Access to robotic surgical systems reduces open surgery rates, particularly in disadvantaged areas.

• Higher social vulnerability correlates with increased open surgery rates: 18.3% in low-vulnerability vs. 32.7% in high-vulnerability areas.
• Areas without robotic systems have significantly higher open surgery rates: 42.9 vs. 19.4 per 100 procedures.

Consider availability of robotic systems when assessing patient options to reduce reliance on open procedures in vulnerable populations.