Robotic-assisted laparoscopic surgery, as an advancement in minimally invasive surgery, has seen exponential growth over the past decade. The number of publications concerning robotic-assisted procedures has increased rapidly all around the world. This new technique provides better postoperative analgesia, shorter hospital stays, and a more effective approach in cases of anatomical difficulties, due to its three-dimensional view, wristed instrumentation, and ergonomic position for the surgeon [1], [2], [3], [4]. However, it is an expensive technique that requires trained surgeons and operating room personnel, with a progressive learning curve, longer operating times, ongoing maintenance and disposable equipment [5].

In February 2020, the Da Vinci surgical system was introduced to Reunion Island, a French territory with 850,000 inhabitants located in the Indian Ocean near Madagascar, which is 10,000 km from mainland France (flight time 11 hours, boat time 6 weeks).

The goal of this study was to evaluate the implementation process of robotic surgery in an isolated area like Reunion Island.