September 21, 2026 · Journal of the American College of Surgeons · DOI: 10.1097/XCS.0000000000002220

Robotic Operation After Interhospital Transfer for Emergency General Surgery: Adoption, Hospital-Level Variation, and National Outcomes

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The authors aimed to evaluate the adoption and outcomes of robotic surgery in emergency general surgery (EGS) patients transferred between hospitals. They found that robotic surgery was infrequently utilized, with significant hospital-level variation in its use compared to laparoscopic approaches, and while robotic surgery was associated with shorter hospital stays and lower complications compared to open surgery, it also incurred higher costs without notable differences in clinical outcomes. The study highlights the need for clear selection criteria and equitable access to robotic surgical options.

Ioannis Karikis, Yasmin Arda, Nikolaos Pachos, Joshua S Ng-Kamstra, John O Hwabejire, Michael P DeWane, Haytham M Kaafarani, Ali Salim, George C Velmahos, Charudutt N Paranjape

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