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Robot-assisted surgeries—a technology oft-touted by hospitals—are longer and more expensive than other types of minimally invasive surgeries, according to a growing body of studies. And in some types of surgery, they have a lower success rate.

Two studies published online last week in JAMA compared robotic-assisted surgeries to laparoscopic surgeries. Both are minimally invasive procedures done through small incisions, designed to avoid the large incisions made in open surgeries, which often result in more pain and complications.