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The Centre of Excellence in Robotic Surgery program is an ARIS initiative aimed at patient safety and quality improvement available to all robotic surgeons and facilities across the globe. The COE program reflects the specific needs of surgical patients and the unique roles and responsibilities of robotic surgery providers.
Safe patient care is the result of both the individual surgeon and the facility where the surgery is performed. The COE certification is therefore awarded to a facility and its associated surgeons who have successfully completed the designation process, which enables patients to distinguish providers who have met the state-of-the-art requirements with regards to volume, manpower and facility for delivering high-quality perioperative and long-term follow-up care.
ARIS believes that even the best can improve. Excellence is not simply an achievement - it is a culture that must be sustained. ARIS is in an unique position to provide the experience it has gained through its expert executive members to those who wish to improve beyond their accreditation. Significant benefits of ARIS COE are as follows:
Improves the surgical safety ratings and quality of care through patient-first approach.
Guides existing robotic institutions to upgrade their status to level of excellence
It improves the brand value of the institution
Fellowship candidates are allotted for clinical attachment.
It lowers the overall costs associated with successful treatment.
Data provided by program participants, are used to achieve best treatment outcomes.
Information enables clinicians, patients, payor and policymakers to make informed decisions to improve health care delivery
An invaluable resource for research.
COE No. | Name | Platform | Program Director | Speciality Director |
---|---|---|---|---|
1 | Swagat Super Speciality Hospital Guwahati | Versius | Prof. Subhash Khanna |
Minimal Access Surgery - Prof. Subhash Khanna ENT - Dr. Swagatha Khanna |
2 | Max Super Speciality Vaishali New Delhi | daVinci | Dr. Vivek Bindal | Minimal Access & Bariatric Surgery - Dr. Vivek Bindal |
3 | Aster CMI Hospital Bangalore | daVinci, Mantra | Dr. Somasekhar SP | Surgical Oncology - Dr. Somasekhar SP |
4 | Apollo Hospital Greams Road Chennai | daVinci, HugoRAS | Dr. Raj Palaniappan |
Bariatric Surgery - Dr. Raj Palaniappan Colorectal Surgery - Dr. Venkatesh Munikrishnan Hernia & AWR Surgery - Dr. Premkumar Balachandran Surgical Gastroenterology - Dr. Santosh Anad Urology - Dr. N. Raghavan Gynaecology - Dr. Meera Raghavan ENT - Dr. Venkat Karthikeyan Cardiac Surgery - Dr. MM Yusuf Paediatric Surgery - Dr. Venkat Sripathi |
5 | Indraprastha Apollo Hospitals New Delhi | daVinci | Dr. Arun Prasad |
Minimal Access & Bariatric Surgery - Dr. Arun Prasad ENT - Dr. Kalpana Nagpal Paediatric Surgery - Dr. Sujeet Chowdary |
6 | Tata Memorial Hospital Mumbai | daVinci | Dr. Avanish Saklani | Colorectal Surgery - Dr. Avanish Saklani |
7 | Saifee Hospital Mumbai | daVinci | Dr. Jaydeep Palep | Minimal Access & Bariatric Surgery - Dr. Jaydeep Palep |
8 | Max Super Specialiity Hospital Saket New Delhi | daVinci | Dr. Predeep Chowbey |
Minimal Access & Bariatric Surgery - Dr. Predeep Chowbey General Surgery - Dr. Ashish Vashistha |
9 | American Hospital Dubai | Dr. Hatem Moussa | Minimal Access Surgery - Dr. Hatem Moussa | |
10 | HCG Manavata Hospital Nashik | Versius | Dr. Raj Nagarkar | Surgical Oncology - Dr. Raj Nagarkar |
11 | GSL Medical College Rajahmundry | Versius | Prof. Gani Bhaskar Rao | General Surgery - Prof. Gani Bhaskar Rao |
12 | JIPMER Hospital Pondicherry | daVinci | Dr. Kalayarasan Raja |
Surgical Gastroenterology - Dr. Kalayarasan Raja Urology - Dr. Sreerag Kodakattil Paediatric Surgery - Dr. Bikash Kumar |
13 | Virginia Hospital Centre Arlington | daVinci | Dr. Irfan Rizvi | Colorectal Surgery - Dr. Irfan Rizvi |
14 | Apollo Hospitals Jubilee Hills Hyderabad | daVinci | Dr. Jagdishwar Goud |
Surgical Oncology - Dr. Jagdishwar Goud Gynaecology - Dr. Rooma Sinha |
15 | Al Shorouk Hospital Cairo | daVinci | Dr. Mohamed Abdel Hakim | Minimal Access Surgery - Dr. Mohamed Abdel Hakim |
16 | SIMS Hospital Chennai | Versius | Dr. Sandhya Vasan |
Gynaecology - Dr. Sandhya Vasan Surgical Oncology - Dr. Saravanan Periasamy |
17 | NU Hospital Bengaluru | Versius | Dr. Prasanna Venkatesh | Urology - Dr. Prasanna Venkatesh |
18 | BGS Gleneagles Global Hospital Bengaluru | Versius | Dr. Adarsh C K | Minimal Access Surgery - Dr. Adarsh C K |
19 | Apollo Spectra Hospital Mumbai | Versius | Dr. Shailesh Shrikhande |
Surgical Oncology - Dr. Shailesh Shrikhande Urology - Dr. Sanjay Pandey |
20 | Apollo Multispeciality Hospital Kolkata | Versius | Dr. Mahesh Goenka |
Surgical Gastroenterology - Dr. Mahesh Goenka Urology - Dr. Mahesh Goenka |
21 | Base Hospital Delhi Cantt | Versius | Maj. Gen. D S Rana | Minimal Access Surgery - Maj. Gen. D S Rana |
22 | Vijaya Hospital Chennai | Versius | Dr. J Ramya | Surgical Gastroenterology - Dr. J Ramya |
S.No. | Institute | Location | Platform(s) | Program Directors | Speciality(s) | Speciality Director |
---|---|---|---|---|---|---|
1 | Swagat Super Speciality Hospital | Guwahati | Versius | Subhash Khanna | General Surgery | Subhash Khanna |
Otorhinolaryngology | Swagata Khanna | |||||
2 | Max Super Speciality Hospital, Vaishali | New Delhi | daVinci | Vivek Bindal | General Surgery | Vivek Bindal |
Bariatric Surgery | ||||||
3 | Aster CMI Hospital | Bengaluru | daVinci/ Mantra | Somasekhar SP | Surgical Oncology | Somasekhar SP |
Colorectal | ||||||
General Surgery | ||||||
Urology | ||||||
Thoracic Surgery | ||||||
4 | Apollo Main Hospital | Chennai | daVinci/ HugoRAS | Raj Palaniappan | Urology | Raghavan. N. |
Bariatric Surgery | Raj Palaniappan | |||||
Hernia Surgery & AWR | Premkumar Balachandran | |||||
Otorhinolaryngology | Venkat Karthikeyan | |||||
Paediatric Surgery | Venkat Sripathi | |||||
Cardiac Surgery | Yusuf. M.M. | |||||
Thoracic Surgery | Ajay Narasimhan | |||||
Gynaecology | Meera Raghavan | |||||
Upper GI Surgery | Sudeeptakumar Swain | |||||
Colorectal Surgery | Venkatesh Munikrishnan | |||||
Surgical Gastroenterology | Santosh Anand | |||||
5 | Indraprastha Apollo Hospitals | New Delhi | daVinci | Arun Prasad | General Surgery | Arun Prasad |
Bariatric Surgery | ||||||
Otorhinolaryngology | Kalpana Nagpal | |||||
Paediatric Surgery | Sujeet Chowdary | |||||
6 | Tata Memorial Hospital | Mumbai | daVinci | Avanish Saklani | Colorectal Surgery | Avanish Saklani |
7 | Saifee Hospital | Mumbai | daVinci | Jaydeep Palep | General Surgery | Jaydeep Palep |
Bariatric Surgery | ||||||
8 | Max Super Speciality Hospital, Saket | New Delhi | Versius | Predeep Chowbey | Hernia Surgery & AWR | Predeep Chowbey |
General Surgery | Ashish Vashistha | |||||
9 | American Hospital | Dubai | Versius/ daVinci | Hatem Moussa | General Surgery | Hatem Moussa |
10 | HCG Manavata Hospital | Nashik | Versius | Raj Nagarkar | Surgical Oncology | Raj Nagarkar |
11 | GSL Medical College | Rajahmundry | daVinci / Versius | Ganni Bhaskara Rao | General Surgery | Ganni Bhaskara Rao |
12 | Jawaharlal Institute of Postgraduate Medical Education and Research | Pondicherry | daVinci | Kalaiarasan Raja | Surgical Gastroenterology | Kalaiarasan Raja |
Urology | Sreerag KS | |||||
Paediatric Surgery | Bikash Kumar | |||||
13 | Apollo Hospitals | Hyderabad | daVinci | Rooma Sinha | Gynaecology | Rooma Sinha |
14 | SIMS Hospital | Chennai | Versius | Saravanan Periasami | Surgical Gastroenterology | Saravanan Periasami |
Urology | Muthu Veeramani | |||||
Gynaecology | Sandhya Vasan | |||||
15 | NU Hospital | Bengaluru | Versius | Prasanna Venkatesh | Urology | Prasanna Venkatesh |
16 | GEM Hospital | Coimbatore | Versius | Palanivelu C | Surgical Gastroenterology | Palanivelu C |
Colorectal Surgery | Harish Kakkilaya | |||||
Gynaecology | Kavitha Yogini | |||||
17 | Rajiv Gandhi Cancer Institute | New Delhi | Mantra/ daVinci | Sudhir Rawal | Urology | Sudhir Rawal |
18 | Apollo Speciality Hospital, Teynampet | Chennai | daVinci | Ajit Pai | Digestive Oncosurgery | Ajit Pai |
Surgical Oncology | Venkat Paneer | |||||
Urology | Srivatsan Ramani | |||||
19 | Zydus Hospital | Ahmedabad | daVinci | Vishal Soni | Minimal Access Surgery | Vishal Soni |
Hernia Surgery & AWR | ||||||
20 | Shanthi Memorial Hospital | Cuttack | Versius | Sreejoy Patnaik | General Surgery | Sreejoy Patnaik |
21 | Apollo Proton Cancer Centre | Chennai | daVinci | Srivathsan Ramani | Colorectal Surgery | Venkatesh Munikrishnan |
Urology | Srivathsan Ramani | |||||
Thoracic Surgery | Khader Husain | |||||
22 | Dr. Kedar’s Hospital | Goa | Versius | Kedar Padte | General Surgery | Kedar Padte |
23 | Kolhapur Cancer Centre | Kolhapur | Versius | Suraj Pawar | General Surgery | Suraj Pawar |
Gynaecology | Reshma Pawar | |||||
24 | Continental Hospital | Hyderabad | Mantra | Ganesh Gorthi | Surgical Gastroenterology | Ganesh Gorthi |
25 | PSG Institute of Medical Sciences and Research | Coimbatore | daVinci | Rajkumar Seenivasagam | Surgical Oncology | Rajkumar Seenivasagam |
Paediatric Surgery | Paavai Arunachalam | |||||
Surgical Gastroenterology | Balu Kuppusamy | |||||
26 | Max Super Speciality Hospital, Dwarka | New Delhi | daVinci | Randeep Wadhawan | Colorectal Surgery | Randeep Wadhawan |
27 | Manipal Hospital | Vijayawada | daVinci | Surendra Jasti | General Surgery | Surendra Jasti |
Urology | ||||||
Gynaecology | ||||||
Surgical Oncology | ||||||
28 | Apollo Hospital | Navi Mumbai | daVinci | Rajesh Shinde | Surgical Oncology | Rajesh Shinde |
29 | Zen Multispecialty Hospital | Mumbai | Versius | Roy Suneel Patankar | General Surgery | Roy Suneel Patankar |
30 | Tamilnadu Govt Multi Super Speciality Hospital | Chennai | daVinci | Thalavai Sundaram.K.S. | Endocrine Surgery | Thalavai Sundaram. K.S. |
31 | Aster Medcity | Kochi | daVinci | Prakash Kurumboor | Colorectal | Prakash Kurumboor |
General Surgery | Prakash Kurumboor | |||||
Urology | Dr Kishire TA | |||||
Gynaecology | Dr Mayadevi Kurup | |||||
32 | Yasoda Hospital, Hitec City | Hyderabad | daVinci | Vijayakumar Bada | Surgical Gastroenterology | Vijayakumar Bada |
33 | Max Smart Superspeciality Hospital, Saket | New Delhi | daVinci | Atul Peters | General Surgery | Atul Peters |
Bariatric Surgery | ||||||
Gynaecology | Anuradha Kapur | |||||
Urology | Tushar Aditya Narain | |||||
34 | GEM Hospital | Chennai | daVinci | Pinak Das Gupta | Colorectal Surgery | Pinak Das Gupta |
The requirement for applying to COE is that the primary applicant surgeon who will be the designated program director should be a member of ARIS. The application facility should have a dedicated robotic surgery department functioning for at least a period of 12 months at the time of application. The department should also have their one years surgical data in to their registry by the time of interview / inspection.
The applicant facility should have performed at least 50 qualifying robotic surgical procedures including all specialities in the preceding 12 months. Also, each applicant speciality surgeon should have performed at least 12 qualifying surgeries in a calendar year. All these procedures should have been entered in the hospital registry. Applications failing to comply with the above clause will not be considered for COE. Each applicant facility and surgeon should meet surgical outcomes benchmarks for mortalities, complications, readmissions and reoperations.
The primary applicant robotic surgeon would be the Programme Director. A minimum of two-member Robotic committee would need to be constituted with the following members:
Robotic surgeon
Robotic Anesthetist
Robotic Nurse
Robotic Technician
Robotic Coordinator
Each surgeon with the required surgical experience as per the ARIS requirements will be given a certificate as a speciality Director apart from the Institute's COE
The program director should hold interdisciplinary team meetings at least quarterly to ensure that decisions related to robotic surgery are addressed in a comprehensive manner. The minutes of the meetings need to be recorded and will be checked by the assessor. The Director would be primarily responsible for coordinating the interdisciplinary services and guidelines for robotic surgery.
All surgical specialities associated with Robotic surgery or other international and national guidelines which include any procedures involving robotic technology.
Applicant facilities and surgeons are required to meet the following outcomes benchmarks for all robotic surgery procedures performed at the applicant facility
Mortalities: ≤ 4% at 90 days
Complications: ≤10% at 90 days
Readmissions: ≤8% at 90 days
Reoperations: ≤5% at 90 days
This would comprise of
A full time speciality Robotic surgeon who runs the speciality program with clinical guidelines and SOP's
A Full time dedicated Anaesthesiologist team who supervise anaesthesia on all robotic surgery
A fully equipped Intensive Care Unit with a full time Critical Care Team who manage the patient in the immediate postoperative period and during any sudden emergency, respiratory or cardiac arrest through its acute response team.
Gastroentrologist capable of performing endoscopies to diagnose complications
Interventional radiologist or other physician capable of performing percutaneous drainage of intra-abdominal abscess.
Integrated Physician with critical care credentials to manage complications (Cardiologist, Pulmonologist, etc)
Psychiatry / Mental health
Infectious diseases
Physiotherapy and Occupational therapy
Ambulance services
Full fledged in-house laboratory / blood storage
Availability of Crash Cart in the Recovery room and wards where the patients would be shifted in the postoperative period.
Specific Operating room tables to accommodate Robotic patients, Robotic specific Surgical
Presence of Fibrotic laryngoscope / Bronchoscope in OR for difficult
Radiologic capabilities like CT scan, Fluoroscopy / Dye study,
Equipments to manage all post operative emergencies including cardiopulmonary
Full fledged in-house laboratory / blood storage
Personnel trained in the safe operation of the equipment and capable of moving patients without injury to the patient or themselves.
The applicant facility should have policies and guidelines in place that require applicant / all eligible robotic surgeons to have qualified call coverage, and the applicant surgeon certifies that each speciality surgeon is capable of identifying and treating robotic surgery complications.
The applicant surgeon / program director spends a significant portion of his efforts in the field of robotic surgery and completes continuing medical education. The applicant surgeon should be a qualified surgeon by the highest certifying authority, and is a member of ARIS. The applicant surgeon has privileges as both a robotic and conventional surgeon at the applicant facility. The application facility should have a dedicated department of robotic surgery under which all the protocols, guidelines and SOP’s are functioning.
The applicant formally adopts and implements clinical pathways that facilitate the standardization of perioperative care for the relevant procedure:
Preoperative multidisciplinary evaluation, education, preparation, admission workup/evaluation and informed consent of the bariatric surgery candidate.
Anesthesia, including monitoring and airway management
Perioperative care, including monitoring and airway management
Deep vein thrombosis (DVT)
Management protocols like Enhanced Recovery After Surgery (ERAS)
Identification and evaluation of early warning signs of complications
Preoperative, postoperative and long-term nutrition regimen
Pain management
Postoperative Follow up including entering data in the
The applicant provides organized and supervised support groups for all patients who may undergo or have undergone robotic surgery.
The applicant / facility would be committed to spread the science of safe Robotic surgery. At least two courses/ CME’S would be conducted every year by the facility to impart teaching and training of surgeons and their team in the field of Robotic surgery.
The application for the accreditation will be filled online through official ARIS website. The application will be accompanied with a non-refundable payment of Rs 50,000/- (Fifty Thousand Rupees only). Subsequent to receiving the completed application, ARIS President will credential the documents, and if accepted, appoint one assessor for an online interview / onsite inspection. For online interview, the program director and surgeons of all specialists of the applying facility should be available for the zoom meeting. If onsite, the inspector will physically meet all the stakeholders and inspect the facility and the logbook of robotics surgery. The cost of travelling and local hospitality for the assessors will be taken care by application facility. Subsequent to the interview / inspection, if the facility is approved, the accreditation will be valid for a period of 3 years. In case the assessors suggest certain changes/ modifications , the same would need to be completed in a period of one month by the applicant/facility and proof would need to be submitted to the assessors for the final report.
Facilities already approved by the SRC or other associations as Centre Of Excellence would be exempted from interview / inspection and will be given the accreditation after applying online along with the payment of non-refundable fees of Rs 50,000/= (Fifty Thousand only). However, the application will still be credentialed by ARIS president before approving the COE for these centres.
Revalidation of the applicant/ facility will take place every three years. Revalidation fees are non-refundable and will be similar to initial fees submitted with online payment to the 'ARIS' account. An online interview / onsite inspection of the facility by a single assessor will be done to complete the process of
If the Programme Director leaves the facility, it would cease to exist as a “Centre Of Excellence” unless another program director with similar qualification and an existing COE speciality certification is A fresh application with a new Programme Director would be needed to reapply and meet the desired criteria if a new surgeon is applying for the COE who has not been an existing program director or a COE speciality certificate holder. All applying surgeon including speciality surgeons should be a life member of ARIS.
The certification would carry the:
Seal of the Centre of
Name of the
Name of the Programme
Name of the Speciality consultant (for various speciality applications)
Duration of the certification