{"paper_id":"37b6ae63-4e65-4491-86fb-b125b294aad4","body_text":"Abstract\nThe integration of robotic systems into minimally invasive surgery offers significant advantages, including enhanced precision, reduced invasiveness, and improved patient outcomes. However, sustaining these benefits requires optimization of operational efficiency to justify the substantial resource investment associated with robotic technologies. This review examines strategies to enhance efficiency in robotic-assisted surgery using a four-pillar framework: (1) team structure and leadership; (2) organization of care; (3) procedural standardization; and (4) parallel task overlap. Evidence from the literature and practice-informed observations suggests that well-coordinated multidisciplinary teams, structured perioperative planning, and optimized operating room organization can reduce delays and improve workflow efficiency. Standardization of equipment setup and surgical steps further enhances procedural predictability, while parallel tasking minimizes downtime and improves operating room capacity. When combined with continuous training and iterative process evaluation, these strategies may optimize robotic surgical performance, improve cost efficiency, and support high-quality, patient-centered care.\nSimilar content being viewed by others\nData availability\nNo datasets were generated or analysed during the current study.\nReferences\nMaynou L, McGuire A, Serra-Sastre V (2024) Efficiency and productivity gains of robotic surgery: the case of the English National health service. Health Econ 33(8):1831–1856\nKidambi TD, Trieu H, Lilienstein B, Hirsch P, Erwing C, Sullivan MJ et al (2024) LEAN methodology to improve endoscopy unit efficiency in a Multi-subspecialty ambulatory surgery center: a pilot study. 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Physician Exec 40(3):6–20\nFunding\nThere was no specific funding for this study.\nAuthor information\nAuthors and Affiliations\nContributions\nCM, YY, SG, JG, SB, MM, GM wrote the main manuscript, SG prepared the figureAll authors reviewed the manuscript.\nCorresponding author\nEthics declarations\nConflict of interest\nG.M. is a member of the Speakers’ Bureau for Intuitive Surgical. M.A.M. receives consulting fees from Medtronic, Intuitive Surgical, Johnson & Johnson, and Vivimed Incision, and has served in a leadership role as past president of the Society of Robotic Surgery. The other authors declare no conflicts of interest. C.M and S.B are both proctors for Intuitive surgical.\nAdditional information\nPublisher’s note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nRights and permissions\nSpringer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.\nAbout this article\nCite this article\nMaene, C., Youssef, Y., Guerra, S. et al. Improving efficiency in robotic-assisted surgery: a practical guide for surgeons. J Robotic Surg 20, 294 (2026). https://doi.org/10.1007/s11701-026-03222-x\nReceived:\nAccepted:\nPublished:\nVersion of record:\nDOI: https://doi.org/10.1007/s11701-026-03222-x","source_license":"public-domain-us","license_restricted":false}