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"Emergency general surgery"

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"Emergency general surgery"

Review Articles
Current evidence and future perspectives of robotic emergency general surgery: a narrative review
Wu Seong Kang, Ki Hoon Kim, Hyung Won Kim, Seongyup Kim, Young Sik Kim, Im-kyung Kim, Myeong Jae Jung, Sung Woo Jung, Chang Yeon Jung, Nak-Jun Choi, Seunghui Choi, Jung Pil Choi, Keesang Yoo, Jaechul Yoon, Young Jun Ki, Jung Min Bae
J Acute Care Surg 2026;16(2):85-97.   Published online July 30, 2026
DOI: https://doi.org/10.17479/jacs.2026.0011
Robotic surgery is an emerging modality in acute care surgery, which encompasses emergency general surgery (EGS), trauma, and critical care. Interest in robotic approaches has increased amid rising demand for timely, efficient surgical care. This narrative review summarizes current evidence on robotic EGS, with a focus on perioperative outcomes, feasibility, and future directions. A broad review of recent systematic reviews, large-scale cohort studies, and institutional experiences was conducted to assess the use of robotic surgery in emergency general surgical procedures, including cholecystectomy, gastrointestinal emergencies, hernia repair, and appendectomy. Available retrospective evidence suggests that robotic EGS is generally feasible and is associated with perioperative outcomes comparable to those of laparoscopic surgery. Some studies have reported shorter hospital stays or lower conversion rates; however, operative times and costs tend to be higher. Safety concerns, including a potential increase in bile duct injury during acute cholecystectomy, require further evaluation. Most existing studies are retrospective and based in the United States, which limits generalizability. Robotic approaches in EGS show potential but remain insufficiently validated. High-quality prospective and randomized studies are needed to assess clinical effectiveness, cost-effectiveness, and appropriate indications across diverse healthcare settings. Broader adoption will depend on rigorous evaluation, lower costs, and effective integration into existing emergency surgical workflows.
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  • 15 Download

System, Emergency surgery

Acute Care Surgery: Implementation in Korea
Chan Ik Park, Jae Hun Kim, Sung Jin Park, Seon Hee Kim, Ho Hyun Kim, Suk-Kyung Hong, Chi-Min Park
J Acute Care Surg 2018;8(2):51-58.   Published online October 30, 2018
DOI: https://doi.org/10.17479/jacs.2018.8.2.51

The concept of acute care surgery (ACS) incorporates trauma, surgical critical care, and emergency general surgery. It was designed in the early 2000s by the United States as a solution to the looming crisis of trauma care and non-trauma emergency surgery. Reduced surgical opportunities for trauma surgeons resulted in a decreased interest in trauma surgery. Surgical sub-specialization further accelerated an indifference towards trauma and emergency general surgery. Started in 2008, the trauma center project in Korea is still in its infancy. Although the need for ACS was presented since the inception of the trauma center project, there was a lack of implementation at trauma centers due to government regulations. However, ACS has been initiated at several non-trauma center hospitals and is mainly operated by surgical intensivists. Studies demonstrate that adding emergency surgery to a trauma service does not compromise the care of the injured patients, despite an increase in trauma volume. Positive impacts of ACS are reported by numerous researches. We believe that the development and advancement of trauma centers will necessitate a discussion for the implementation of the ACS model at trauma centers in Korea.

Citations

Citations to this article as recorded by  
  • Clinical outcomes of the implementation of acute care surgery system in South Korea: a multi‐centre, retrospective cohort study
    Gun‐Hee Yi, Suk‐Kyung Hong, Yang‐Hee Jun, Sungyeon Yoo, Jung‐Min Bae, Keesang Yoo, Yun Tae Jung, EunYoung Kim, Narae Lee, Min Jung Ko, Hogyun Shin, Hak‐Jae Lee
    ANZ Journal of Surgery.2025; 95(3): 416.     CrossRef
  • Integrating acute care surgery in South Korea: enhancing trauma and non-trauma emergency care
    Jin Young Lee, Seheon Kim, Jin Bong Ye, Jin Suk Lee, Younghoon Sul
    World Journal of Emergency Surgery.2025;[Epub]     CrossRef
  • Outcomes in emergency surgery following the implementation of an acute care surgery model: a retrospective observational study
    Sungyeon Yoo, Yang-Hee Jun, Suk-Kyung Hong, Min Jung Ko, Hogyun Shin, Narae Lee, Hak-Jae Lee
    Annals of Surgical Treatment and Research.2024; 107(5): 284.     CrossRef
  • Clinical significance of acute care surgery system as a part of hospital medical emergency team for hospitalized patients
    Kyoung Won Yoon, Kyoungjin Choi, Keesang Yoo, Eunmi Gil, Chi-Min Park
    Annals of Surgical Treatment and Research.2023; 104(1): 43.     CrossRef
  • 10 Years of Acute Care Surgery: Experiences in a Single Tertiary University Hospital in Korea
    Tae Hyun Kim, Jung Yun Park, Yun Tae Jung, Seung Hwan Lee, Myung Jae Jung, Jae Gil Lee
    Journal of Acute Care Surgery.2020; 10(3): 96.     CrossRef
  • 7,778 View
  • 112 Download
  • 5 Crossref
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