Journal of Robotic Surgery最新文献

{"title":"Expanding access to high-quality surgical care in Africa: a landmark achievement in telesurgery.","authors":"Marcio Covas Moschovas, Kenneth Palmer, Giovana Barani, Cathy Corder, Peter Carnegie, Timesh Dhanji, Ela Patel, Apolineo Paxi, Jacinta Chaves Figueiredo, Belmira Luís, Alberto Matos, Mischa Dohler, Vipul Patel","doi":"10.1007/s11701-025-02292-7","DOIUrl":"https://doi.org/10.1007/s11701-025-02292-7","url":null,"abstract":"<p><p>Telesurgery, the use of robotic technology and telecommunications to perform surgical procedures remotely, has emerged as a groundbreaking advancement in modern medicine. Since the landmark Lindbergh operation in 2001, where a surgeon in New York successfully operated on a patient in France, telesurgery has demonstrated its potential to overcome geographical barriers and improve access to specialized surgical care. Technological advancements in robotic platforms, high-speed networks, and secure data transmission have addressed many of the initial challenges, enabling safer and more precise remote operations. This study explores the feasibility of telesurgery and its implementation in resource-limited settings. A pioneering effort in Africa involved the successful completion of two radical prostatectomies via telesurgery in Angola using the MicroPort^® MedBot^™ robotic platform. These procedures, conducted with robust telecommunications infrastructure and skilled surgical teams, highlight the humanitarian potential of telesurgery to address healthcare disparities in underserved regions. Beyond clinical applications, telesurgery offers new opportunities for remote surgical training and mentorship, building local capacity in advanced techniques. The telesurgeries in Angola represent a promising step forward in the journey toward universal healthcare access. By demonstrating the feasibility and reliability of remote robotic surgery in Africa, this landmark achievement provides a template for similar initiatives in other low-resource regions worldwide.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"124"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701752","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":"Enhancing bibliometric analysis accuracy in robotic surgery: a proposal for search strategy refinement.","authors":"Li Wang, Fan Yu, Xi Chen, Jie Tian","doi":"10.1007/s11701-025-02293-6","DOIUrl":"https://doi.org/10.1007/s11701-025-02293-6","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"121"},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674626","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":"Comments on: \"Comparison of perioperative outcomes and prognosis between the da Vinci and Hinotori robotic systems in urologic tumor surgery: a meta-analysis\".","authors":"Mengyuan Zhang, Ying Xiong","doi":"10.1007/s11701-025-02289-2","DOIUrl":"https://doi.org/10.1007/s11701-025-02289-2","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"122"},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674490","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":"Robot-assisted mesh rectosacropexy and sigmoid colon resection for obstructive defecation syndrome: a two-stage surgical approach.","authors":"Jamal Driouch, Shazadi Sajid, Dirk Bausch, Omar Thaher","doi":"10.1007/s11701-025-02283-8","DOIUrl":"https://doi.org/10.1007/s11701-025-02283-8","url":null,"abstract":"<p><p>Obstructive Defecation Syndrome (ODS) significantly affects the quality of life and is often associated with rectocele, rectoanal intussusception, and dolichosigma. Robot-assisted rectosacropexy followed by sigmoid resection may offer an effective therapeutic approach. This study included 7 female patients (mean age 61.14 years, BMI 27.17) with confirmed ODS and no prior treatment for rectal prolapse or dolichosigma. Using standardized scores (Wexner, Altomare ODS), outcomes were assessed preoperatively and at 1, 3, and 6 months postoperatively. Robot-assisted rectosacropexy with mesh placement and subsequent sigmoid resection were performed in two surgical stages. Significant improvements in constipation (Wexner score reduced from 14.1 to 8.7, p < 0.01) and ODS symptoms (Altomare ODS score from 19.1 to 5.6, p < 0.01) were noted at 6 months. Continence (Wexner Incontinence Score) improved from 13.4 to 7.1. No conversions or major complications occurred, and all patients reported satisfaction with the treatment. Robot-assisted rectosacropexy followed by sigmoid resection is a safe and effective two-step approach for ODS. Further studies are needed to explore its long-term efficacy and functional outcomes.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"123"},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677328","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":"Evaluating the trainee impact on robotic surgery learning curves: a CUSUM analysis of large series pediatric robot-assisted laparoscopic pyeloplasty.","authors":"Jin Kyu Kim, Nikhil V Batra, Konrad M Szymanski, Renee Shavnore, Rosalia Misseri, Martin Kaefer, Mark P Cain, Richard C Rink, Joshua Roth, Pankaj Dangle, Kirstan Meldrum, Benjamin M Whittam","doi":"10.1007/s11701-025-02281-w","DOIUrl":"https://doi.org/10.1007/s11701-025-02281-w","url":null,"abstract":"<p><p>Robot-assisted laparoscopic pyeloplasty (RALP) is a minimally invasive treatment for ureteropelvic junction obstruction (UPJO). The learning curves for RALP have been well-documented, primarily in post-fellowship surgeons, but the impact of trainee involvement during fellowship training remains unclear. This study aims to (1) establish a large series post-fellowship single surgeon learning curve and (2) analyze the impact of annual trainee involvement on surgical proficiency using cumulative sum (CUSUM) analysis. A retrospective review of pediatric RALP cases from July 2012 to June 2023 at a high-volume institution was conducted. Cases performed by a single post-fellowship surgeon were included. Concomitant procedures and redo surgeries were excluded. Operative time (OT) and complication rates (CR) were tracked using CUSUM analysis. The learning curves were categorized into phases: learning, competency, case-mix, and proficiency. The effect of annual fellowship trainees was analyzed by constructing normalized learning curves per academic year. A total of 220 cases were analyzed. The post-fellowship surgeon reached competency after 29 cases, with proficiency achieved after 99 cases. Trainee involvement demonstrated a characteristic \"down-up-down\" pattern in OT and was not associated with increased CR during each of 6 years analyzed, reflecting an initial observation phase, increased operative time during hands-on learning, and eventual improvement. In contrast, the single year without a trainee showed a continuous downward OT trend. The complication rates remained below unacceptable thresholds and case complexity influenced OT trends. CUSUM-based analysis effectively maps the RALP learning curve, revealing distinct phases of surgical proficiency and the impact of trainee involvement. The reproducible trainee learning pattern provides insights into optimizing robotic surgery education while maintaining patient safety.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"119"},"PeriodicalIF":2.2,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664935","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":"Letter to the editor regarding: \"The influence of perioperative enoxaparin on bleeding after TORS oropharyngectomy.\"","authors":"Meghan Turner, John Dewey","doi":"10.1007/s11701-025-02286-5","DOIUrl":"https://doi.org/10.1007/s11701-025-02286-5","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"120"},"PeriodicalIF":2.2,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665005","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":"Robotic gastrectomy: can it be implemented without compromising the results?","authors":"Alexis Luna, Noelia Pérez-Romero, Pere Rebasa, Montse Adell, Sandra Montmany, Ariadna Cidoncha, Christian Herrero, Laura Mora","doi":"10.1007/s11701-024-02206-z","DOIUrl":"https://doi.org/10.1007/s11701-024-02206-z","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"118"},"PeriodicalIF":2.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659197","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":"Single-center retrospective study on the clinical application of multi-arm robotic-assisted uniportal video-assisted thoracic surgery.","authors":"Jun Chen, Jianhu Chu, Yunfei Gao, Yueying Yang, Xiaogang Li, Dongbo Luo","doi":"10.1007/s11701-025-02256-x","DOIUrl":"https://doi.org/10.1007/s11701-025-02256-x","url":null,"abstract":"<p><p>This research aims to consolidate clinical experiences with hybrid multi-arm robotic-assisted uniportal thoracoscopic surgery (H-URATS) employing endoscopic staplers and assess its safety and feasibility. A retrospective review was conducted on the clinical records of 128 patients treated with H-URATS at the Department of Thoracic Surgery II, Xinjiang Medical University Affiliated Tumor Hospital, between January and December 2024. The cohort included 52 men and 76 women, with an average age of 57.11 ± 11.61 years. All cases involved multi-arm robotic-assisted uniportal thoracoscopic procedures. Out of 128 cases, 127 were successfully completed, with 1 conversion to thoracotomy due to severe intraoperative hemorrhage. The median operative duration was 160 (115, 232.5) min, including approximately 6 min for docking, and the median intraoperative blood loss was 30 (30-50) mL. The median duration for chest drainage was 4 (3, 5) days, while the median postoperative hospital stay was 5 (4, 6) days. The surgeries included 116 pulmonary resections and 12 resections of mediastinal tumors. There were no perioperative fatalities. Postoperative complications occurred in eight patients, including pulmonary infections, arrhythmias, type I respiratory failure, venous thrombosis, and pulmonary embolism, all of which were effectively managed. All patients were discharged in stable condition, and R0 resection was achieved in all instances. H-URATS represents a safe and practical approach for pulmonary and mediastinal tumor resections, with the potential for broader clinical use.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"117"},"PeriodicalIF":2.2,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639675","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":"Correction: Learning curve analysis of extraperitoneal single-site robotic-assisted radical prostatectomy: a CUSUM-based approach.","authors":"Jianhao Wu, Yubo Wang, Yueting Huang, Xuezhi Long, Jiahui Tang, Di Gu","doi":"10.1007/s11701-025-02250-3","DOIUrl":"10.1007/s11701-025-02250-3","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"116"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630937","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":"Evaluating the impact of a navigation system on the initial cases of robotic gastrectomy for gastric cancer.","authors":"Jae Hun Chung, Dongwon Lim, Si-Hak Lee, Sun-Hwi Hwang","doi":"10.1007/s11701-025-02262-z","DOIUrl":"https://doi.org/10.1007/s11701-025-02262-z","url":null,"abstract":"<p><p>Robotic gastrectomy for gastric cancer presents challenges for novice surgeons owing to the lack of tactile feedback, particularly during complex procedures, such as lymph node dissection. To address these issues, a vascular navigation system was developed to enhance procedural safety and efficiency by providing three-dimensional vascular and anatomical guidance. We retrospectively analyzed 49 patients who underwent robotic distal gastrectomy at Pusan National University Yangsan Hospital. Patients were divided into two groups: those without navigation support (noRUS) and those with a vascular navigation system (RUS). We compared the dissection time, number of lymph nodes (LNs) retrieved, C-reactive protein level on postoperative day 3 (CRPD3), and postoperative recovery status. Univariate and multivariate linear regression analyses were performed. The RUS group demonstrated significantly shorter dissection times (179.85 ± 6.88 vs. 204.87 ± 9.60 min, p = 0.0478) and higher LN retrieval (41.81 ± 2.77 vs. 30.96 ± 2.31, p = 0.0048). The CRPD3, a marker of surgical trauma, was significantly lower in the RUS group (8.27 ± 0.85 vs. 11.68 ± 1.13 mg/dL, p = 0.0184). Moreover, no significant differences were observed in the complication rates or postoperative recovery. The vascular navigation system significantly improved surgical efficiency and LN retrieval and reduced surgical trauma during robotic gastrectomy. This study is the first to evaluate the impact of the navigation system on novice surgeons, highlighting its potential to overcome the learning curve earlier and improve patient outcomes.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"115"},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626463","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}