized operating room organization can reduce delays and improve workflow efficiency. Standardization of equipment setup and surgical steps further enhances procedural predictability, while parallel tasking minimizes downtime and improves operating room capacity. When combined with continuous training and iterative process evaluation, these strategies may optimize robotic surgical performance, improve cost efficiency, and support high-quality, patient-centered care.

APA Citation

Maene, Charlotte; Youssef, Youssef; Guerra, Serena; Ghanbari, Jasmin; Bafort, Stefaan; Martino, Martin; and Moawad, Gaby, "Improving efficiency in robotic-assisted surgery: a practical guide for surgeons" (2026). GW Authored Works. Paper 8666.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/8666

Department

Obstetrics and Gynecology