A study of the use of robotic surgery for outpatient surgery to determine the effect on recovery

1. Quality of life measured using EQ-5D and QoR-15 questionnaires at baseline and postoperative
2. Cost-effectiveness measured by comparing costs per procedure between laparoscopic and robotic outpatient surgeries through anonymized, routinely collected Trust level metrics at 6 monthly intervals for 3 years
3. Operational efficiency measured by comparing number of procedures done between laparoscopic and robotic outpatient units per list, month, and year through anonymized, routinely collected Trust level metrics in the first, second, and third year of the program
4. Peri-operative outcomes measured by comparing anonymized, routinely collected Trust level metrics for robotic and laparoscopic outpatients, including operative time (defined as time between first incision and last suture), anaesthetic time (defined as time between commencement and cessation of anaesthetic regimen), and theatre time (defined as time between wheeling patient in and out of the theatre) in the first, second, and third year of the program

1. Need for and benefits of additional endoscope sterilizing capacity throughout the robotic outpatient surgery program measured by comparing the amount of endoscopes sterilized with the maximum capacity of the sterilizing unit (defined as fraction of maximum potential) in the first, second, and third year of the program
2. Health-associated outcome benefits achieved throughout the robotic outpatient surgery program measured by comparing QALYs stratified per procedure between the robotic outpatients in the first, second, and third year of the program
3. Patient clinical outcomes throughout the robotic outpatient surgery program measured by comparing postoperative follow-up data (including complication rates, return to work, and readmissions/reinterventions) stratified per procedure between the robotic outpatients in the first, second, and third year of the program
4. Safe delivery of the robotic outpatient surgery program measured by analysing postoperative complications, morbidity, and mortality, and comparing to historical data and existing literature at 6 monthly intervals for 3 years
5. Impact of the robotic outpatient surgery program to robotic training for surgical trainees measured by comparing postoperative follow-up data stratified per procedure between the robotic outpatients procedures operated (in part) by a surgical trainee in the first, second, and third year of the program
6. Benefits of the robotic outpatient surgery program to robotic training for surgical trainees measured by analysing the number of robotic outpatients procedures operated (in part) by a surgical trainee throughout the program
7. Impact of the robotic outpatient surgery program to the main hospital elective program measured by comparing the total number of robotic procedures performed per specialty through anonymized, routinely collected Trust level metrics at 6 monthly intervals for 3 years
8. Impact of the robotic outpatient surgery program to the number of benign procedures performed measured by comparing the number of benign robotic procedures performed per specialty through anonymized, routinely collected Trust level metrics at 6 monthly intervals for 3 years
8. Impact of the robotic outpatient surgery program to the number of intraoperative staff members required per procedure measured by comparing staffing configurations stratified per procedure between the robotic outpatient operative lists in the first, second, and third year of the program