The Evolution of Minimally Invasive Robotic Surgery: Addressing Limitations and Forging Ahead?

The introduction of robotic surgery necessitates crew resource management (CRM) training for effective communication. Despite robotic advantages, the shift to symbolic-external control through verbal communication leads to hierarchical cooperation, impacting teamwork. Lack of CRM training implementation is common, posing challenges for assistants. Dual-console usage proves effective but costly for training. Patient benefits vary across procedures, with cobots showing promise for soft-tissue surgery. The monopoly of a single company impedes surgical robot evolution. Cobots offer adaptability, versatility, and teaching advantages, reshaping the future landscape. The French Academy of Surgery emphasizes competitive pricing, ergonomic controls, and automation for future robot-assisted surgery platforms.