Evidence map›Paper›PMID 41514093›Full record

ArticleJournal of robotic surgery2026

Challenges and opportunities in the implementation of a new robotic system - a semi-structured interview study with a surgical team.

Ibrahim Alkatout, Désirée Meinhold-Heerlein, Paula Rosam, Henning Ohnesorge, Nicolai Maass, Sören von Otte, Rafał Watrowski, Thomas Becker, Julius Pochhammer, Claudia Bozzaro and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of robotic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ibrahim AlkatoutDepartment of Obstetrics and Gynecology, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3 (House C), 24105, Kiel, Germany. Ibrahim.alkatout@uksh.de.
Désirée Meinhold-HeerleinDepartment of Obstetrics and Gynecology, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3 (House C), 24105, Kiel, Germany.
Paula RosamDepartment of Gynecology and Reproductive Medicine, University Hospitals Jena, Am Klinikum 1, 07747, Jena, Germany.
Henning OhnesorgeDepartment of Anesthesiology and Operative Intensive Medicine, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3 (House R3), 24105, Kiel, Germany.
Nicolai MaassDepartment of Obstetrics and Gynecology, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3 (House C), 24105, Kiel, Germany.
Sören von OtteUniversity Fertility Center, Ambulanzzentrum des UKSH gGmbH, Arnold-Heller-Straße 3 (House C), 24105, Kiel, Germany.
Rafał Watrowski5Department of Obstetrics and Gynecology, Helios Hospital Müllheim, 79379, Müllheim, Germany.
Thomas BeckerDepartment of General, Visceral, Thoracic, Transplantation and Pediatric Surgery, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3 (House C), 24105, Kiel, Germany.
Julius PochhammerDepartment of General, Visceral, Thoracic, Transplantation and Pediatric Surgery, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3 (House C), 24105, Kiel, Germany.
Claudia BozzaroInstitute of Ethics, History and Theory of Medicine, University Münster, Von-Esmarch-Straße 62, 48149, Münster, Germany.
Veronika GüntherDepartment of Obstetrics and Gynecology, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3 (House C), 24105, Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImplementing a new robotic system poses a major challenge for the entire surgical team. We accompanied this sensitive initial phase of implementing a new surgical system in a clinic at which a previously established robotic system is used regularly. MATERIALS AND

methodsEight semi-structured face-to-face and video-based interviews were conducted with the surgical team involved in the implementation of a new robotic system (3 surgeons, 2 anesthesiologists, 2 operating room (OR) nurses and the head of OR management) between February and April 2025.

resultsThe new robot system finds its niche in bridging the gap between conventional laparoscopy and the established robotic system, allowing the advantages of the robot to be exploited in a wide range of operations. Although the established robot is the undisputed favorite for all interviewees, no ethical concerns regarding patient safety were expressed at any time. However, the wider range of applications and many years of experience with the established system seem to make it difficult to surpass it.

conclusionsThe implementation of a new surgical system poses enormous challenges for the entire surgical team. Initial uncertainties regarding its handling can be overcome once the learning curve has been completed. A new surgical system is usually a technical and economic advancement that will benefit the clinic and patients, and thus the entire healthcare sector. In conclusion, new surgical systems should be given a chance, as they offer many advantages once the learning curve has been completed. Subsequently they contribute to scientific, economic, and clinical progress.

Indexed as

Patient Care TeamRobotic Surgical ProceduresHumansInterviews as TopicLaparoscopyLearning CurveSurgeonsEthical issueInterviewsLearning curveNew robotic systemPatient safetySurgery

Identifiers

PMID41514093
PMCPMC12789171

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.