MTP3.11 Is there a place for Robotics in Vascular Surgery? - A Review of Current Literature

The following literature review examines the role of robotic-assisted surgery in the field of vascular surgery within the United Kingdom, focusing on its benefits, challenges, and future applications. While endovascular techniques have been widely adopted due to their minimal invasiveness and reduced recovery times, robotic systems such as the da Vinci, which claim the same advantages, have not seen similar uptake in the vascular field. The existing literature base suggests that robotic surgery confers additional benefits, alongside increased surgical precision and greater longevity than its endovascular counterparts, particularly in complex abdominal and thoracic procedures. However, barriers, such as the steep learning curve for robotic surgery, the lack of laparoscopic training among vascular surgeons, and limited high-quality clinical evidence to support the resource intensive endeavour of robotics, have hindered its integration. Early reports indicate promise in combining robotic technology with endovascular techniques to improve the precision and safety of procedures, while reducing operator radiation exposure. Despite the preliminary promise, significant gaps in research remain, including the need for more randomized controlled trials coupled with economic analyses to validate the benefits of robotic-assisted vascular surgery. Collaboration is required between bioengineering firms, surgical leaders, and trusts to develop specialized training pathways and overcome the financial and practical challenges associated with robotic systems within the United Kingdom. Addressing these issues could pave the way for a broader adoption of robotic-assisted techniques in vascular surgery, offering safer and more effective treatment options for patients, and surgeons, in the future.