Transitioning from single-boom to modular multi-cart robotic platforms: Practical implications for colorectal surgery

ABSTRACT: The transition from single-boom robotic systems to modular multi-cart platforms introduces distinct ergonomic and workflow implications for colorectal surgery. Modular architectures offer individualised docking, greater port-placement flexibility and improved team integration through open-console design. However, established systems maintain advantages in master-control ergonomics, camera responsiveness and integrated energy and stapling ecosystems. Emerging comparative studies demonstrate that modular platforms achieve perioperative outcomes comparable to traditional systems, though setup times may be longer during early adoption. Understanding these complementary strengths is essential for selecting and optimising robotic platforms in colorectal practice.