Teamwork vital for successful robotic surgery

In this article, Minija Joseph and colleagues at the King’s College NHS Foundation Trust discuss the critical role of theatre nurses and anaesthetic practitioners in robot-assisted surgery.

Robotic surgery has revolutionised the field of minimally invasive surgery by improving precision and patient outcomes. While much of the focus is on the surgeon's mastery of the robotic system, the role of the theatre team is equally critical to the success of these procedures. The team not only prepare and manage the robotic system but also play a vital role in maintaining patient safety, coordinating surgical activities, and troubleshooting equipment during real-time operations.

This article highlights the contribution of Theatre Nurses and Anaesthetic Practitioners in robot-assisted procedures and emphasises their evolving responsibilities as key members of the surgical team. By analysing real-world cases and detailing the comprehensive training programme, we aim to acknowledge their expertise and importance in achieving efficient and successful surgical outcomes.

Robotic surgery has seen exponential growth due to its ability to offer surgeons enhanced precision and control, leading to better patient outcomes. Between May 2023 and March 2025, our surgical team performed a diverse range of robotic procedures; in total more than 600, including 145 radical nephrectomies, 115 colorectal resections, 91 gynaecological procedures and over 200 bariatric and upper GI procedures with a single robot. While attention is directed toward the surgeon's proficiency with robotic systems, the Theatre Nurses and Anaesthetic Practitioners play an equally vital role in ensuring the success of these procedures.

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