Complications of robotic instrument malfunctions

A robotic instrument malfunction refers to a defect in a robotic instrument that limits its normal function. Fortunately, robotic instrument malfunctions are rare, and occur in 0.25-1.1% of urologic robotic surgeries (Friedman et al., Surg Endosc 27:1503-1508, 2013; Park et al., Yonsei Med J 51:148-150, 2010). However, it is critical for the surgeon to be knowledgeable about robotic instrument malfunctions as they may compromise the surgeon’s ability to safely complete an operation and adversely affect clinical outcomes. For example, robotic instrument malfunctions may increase operating room times, cause operating room delays, and lead to iatrogenic injuries. Despite this, the literature regarding robotic instrument malfunctions is unfortunately limited.