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RACS ASC 2026
The Robotic Revolution: Twenty Years of Change in Surgical Practice
Poster
Presentation Description

Institution: Redland Hospital - QLD, Australia

Robotic surgery evolved rapidly over the last 20 years, and has reshaped operative landscapes across various specialties. The first da Vinci system was approved in 2000 for general laparascopic surgery. Shortly after, it gained traction in urology, then expanding into gynaecology, colorectal and hepatobiliary procedures. It has since been introducted in other specialties such as otolaryngology and reconstructive plastic surgery. In Australia, early adoption has mirrored the international trends. The first operation was a radical prostatectomy that paved the way for Australian robotic surgery. Since then, access has grown steadily, though has primarily remained largely confined to tertiary centres. This poster outlines a recent history of robotic surgery, detailing major pioneering milestones, as well as the local Australian experience. The introduction of new robotic platforms are highlighted, as well as the gradual expansion of indications and applications, and the necessary integration of structured training alongside this development. Insightful comparisons are drawn with the revolution of laparoscopy, exploring recurring topical debates surrounding cost, training, and objective and measurable patient focused benefits. This presentation aims to provide a context for the current role of robotics in surgical practise, and to touch on possible future directions. As innovation continues, and platforms become more accessible, robotics is positioned to transition from a niche, high-cost technology to a mainstream surgical adjunct, with implications for education, service delivery, and surgical outcomes.
Presenters
Authors
Authors

Dr Tyler Ferdinands -