REFERENCES
1. Mohiuddin K, Swanson SJ. Maximizing the benefit of minimally invasive surgery. J Surg Oncol. 2013;108:315-9.
2. Snyder BE, Wilson T, Leong BY, Klein C, Wilson EB. Robotic-assisted Roux-en-Y Gastric bypass: minimizing morbidity and mortality. Obes Surg. 2010;20:265-70.
3. Horsey ML, Lai D, Sparks AD, et al. Disparities in utilization of robotic surgery for colon cancer: an evaluation of the U.S. National Cancer Database. J Robot Surg. 2022;16:1299-306.
4. Blake EA, Sheeder J, Behbakht K, Guntupalli SR, Guy MS. Factors impacting use of robotic surgery for treatment of endometrial cancer in the United States. Ann Surg Oncol. 2016;23:3744-8.
5. Tatarian T, McPartland C, Nie L, et al. Socioeconomic disparities in the utilization of primary robotic hernia repair. Surg Endosc. 2023;37:4829-33.
6. World Health Organization. Health systems: equity. Available from: https://www.who.int/health-topics/equity. [Last accessed on 8 Jun 2026].
7. Ghebreyesus TA. Health is a fundamental human right. Statement by WHO Director General on December 10, 2017. Available from: https://www.who.int/news-room/commentaries/detail/health-is-a-fundamental-human-right. [Last accessed on 8 Jun 2026].
8. Mitzman B, Johnson S, Lichtveld M, Culbertson R, Fong ZV. Minimally invasive surgery deserts: is there a role for robotic assisted surgery? JSLS. 2024;28:e2024.00039.
9. Stefanidis D, Wang F, Korndorffer JR Jr, Dunne JB, Scott DJ. Robotic assistance improves intracorporeal suturing performance and safety in the operating room while decreasing operator workload. Surg Endosc. 2010;24:377-82.
11. Meara JG, Leather AJM, Hagander L, et al. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015;386:569-624.
12. Ndugga N, Hill L, Pillai D, Artiga S. Race, inequality, and health. 2025. Available from: https://www.kff.org/health-policy-101-race-inequality-and-health/. [Last accessed on 8 Jun 2026].
13. Reddy K, Gharde P, Tayade H, Patil M, Reddy LS, Surya D. Advancements in robotic surgery: a comprehensive overview of current utilizations and upcoming frontiers. Cureus. 2023;15:e50415.
14. Dawes D. The political determinants of health. Johns Hopkins University Press; 2020. Available from: https://books.google.tt/books?id=3OLMDwAAQBAJ&printsec=frontcover#v=onepage&q&f=false. [Last accessed on 8 Jun 2026].
15. Intuitive Surgical. Investor relations & clinical data. Available from: https://www.intuitive.com. [Last accessed on 8 Jun 2026].
16. Tappero S, Fallara G, Chierigo F, et al. Intraoperative image-guidance during robotic surgery: is there clinical evidence of enhanced patient outcomes? Eur J Nucl Med Mol Imaging. 2024;51:3061-78.
17. Asensus Surgical. Senhance surgical system. Available from: https://www.asensus.com/senhance. [Last accessed on 8 Jun 2026].
18. CMR Surgical. Versius robotic system overview. Available from: https://us.cmrsurgical.com/. [Last accessed on 8 Jun 2026].
19. Medtronic. Hugo RAS system. Available from: https://www.medtronic.com/hugo. [Last accessed on 8 Jun 2026].
20. Lee A, Baker TS, Bederson JB, Rapoport BI. Levels of autonomy in FDA-cleared surgical robots: a systematic review. NPJ Digit Med. 2024;7:103.
21. OTSAW Digital. Surgical robotics R&D. Available from: https://www.otsaw.com. [Last accessed on 8 Jun 2026].
22. Avatera Medical GmbH. Robot-assisted surgery. Available from: https://avatera.eu/1/robot-assisted-surgery/. [Last accessed on 8 Jun 2026].
23. Meere Company. REVO-i surgical robot. Available from: https://www.meerecompany.com. [Last accessed on 8 Jun 2026].
24. Salas Parra RD, Pechman D. Moon Surgical Maestro surgical robotics system: a SAGES technology and value assessment. 2023. Available from: https://www.sages.org/publications/tavac/moon-surgical-maestro-surgical-robotics-system/. [Last accessed on 8 Jun 2026].
25. Balakrishnan G, Krishnamurthy A. Robotic surgeries for cancer in low- and middle-income countries: hope or hype in surgical oncology? Int J Adv Med Health Res. 2023;10:64-70.
26. Bakunda L, Nyjong DM, Lorenzetti D, et al. Understanding disparities in access to and quality of surgical care for African, Caribbean and Black communities in high-income countries with universal healthcare: a scoping review protocol. BMJ Open. 2025;15:e099213.
27. Ng AP, Sanaiha Y, Bakhtiyar SS, Ebrahimian S, Branche C, Benharash P. National analysis of cost disparities in robotic-assisted versus laparoscopic abdominal operations. Surgery. 2023;173:1340-5.
28. South C, Megafu O, Moore C, et al. Robotic surgery in safety-net hospitals: addressing health disparities and improving access to care. Am Surg. 2025;91:639-43.
29. Brunes M, Johannesson U, Häbel H, Söderberg MW, Ek M. Effects of obesity on peri- and postoperative outcomes in patients undergoing robotic versus conventional hysterectomy. J Minim Invasive Gynecol. 2021;28:228-36.
30. Yanagawa F, Perez M, Bell T, Grim R, Martin J, Ahuja V. Critical outcomes in nonrobotic vs robotic-assisted cardiac surgery. JAMA Surg. 2015;150:771-7.
31. Rogula T, Koprivanac M, Janik MR, et al. Does robotic Roux-en-Y Gastric bypass provide outcome advantages over standard laparoscopic approaches? Obes Surg. 2018;28:2589-96.
32. Prete FP, Pezzolla A, Prete F, et al. Robotic versus laparoscopic minimally invasive surgery for rectal cancer: a systematic review and meta-analysis of randomized controlled trials. Ann Surg. 2018;267:1034-46.
33. Mehta A, Cheng Ng J, Andrew Awuah W, et al. Embracing robotic surgery in low- and middle-income countries: potential benefits, challenges, and scope in the future. Ann Med Surg. 2022;84:104803.
34. Yiengpruksawan A, Akaraviputh T, Methasate A, Chinswangwatanakul V. Robotic surgery in Thailand: current status and future development. Siriraj Med J. 2018;70:466-70. Available from: https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/152768. [Last accessed on 8 Jun 2026].
35. Alves Martins BA, Filho OM, Ghezzi TL, et al. An overview of robotic colorectal surgery adoption and training in Brazil. Medicina. 2023;59:1675.
36. Udwadia TE. Robotic surgery is ready for prime time in India: against the motion. J Minim Access Surg. 2015;11:5-9.
37. Shaw RD, Eid MA, Bleicher J, et al. Current barriers in robotic surgery training for general surgery residents. J Surg Educ. 2022;79:606-13.
38. Burke J, Gnanaraj J, Dhanda J, et al. Robotic surgery in low- and middle-income countries. Bulletin. 2024;106:138-41.
39. El Saghir NS, Anderson BO, Gralow J, et al. Impact of merit-based immigration policies on brain drain from low- and middle-income countries. JCO Glob Oncol. 2020;6:185-9.
40. Law TJ, Bulamba F, Ochieng JP, et al.; Global Anesthesia Workforce Study Group. Anesthesia provider training and practice models: a survey of Africa. Anesth Analg. 2019;129:839-46.
41. Pittalis C, Brugha R, Gajewski J. Surgical referral systems in low- and middle-income countries: a review of the evidence. PLoS One. 2019;14:e0223328.
42. Cawich SO, Johnson S, Dapri G, et al. Disparities in access to minimally invasive surgery in low and middle-income countries. Am Surg. 2025;91:696-701.
43. Moy E. Physician race and care of minority and medically indigent patients. JAMA. 1995;273:1515.
44. Marrast LM, Zallman L, Woolhandler S, Bor DH, McCormick D. Minority physicians’ role in the care of underserved patients: diversifying the physician workforce may be key in addressing health disparities. JAMA Intern Med. 2014;174:289-91.
45. Porterfield JR Jr, Podolsky D, Ballecer C, et al. Structured resident training in robotic surgery: recommendations of the Robotic Surgery Education Working Group. J Surg Educ. 2024;81:9-16.
46. George LC, O’Neill R, Merchant AM. Residency training in robotic general surgery: a survey of program directors. Minim Invasive Surg. 2018;2018:8464298.
47. Tom CM, Maciel JD, Korn A, et al. A survey of robotic surgery training curricula in general surgery residency programs: how close are we to a standardized curriculum? Am J Surg. 2019;217:256-60.
48. Herron DM, Marohn M; SAGES-MIRA Robotic Surgery Consensus Group. A consensus document on robotic surgery. Surg Endosc. 2008;22:313-25; discussion 311.
49. Shoham MA, Baker NM, Peterson ME, Fox P. The environmental impact of surgery: a systematic review. Surgery. 2022;172:897-905.
50. Huo B, Eussen MMM, Marconi S, et al. Scoping review for the SAGES EAES joint collaborative on sustainability in surgical practice. Surg Endosc. 2024;38:5483-504.
51. Papadopoulou A, Kumar NS, Vanhoestenberghe A, Francis NK. Environmental sustainability in robotic and laparoscopic surgery: systematic review. Br J Surg. 2022;109:921-32.
52. Sathe TS, Alseidi A, Bellato V, et al. Perspectives on sustainability among surgeons: findings from the SAGES-EAES sustainability in surgical practice task force survey. Surg Endosc. 2024;38:5803-14.





