Launching a successful robotic program

In spite of the substantial benefits of robotic surgery (RS) over standard laparoscopy, performing robotic surgery still requires for the surgeon to undergo a necessary learning curve (LC), in order to ensure the safe introduction of this technology. In this setting the adoption of RS at any institution requires the establishment of a well-structured plan and certain key elements to be in place to ensure successful implementation of a robotics program. A thorough initial design and implementation lead to the execution of clinical services, which meet previously established goals. Once the execution phase is established, the next step is to focus on maintenance and growth to maximize the benefits of the program We portray the necessary phases for creating a successful robotic program, paying special attention to the aspects that allowed our facility to create a profitable robotic-assisted laparoscopic prostatectomy program The true success and durability of RS will depend on long-term outcomes. For individual programs, a thorough infrastructure is necessary to approachoverall profitability and efficiency. Initial planning is dependent on a risk/benefit analysis, economic model, and lead surgeon. Realistic early expectations often require a substantial initial investment An OR team, hospital administration support, possible OR modification, and continued marketing become the next agenda. Each focus area should be established prior to the launch of the program. Finally, it is important to frequently review the goals of the program in the initial phase because early identification of problem areas, possible changes to improve efficiency or outcomes, and justification for the risk/cost of a program can all be obtained and handled ahead of time