27 August 2026
: Case report 
Robot-Assisted Surgery Requiring an Intraoperative Transition to Laparoscopic Surgery Due to an Emergency System Shutdown: A Case Report
Diagnostic / therapeutic accidents
Yuichiro Kizaki E 1*, Kouki Samejima A 1, Shigetaka Matsunaga
B 2, Tomonori Nagai C 1, Yasushi Takai D 1
DOI: 10.12659/AJCR.952578
Am J Case Rep 2026; 27:e952578
Figure 2 Emergency shutdown of the robotic system during RASH. After completion of vaginal cuff closure and intraperitoneal irrigation, an unrecoverable emergency shutdown of the da Vinci X system occurred during confirmation of hemostasis around the left infundibulopelvic ligament (circle). The console operation was suddenly disabled, making continuation of intracorporeal robotic manipulation impossible. The robotic system error messages displayed on the console monitor are shown (arrows). RASH, robot-assisted hysterectomy.