Now, we know Surgical Robots has level one or in some cases two Autonomy at present, specifically in GI Surgical field. In view of patient safety and medicolegal point of view it is clear that for level 4 or 5 autonomy of surgical robotic devices, there is long way to go...

So, at present Whatever Available results are directly or indirectly reflection Of Surgeon controlling Robotically assisted Surgical devices. As we have passed through era of development of Laparoscopic Surgery we learnt that usually Single Pedicle intra abdominal Surgeries gain rapid acceptance among Surgical freternity. Same holds true for Robo Scopic Surgery.

It is evident that due to better Visualization, stability of platforms and mobility of robotic arms makes surgeon more adventurous. It is reasonable to adopt Capability of reconstruction , while using Robotic platform for Surgical exercise. Surgical reconstruction remains Superior to Laparoscopic reconstruction. laparoscopic stapler usage is mainly due to difficulty Or Unability to reconstruct Same way as open Surgery.

Gastrointestinal and heapto pancreatic biliary Surgeons who uses Robotically assisted Surgical devices, can be devided into five categories

• Who resects luminal organs- small bowel, colon, gallbladder
• Who resects rectum, GE junction, difficult gallbladder, left sided pancreatic resection
• Who resects as well as reconstruct small bowel, colon or small bowel without using stapler devices
• Who resects as well does reconstruction of common bile duct, pancreatic head and Gastro esophageal junctional pathology. Minor liver resections.
• Who can do vascular resection and reconstruction in pancreatic, liver pathology.