XiLan Wang, SanYe Liu, WenJuan Lei, Dan Zhao, Longhe Xu, Zeguo Feng, Feng Long
{"title":"Perioperative anesthesia management of remote 5G robot surgery and precautions for operation team.","authors":"XiLan Wang, SanYe Liu, WenJuan Lei, Dan Zhao, Longhe Xu, Zeguo Feng, Feng Long","doi":"10.1007/s11701-025-02238-z","DOIUrl":"https://doi.org/10.1007/s11701-025-02238-z","url":null,"abstract":"<p><p>Remote 5G robot surgery not only improves the accuracy, accessibility and efficiency of surgery, but also promotes the remote sharing and integration of medical resources, effectively avoids the risk of transshipment, reduces the cost of remote medical treatment, and promotes the development of smart medical care. To successfully carry out remote 5G surgery, it is necessary to establish a medical team, and anesthesiologists should not only escort the operation but also find problems in time when accidents occur and coordinate the team for joint treatment. General anesthesia is selected for this kind of operation, and local nerve block is recommended for analgesia. The main feature of anesthesia is that the patient is completely braked during the whole operation, and it is necessary to provide good muscle relaxation and suitable anesthesia sedation depth. In addition, due to the limited operating space of the head, special posture, long-term artificial pneumoperitoneum, the harm of hypothermia, delayed awakening or postoperative delirium, individualized multi-mode analgesia and other problems. The above problems have caused some challenges and difficulties for anesthesiologists.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"133"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755074","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}
Vipul Patel, Justin W Collins, Jacques Marescaux, Mischa Dohler, Shady Saikali, Prokar Dasgupta, Sumeet Reddy, Ahmed Gamal, Ela Patel, Travis Rogers, Adnan Siddiqui, Alberto Breda, Alex Mottrie, Ameer Hassan, Andrew Hung, Angeles Secord, Bernardo Rocco, Carla Pugh, Chandru Sundaram, Maria Chiara Sighinolfi, E Christopher Ellison, Eduardo Parra Davila, Erik Wilson, Husam Balkhy, Jihad Kaouk, Cui Liang, Louis R Kavoussi, Martin Roche, Martin Martino, Mehran Anvari, Patrice Sylla, Rafael Ferreira Coelho, Raju Thomas, Ralph Clayman, Raymond Leveillee, Ricardo Estape, Ross Goldberg, Ryan Madder, Santiago Horgan, J Scott Magnuson, Senthil Nathan, Sharona Ross, Anthony Costello, Zhang Xu, Sanket Chauhan, Jay Redan, Richard Satava, Brian Miles, Ajit K Sachdeva, Marcio Covas Moschovas
{"title":"International multispecialty consensus statement and expert opinion of best practices in telesurgery.","authors":"Vipul Patel, Justin W Collins, Jacques Marescaux, Mischa Dohler, Shady Saikali, Prokar Dasgupta, Sumeet Reddy, Ahmed Gamal, Ela Patel, Travis Rogers, Adnan Siddiqui, Alberto Breda, Alex Mottrie, Ameer Hassan, Andrew Hung, Angeles Secord, Bernardo Rocco, Carla Pugh, Chandru Sundaram, Maria Chiara Sighinolfi, E Christopher Ellison, Eduardo Parra Davila, Erik Wilson, Husam Balkhy, Jihad Kaouk, Cui Liang, Louis R Kavoussi, Martin Roche, Martin Martino, Mehran Anvari, Patrice Sylla, Rafael Ferreira Coelho, Raju Thomas, Ralph Clayman, Raymond Leveillee, Ricardo Estape, Ross Goldberg, Ryan Madder, Santiago Horgan, J Scott Magnuson, Senthil Nathan, Sharona Ross, Anthony Costello, Zhang Xu, Sanket Chauhan, Jay Redan, Richard Satava, Brian Miles, Ajit K Sachdeva, Marcio Covas Moschovas","doi":"10.1007/s11701-025-02298-1","DOIUrl":"https://doi.org/10.1007/s11701-025-02298-1","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"135"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754945","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}
Sébastien Frey, Federica Facente, Wen Wei, Ezem Sura Ekmekci, Eric Séjor, Patrick Baqué, Matthieu Durand, Hervé Delingette, François Bremond, Pierre Berthet-Rayne, Nicholas Ayache
{"title":"Optimizing intraoperative AI: evaluation of YOLOv8 for real-time recognition of robotic and laparoscopic instruments.","authors":"Sébastien Frey, Federica Facente, Wen Wei, Ezem Sura Ekmekci, Eric Séjor, Patrick Baqué, Matthieu Durand, Hervé Delingette, François Bremond, Pierre Berthet-Rayne, Nicholas Ayache","doi":"10.1007/s11701-025-02284-7","DOIUrl":"https://doi.org/10.1007/s11701-025-02284-7","url":null,"abstract":"<p><p>The accurate recognition of surgical instruments is essential for the advancement of intraoperative artificial intelligence (AI) systems. In this study, we assessed the YOLOv8 model's efficacy in identifying robotic and laparoscopic instruments in robot-assisted abdominal surgeries. Specifically, we evaluated its ability to detect, classify, and segment seven different types of surgical instruments. A diverse dataset was compiled from four public and private sources, encompassing over 7,400 frames and 17,175 annotations that represent a variety of surgical contexts and instruments. YOLOv8 was trained and tested on these datasets, achieving a mean average precision of 0.77 for binary detection and 0.72 for multi-instrument classification. Optimal performance was observed when the training set of a specific instrument reached 1300 instances. The model also demonstrated excellent segmentation accuracy, achieving a mean Dice score of 0.91 and a mean intersection over union of 0.86, with Monopolar Curved Scissors yielding the highest accuracy. Notably, YOLOv8 exhibited superior recognition performance for robotic instruments compared to laparoscopic tools, a difference likely attributed to the greater representation of robotic instruments in the training set. Furthermore, the model's rapid inference speed of 1.12 milliseconds per frame highlights its suitability for real-time clinical applications. These findings confirm YOLOv8's potential for precise and efficient recognition of surgical instruments using a comprehensive multi-source dataset.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"131"},"PeriodicalIF":2.2,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755069","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":"Reply to comment on: \"Evaluating the safety of robotic total gastrectomy (RTG) versus laparoscopic total gastrectomy (LTG) with D2 lymphadenectomy for gastric cancer\".","authors":"Konstantinos Kossenas","doi":"10.1007/s11701-025-02303-7","DOIUrl":"https://doi.org/10.1007/s11701-025-02303-7","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"132"},"PeriodicalIF":2.2,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755078","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}
Trevor M Yeung, Philip Bauer, Ramy Behman, Andrea Marcadis, Adam Studniarek, Garrett Nash, Julio Garcia-Aguilar
{"title":"Concurrent robotic colorectal surgical oncology training within a structured mentored international fellowship program.","authors":"Trevor M Yeung, Philip Bauer, Ramy Behman, Andrea Marcadis, Adam Studniarek, Garrett Nash, Julio Garcia-Aguilar","doi":"10.1007/s11701-025-02287-4","DOIUrl":"10.1007/s11701-025-02287-4","url":null,"abstract":"<p><p>Robotic colorectal surgery is increasingly adopted worldwide, with mentored programs for established surgeons becoming more common. However, there is a paucity of dedicated robotic training programs for colorectal fellows. This study aims to assess the feasibility and efficacy of a structured, apprentice-based robotic colorectal training program delivered to multiple fellows concurrently. The fellowship program incorporates simulation training, dry/wet laboratory work, dedicated robotic console time in the operating room (OR) and individualised mentorship. Overall robotic proficiency was assessed using the Global Evaluative Assessment of Robotic Skills (GEARS) and procedure-specific proficiency was assessed using a modified European Academy of Robotic Colorectal Surgery (EARCS) Global Assessment Score (GAS) throughout the fellowship. A total of 59 cases (29 right hemicolectomies, 30 anterior resections) were evaluated between August 2023 and July 2024. Significant improvements were observed in GEARS scores (p = 0.0065) and modified GAS for both right hemicolectomies (p = 0.0052) and anterior resections (p = 0.0005), demonstrating a high level of competence and independence. Mean operative times were 213 min (right hemicolectomy) and 328 min (anterior resection). Median length of stay in the hospital was 2 days (right hemicolectomy) and 4 days (anterior resection). Median lymph node yield was 29 (right hemicolectomy) and 26 (anterior resection). There was 0% involved margins for both procedures. Robotic colorectal surgical oncology training delivered to multiple fellows concurrently in an apprenticeship model with dedicated console time is achievable and successful, leading to high levels of robotic competency and independence, whilst maintaining a high standard of clinical care and oncological outcome.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"129"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732170","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}
Gen Fan, Jiakai Ma, Yinyu Wu, Junji Wang, Yu Wang, Yushui Chen, Ke Hu, Tielong Tang
{"title":"Robotic versus open surgery for ureteroenteric stricture after radical cystectomy: a systematic review and meta-analysis.","authors":"Gen Fan, Jiakai Ma, Yinyu Wu, Junji Wang, Yu Wang, Yushui Chen, Ke Hu, Tielong Tang","doi":"10.1007/s11701-025-02295-4","DOIUrl":"https://doi.org/10.1007/s11701-025-02295-4","url":null,"abstract":"<p><p>Ureteroenteric stricture (UES) frequently occurs as a postoperative complication following radical cystectomy, potentially causing severe clinical issues. The aim of this study was to systematically review and meta-analyze to compare the clinical efficacy and safety of robot-assisted ureteroenteric reimplantation (RUER) versus open ureteroenteric reimplantation (OUER) in the treatment of UES. The research was comprehensively explored in the PubMed, Embase, Cochrane Library, and Web of Science databases, covering the timeframe from their inception up to January 17, 2025. The research included quality-evaluated observational studies that compared RUER with OUER for UES. The primary assessment metric was the rate of stenosis recurrence versus reconstruction success. This analysis covered four studies involving a total of 161 participants, with 39 in the OUER cohort and 122 in the RUER cohort. The findings indicated that the RUER cohort experienced a shorter hospital stay than the OUER cohort (RR = - 3.18, 95% CI [- 4.88, - 1.48], p < 0.05). However, there were no notable differences between the two cohorts in terms of stenosis recurrence, reconstruction success, surgical duration, blood loss, intraoperative complications, minor issues, or the incidence of severe complications. RUER has the advantage of shorter hospitalization time than conventional open surgery in the treatment of UES, and both perform comparably in terms of safety. Nevertheless, it is essential to recognize that larger-scale randomized controlled studies are needed to thoroughly validate the reliability of these findings.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"130"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732102","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}
Yangyue Huang, Weiping Zhang, Hongcheng Song, Yuzhu He, DeFu Lin, Minglei Li, Ning Li, Chao Liu, Wenwen Han
{"title":"Preliminary results of feasibility, safety and efficacy of robotic assisted laparoscopic pyeloplasty with the SHURUI single-port robotic surgical platform in children.","authors":"Yangyue Huang, Weiping Zhang, Hongcheng Song, Yuzhu He, DeFu Lin, Minglei Li, Ning Li, Chao Liu, Wenwen Han","doi":"10.1007/s11701-025-02294-5","DOIUrl":"10.1007/s11701-025-02294-5","url":null,"abstract":"<p><p>This study aims to evaluate the feasibility, safety and efficacy of robotic assisted laparoscopic pyeloplasty (RALP) with the novel SHURUI single-port (SR-SP) robotic surgical platform in children. Between November 2023 and April 2024, 20 pediatric patients diagnosed with ureteropelvic junction obstruction (UPJO) underwent transperitoneal RALP with the SR-SP surgical platform. Baseline characteristics, perioperative parameters and follow-up data were collected and analyzed. All surgical procedures were successfully performed without conversion to open or laparoscopic surgery. The median docking time, console time, and operative time were 3.5 min (range 3.5-6.0), 144.5 min (range 88.0-290.0), and 221.5 min (range 136.0-450.0), respectively. The median estimated blood loss was 5 ml (range 2-20) and the median length of hospital stays was 6 days (range 4-24). Through trans-umbilical incision, RALP was feasible in patients with a height of no less than 114 cm. The minimum incision length was 2 cm. No intraoperative complication was identified. Two cases were identified with the Clavien-Dindo Grade II postoperative complications and one with the Clavien-Dindo Grade III complications. The surgical success rate was 95%. The median SCAR scale score for incision scars was 2 points (range 1-3). Surgeons reported a favorable technical difficulty rating with a National Aeronautics and Space Administration Task Load Index (NASA-TLX) score of 30.7. RALP using the novel SR-SP robotic surgical platform is feasible, safe and effective in older children. The SR-SP surgical platform may serve as a promising alternative to the da Vinci SP surgical platform.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"128"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721925","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}
Yuta Yamada, Naoki Kimura, Yuji Hakozaki, Takuya Iwaki, Koki Sugano, Shohei Suda, Shigenori Kakutani, Kazuma Sugimoto, Haruki Kume
{"title":"\"Fish-hook\" suturing technique reduces vascular injuries of the pelvic wall during vesico-urethral anastomosis and impacts urinary continence in robot-assisted radical prostatectomy.","authors":"Yuta Yamada, Naoki Kimura, Yuji Hakozaki, Takuya Iwaki, Koki Sugano, Shohei Suda, Shigenori Kakutani, Kazuma Sugimoto, Haruki Kume","doi":"10.1007/s11701-025-02275-8","DOIUrl":"10.1007/s11701-025-02275-8","url":null,"abstract":"<p><p>The objective of the present study was to describe our novel suturing technique, the \"Fish-hook\", during urethra-vesico anastomosis in a robot-assisted radical prostatectomy procedure. The medical information was extracted from the clinical records of 348 patients with prostate cancer who underwent robot-assisted radical prostatectomy at Chiba Tokushukai Hospital between April 2017 and June 2023. The impact of the \"Fish-hook\" technique on surgical outcomes was examined by statistical analysis. The \"Fish-hook\" technique was not used in 123 patients (Group 1) and was used in 225 patients (Group 2). The suturing time for urethra-vesico anastomosis was significantly shorter in Group 2. The number of cases with the needle-driver having no contact with the pelvic wall during anastomosis was 51 vs. 212 cases (Group 1 vs. Group 2; P < 0.01). The hemostasis associated with the injury to the pelvic wall was observed in 14 and 6 cases of Group 1 and 2, respectively. Additionally, Cox proportional hazard models show that urinary continence recovery was shorter in Group 2 than in Group 1 (time to pad 1 per day/pad free is 110/365 days vs. 87/181 days; P = 0.01/< 0.01, respectively) The \"Fish-hook\" suturing technique showed an excellent outcome regarding urinary continence. This suturing method allows the surgeons to perform sutures in small working spaces without injuring the pelvic wall.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"126"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721918","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}
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