Nursing in robotic surgery: adapting skills and new roles
DOI:
https://doi.org/10.56294/nds2025291Keywords:
Surgical center, Robotic surgery, NursingAbstract
Introduction: Robotic surgery has experienced exponential growth in recent decades, with the Da Vinci surgical system being the most widely used. Therefore, we sought to analyze the functions of the surgical nurse in robotic surgery, as well as the competencies and roles required for its application.
Method: A literature review study analyzed articles obtained from indexed sources such as SCOPUS, PUBMED, SCIELO, CINAHL, and LATINDEX. Using keywords with Boolean operators, these were recorded in Excel for analysis using the CASPe method.
Development: The effective incorporation of nursing programs in robotic surgery has shown a positive impact on various healthcare quality indicators. The specialized literature points to a decrease of nearly 30% in intraoperative complications when interventions are assisted by nursing teams with specific training in robotic technology.
Conclusion: The coordination of nursing in Da Vinci robotic surgery highlights the importance of transforming traditional roles into highly specialized profiles. These new roles, such as the specialized circulating nurse and the robotic scrub nurse, require not only advanced technical knowledge but also communication and coordination skills within a complex surgical environment.
References
1. Intuitive Surgical Inc. Annual Report 2023: Global Impact of Robotic Surgery. Sunnyvale: Intuitive Surgical. 2024 [acceso 05/05/2025]. Disponible en: https://isrg.intuitive.com/static-files/500ff989-ad91-4b32-a59e-f94a34d75997
2. Peters B, Armijo P, Krause C, Choudhury S, Oleynikov D. Review of emerging surgical robotic technology. Surg Endosc. 2018 [acceso 05/05/2025]; 32(4):1636-1655. DOI: https://doi.org/10.1007/s00464-018-6079-2
3. Shahrezaei A, Sohani M, Taherkhani S, et al. The impact of surgical simulation and training technologies on general surgery education. BMC Med Educ. 2024 [acceso 05/05/2025]; 24 (1297). DOI: https://doi.org/10.1186/s12909-024-06299-w
4. Abdullah R, Majed H, Adel E, et al. Advancements and challenges in robotic surgery: A holistic examination of operational dynamics and future directions. Surgery in Practice and Science. 2025 [acceso 05/05/2025]; 22. DOI: https://doi.org/10.1016/j.sipas.2025.100294
5. Sheetz K, Claflin J, Dimick J. Trends in the Adoption of Robotic Surgery for Common Surgical Procedures. JAMA Netw Open. 2020 [acceso 05/05/2025]; 3 (1). DOI: https://doi.org/10.1001/jamanetworkopen.2019.18911
6. Ferrari F, Youssef Y, Naem A, Ferrari F, Odicino F, Krentel H and Moawad G. Robotic surgery for deep-infiltrating endometriosis: is it time to take a step forward? Front. Med. 2024 [acceso 05/05/2025]; 11. DOI: https://doi.org/10.3389/fmed.2024.1387036
7. Schouten A, Butler R, Vrins C, et al. Impact of operating room technology on intra-operative nurses' workload and job satisfaction: An observational study. International Journal of Nursing Studies Advances. 2025 [acceso 05/05/2025]; 8. DOI: https://doi.org/10.1016/j.ijnsa.2025.100341
8. Anderson J, Chang D, Parsons K, Talamini M. The First National Examination of Outcomes and Trends in Robotic Surgery in the United States. Journal of the American College of Surgeons. 2012 [acceso 05/05/2025]; 215 (1). DOI: https://doi.org/10.1016/j.jamcollsurg.2012.02.005
9. Aghazadeh M, Jayram G, Kozlowski J, Pradeep A, Hrebinko R, Nelson J, et al. External validation of Global Evaluative Assessment of Robotic Skills (GEARS). Surg Endosc. 2015 [acceso 05/05/2025]; 29 (11). DOI: https://doi.org/10.1007/s00464-015-4070-8
10. Maeso S, Reza M, Mayol JA, Blasco JA, Guerra M, Andradas E, et al. Efficacy of the Da Vinci surgical system in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg. 2010 [acceso 05/05/2025]; 252 (2). DOI: https://doi.org/10.1097/SLA.0b013e3181e6239e
11. Kaouk J, Autorino R, Kim F, Han D, Lee S, Yinghao S, et al. Laparoendoscopic single-site surgery in urology: worldwide multi-institutional analysis of 1076 cases. Eur Urol. 2011 [acceso 05/05/2025]; 60 (5). DOI: https://doi.org/10.1016/j.eururo.2011.06.002
12. Wright J, Ananth C, Lewin S, Burke W, Lu Y, Neugut A, et al. Robotically assisted vs laparoscopic hysterectomy among women with benign gynecologic disease. JAMA. 2013 [acceso 05/05/2025]; 309 (7). DOI: https://doi.org/10.1001/jama.2013.186
13. Sammon J, Karakiewicz P, Sun M, Ravi P, Ghani K, Kim S, et al. Robot-assisted versus open radical prostatectomy: the differential effect of regionalization, procedure volume and operative approach. J Urol. 2013 [acceso 05/05/2025]; 189 (4). DOI: https://doi.org/10.1016/j.juro.2012.10.028
14. Alemzadeh H, Raman J, Leveson N, Kalbarczyk Z, Iyer R. Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. PLoS One. 2016 [acceso 05/05/2025]; 11(4). DOI: https://doi.org/10.1371/journal.pone.0151470
15. Van der Schatte R, Van't C, Ruurda J, Broeders I. Ergonomics, user comfort, and performance in standard and robot-assisted laparoscopic surgery. Surg Endosc. 2009 [acceso 05/05/2025]; 23(6). DOI: https://doi.org/10.1007/s00464-008-0184-6
16. Casa E, Velásquez L, Chacha D. Cuidado e intervenciones de enfermería en cirugía robótica en la asistencia sanitaria. Polo del Conocimiento. 2022 [acceso 05/05/2025]; 7 (11). Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=9263571
17. Senol S, Ozdemir Z, Canda A, et al. Experiences of perioperative nurses with robotic-assisted surgery: a systematic review of qualitative studies. J Robotic Surg. 2023 [acceso 05/05/2025]; 17. DOI: https://doi.org/10.1007/s11701-022-01511-9
18. Redondo D, Cortés C, Parrales M. Perioperative Nursing Role in Robotic Surgery: An Integrative Review. Journal of PeriAnesthesia Nursing. 2023 [acceso 05/05/2025]; 38 (4). DOI: https://doi.org/10.1016/j.jopan.2022.11.001
19. Thomas C, Catal E. A comparative study of the opinions, experiences and individual innovativeness characteristics of operating room nurses on robotic surgery. Journal of Advanced Nursing. 2021 [acceso 05/05/2025]; 77 (12). DOI: https://doi.org/10.1111/jan.15020
20. Pires S, Maurício A, Jerónimo L, Teixeira B, Ramos A, Gomes I, Sá, E. Nursing interventions to promote safety in robotic surgery: A systematic literature review. Journal of Perioperative Nursing. 2025 [acceso 05/05/2025]; 38 (1). DOI: https://doi.org/10.26550/2209-1092.1374
21. Öztepe K, Özsoy M. Knowledge Levels of Nursing Students About Robotic Surgery and Robotic Surgery Nursing. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi. 2023 [acceso 05/05/2025]; 7 (1). Disponible en: https://dergipark.org.tr/en/pub/ahievransaglik/issue/76858/1231969
22. Russell B. Understanding the role of the scrub nurse during robotic surgery. Nursing Standard (Royal College of Nursing (Great Britain). 2022 [acceso 05/05/2025]; 37 (12). DOI: https://doi.org/10.7748/ns.2022.e12003
23. Møller L, Hertz P, Grande U, et al. Identifying curriculum content for operating room nurses involved in robotic-assisted surgery: a Delphi study. Surg Endosc. 2023 [acceso 05/05/2025]; 37. DOI: https://doi.org/10.1007/s00464-022-09751-4
24. Mistry M. Exploring Robotic Nursing: A Comprehensive Systematic Review of Socially Assistive Robots within the Healthcare Professions. Journal of Community Health Nursing. 2025 [acceso 05/05/2025]; 42 (3). DOI: https://doi.org/10.1080/07370016.2024.2436886
25. Bjøro B, Ballestad I, Rustøen T, Hetlesæther M, Berit S. Positioning patients for robotic-assisted surgery: A qualitative study of operating room nurses' experiences. Nursing Open. 2023 [acceso 05/05/2025]; 10 (2). DOI: https://doi.org/10.1002/nop2.1312
26. Ohneberg C, Stöbich N, Warmbein A, et al. Assistive robotic systems in nursing care: a scoping review. BMC Nurs 2023 [acceso 05/05/2025]; 22 (72). DOI: https://doi.org/10.1186/s12912-023-01230-y
27. Guimarães M, Barbosa I, Carmo T, Probo D, Rolim K. Construction and validation of an educational video for patients in the perioperative period of robotic surgery. Rev Bras Enferm. 2022 [acceso 05/05/2025]; 75 (5). DOI: https://doi.org/10.1590/0034-7167-2021-0952
28. Shaw R, Chen B. Physical artificial intelligence in nursing: Robotics. Nursing Outlook. 2025 [acceso 05/05/2025]; 73 (5). DOI: https://doi.org/10.1016/j.outlook.2025.102495.
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Copyright (c) 2025 Evelyn Lisbeth Zambrano Moreira , Paola Cecibel Angulo Vera, Silvia Gabriela Villaprado Vélez , Landy María Carreño Navia , Franklin Antonio Vite Solorzano , Daniel Fabricio Alarcón Cano (Author)
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