Vahid Shahbazi, Mir Sepehr Pedram, Alireza Mirbagheri, Dorsa Saneei, Ali Reza Shahmir
{"title":"Evaluating the Sina <sub>flex</sub> robotic telesurgery system for fallopian tube-like procedures: A canine uterine horn model feasibility study.","authors":"Vahid Shahbazi, Mir Sepehr Pedram, Alireza Mirbagheri, Dorsa Saneei, Ali Reza Shahmir","doi":"10.1007/s11701-026-03183-1","DOIUrl":"https://doi.org/10.1007/s11701-026-03183-1","url":null,"abstract":"<p><p>This study evaluated the performance of Sina<sub>flex</sub> Robotic Telesurgery System, Iran's first multipurpose robotic surgical platform, in simulated tubal ligation procedures using prepubertal canine uterine horns (1-2 mm diameter) as anatomical analogs for human fallopian tubes. Six female stray dogs underwent robotic-assisted bilateral uterine horn ligation. The procedures were completed with a mean operative time of 81.7 ± 47.2 with minimal blood loss not requiring intervention in any cases. Postoperative monitoring confirmed successful outcomes in all cases without any intraoperative complications, with all animals achieving full recovery within 24 h. These outcomes demonstrate Sina<sub>flex</sub> Robotic Telesurgery System's precision in delicate surgical applications and mark significant progress in developing this indigenous robotic platform for clinical use.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laith Bahlouli, Olivia Schaffer, Thomas Bieganowski, Anzar Sarfraz, Farouk Khury, Ran Schwarzkopf, Vinay K Aggarwal, Joshua C Rozell
{"title":"How do new arthroplasty surgeons incorporate technology into their practice?","authors":"Laith Bahlouli, Olivia Schaffer, Thomas Bieganowski, Anzar Sarfraz, Farouk Khury, Ran Schwarzkopf, Vinay K Aggarwal, Joshua C Rozell","doi":"10.1007/s11701-026-03385-7","DOIUrl":"10.1007/s11701-026-03385-7","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rubén Martín Láez, Fernando Álvarez-Sala Walther, Julen Monje, María Álvarez, Mehdi Zahra, Sofía De Pedro, Paula Castro Albarrán, Miguel Ángel Casado, José A Fernández Alén
{"title":"Budget impact analysis of robot-assisted versus conventional spine surgery in Spain.","authors":"Rubén Martín Láez, Fernando Álvarez-Sala Walther, Julen Monje, María Álvarez, Mehdi Zahra, Sofía De Pedro, Paula Castro Albarrán, Miguel Ángel Casado, José A Fernández Alén","doi":"10.1007/s11701-026-03315-7","DOIUrl":"10.1007/s11701-026-03315-7","url":null,"abstract":"<p><p>Robot-assisted spine surgery (RASS) enhances procedural accuracy and reproducibility by ensuring full adherence to preoperative surgical plans. However, its widespread adoption remains limited by the need for a substantial upfront investment. In this study, the economic impact of spinal procedures performed under the guidance of the Mazor™ robotic system was compared with that of conventional techniques from an advanced Spanish hospital perspective. A 10-year budget impact analysis was conducted. The target population included all spinal surgeries potentially suitable for robot assistance, estimated from published data and expert input. Two scenarios were compared: a baseline scenario without Mazor™ and a progressive Mazor™ adoption scenario. Unit costs (€, 2025), obtained from Spanish sources, were applied to components of health care resource consumption. Model inputs and assumptions were validated by a panel of Spanish experts. A deterministic one-way sensitivity analysis (OWSA) was performed to assess the robustness of the results. The number of RASS-eligible patients increased from 213 to 330 annually over 10 years (2,673 total). The mean cost per patient was €10,093 for conventional surgery and €9,082 for RASS, generating average savings of €1,011 per patient. Savings were driven mainly by reductions in the length of hospital stay (€1,523), revision surgeries (€793), and complications (€261), outweighing the Mazor™ acquisition cost. Over the 10-year horizon, cumulative savings reached €2.54 million, achieving full capital investment recovery within 3.83 years. OWSA confirmed the robustness of these findings. From an advanced Spanish hospital perspective, the initial investment in RASS is recouped within four years, supporting its financial sustainability and long-term economic advantage over conventional spinal surgery.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Longtu Ma, Xiaoyu Huang, Long Cheng, Xi Xiao, Hua Ma, Zhilong Dong
{"title":"Global research trends in robot-assisted urethral reconstruction for urethral stricture disease: a visualized bibliometric analysis.","authors":"Longtu Ma, Xiaoyu Huang, Long Cheng, Xi Xiao, Hua Ma, Zhilong Dong","doi":"10.1007/s11701-026-03379-5","DOIUrl":"https://doi.org/10.1007/s11701-026-03379-5","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sergi Fernandez-Gonzalez, D El-Hamamsy, E Karatrasoglou, A Amirthanayagam, A Muñoz Solano, C Chollet, D Galvin, M Manpreet Kaur, C Uwins
{"title":"Correction: Evaluation of robotic exposure among gynecological surgeons: results of survey from the young European advocates of robotic surgery (YEARS).","authors":"Sergi Fernandez-Gonzalez, D El-Hamamsy, E Karatrasoglou, A Amirthanayagam, A Muñoz Solano, C Chollet, D Galvin, M Manpreet Kaur, C Uwins","doi":"10.1007/s11701-026-03368-8","DOIUrl":"https://doi.org/10.1007/s11701-026-03368-8","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Global research trends in robot-assisted colectomy: a bibliometric and visualization analysis.","authors":"Yurun Miao, Danyang Wang, Jing Li","doi":"10.1007/s11701-026-03429-y","DOIUrl":"https://doi.org/10.1007/s11701-026-03429-y","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nikolaos Pachos, Robert J Cerfolio, Costas Bizekis, Stephanie H Chang, Amie J Kent, Ming Liao, Michael Zervos
{"title":"Less pain and earlier recovery after extra-thoracic single-port robotic lung resection: a propensity-matched comparison.","authors":"Nikolaos Pachos, Robert J Cerfolio, Costas Bizekis, Stephanie H Chang, Amie J Kent, Ming Liao, Michael Zervos","doi":"10.1007/s11701-026-03420-7","DOIUrl":"https://doi.org/10.1007/s11701-026-03420-7","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mako robot-assisted total knee arthroplasty mitigates the impact of surgeon handedness.","authors":"Minjiao Wu, Jiayan Chen, Yaping Wang, Lingjun Jiang, Shujun Chen, Chenglong Wang","doi":"10.1007/s11701-026-03434-1","DOIUrl":"10.1007/s11701-026-03434-1","url":null,"abstract":"<p><p>Surgeon handedness may influence prosthetic alignment in conventional manual total knee arthroplasty (CM-TKA), but whether robotic assistance mitigates this effect remains unclear. This study investigated whether Mako robot-assisted TKA (MA-TKA) mitigates handedness-related discrepancies in alignment accuracy and perioperative outcomes. This retrospective cohort study included 1160 patients who underwent unilateral TKA performed by three experienced right-handed surgeons. Patients were divided into four groups based on surgical technique and operated side: MA-left (n = 84), MA-right (n = 92), CM-left (n = 453), and CM-right (n = 531). Operative duration, tourniquet time, hospital stay, blood loss, and radiographic parameters (mechanical tibiofemoral angle, mechanical lateral distal femoral angle, medial proximal tibial angle, lateral femoral component and lateral tibial component) were compared. Outliers were defined as ≥ 3° deviation from target values. Baseline characteristics were comparable across groups. MA-left surgery had the longest operative and tourniquet times, while MA-right surgery yielded the lowest blood loss. Both MA groups had significantly shorter hospital stays and lower blood loss than CM groups (P < 0.001). Radiographic accuracy was superior in MA groups, with no differences between MA-left and MA-right for any parameter. In CM groups, left-sided procedures showed significantly poorer alignment and higher outlier rates than right-sided procedures (P < 0.05). MA-TKA mitigates the negative impact of surgeon handedness on prosthetic alignment, achieving homogeneous accuracy regardless of operated side. Despite slightly longer operative times, MA-TKA reduces blood loss and shortens hospital stay, offering tangible clinical value.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}