Journal of Robotic Surgery最新文献

{"title":"The impact of indocyanine green on partial nephrectomy perioperative outcomes.","authors":"Benjamin I Joffe, Gen Li, Prakash Gorroochurn, Guarionex Joel DeCastro, Andrew T Lenis, James M McKiernan, Christopher B Anderson","doi":"10.1007/s11701-025-02242-3","DOIUrl":"10.1007/s11701-025-02242-3","url":null,"abstract":"<p><p>We conducted a retrospective analysis of the impact of indocyanine green (ICG) on perioperative outcomes in partial nephrectomy. The utility of ICG in partial nephrectomy remains unclear. We performed a retrospective cohort study of all patients at a single institution who underwent laparoscopic or robotic partial nephrectomy in 2014-2019. Some surgeons used ICG while others did not. Outcomes of interest were estimated blood loss, positive surgical margins, ischemia time, and postoperative kidney function. We used multivariate regression to assess ICG use and outcomes. We identified 150 patients meeting inclusion criteria. The majority of cases (58%) used ICG. Patients who did and did not receive ICG were similar in age, sex, and histologic subtype. Median estimated blood loss was 100 mL (IQR 50-200), 9% had a positive surgical margin, and median ischemia time was 21 min (IQR 16-26). Of those with renal function follow-up, 17% had increased chronic kidney disease stage and mean percent creatinine change was + 4.7 ± 14.9%. On multivariate analysis, ICG use was associated with change in CKD stage (OR 9.9, 95% CI 1.0-93.9, p = 0.05). It was not associated with positive surgical margin status (OR 1.20, 95% CI 0.38-3.85, p = 0.755), percent change creatinine (beta 5.18, 95% CI -1.87-12.23, p = 0.155), ischemia time (beta 0.86, 95% CI - 1.38-3.09, p = 0.45), or EBL (beta - 0.13, 95% CI - 0.53-0.28, p = 0.53). We observed a difference in CKD change according to ICG in partial nephrectomy, but not other perioperative outcomes. ICG may have impacted surgical decision-making in unmeasured ways but did not significantly affect perioperative outcomes.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"78"},"PeriodicalIF":2.2,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477139","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":"Implementation of a multimedia application to provide an immersive experience to assistants and viewers during robotic surgery.","authors":"Jordi Tarascó, Albert Caballero, Pau Moreno, Michel Velázquez, José M Balibrea","doi":"10.1007/s11701-025-02244-1","DOIUrl":"https://doi.org/10.1007/s11701-025-02244-1","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"79"},"PeriodicalIF":2.2,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477138","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":"Comment on: \"A systematic review and meta-analysis comparing the short-term efficacy of the KangDuo surgical robot with the da Vinci robotic system in radical prostatectomy\" by Dai et al.","authors":"Jian-Wei Yang, Si-Yu Chen, Li Yang","doi":"10.1007/s11701-025-02245-0","DOIUrl":"https://doi.org/10.1007/s11701-025-02245-0","url":null,"abstract":"<p><p>We read with great interest the recent meta-analysis by Dai et al. comparing the KangDuo (KD) and da Vinci (DV) robotic systems in radical prostatectomy (RP). Their findings highlight the comparable perioperative outcomes of both systems despite longer operative times with KD. While the study provides valuable insights, we suggest incorporating console time as a key parameter reflecting surgical efficiency and proficiency. Additionally, a pooled analysis of biochemical recurrence (BCR) would enhance the oncological assessment of the two platforms. Lastly, the small sample size limits statistical power, underscoring the need for larger, multi-center studies. Addressing these aspects could further strengthen the study's clinical relevance.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"77"},"PeriodicalIF":2.2,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477137","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":"Gastric bypass performed with different surgical platforms during different periods.","authors":"Mohammad Alomari, Ajiri Eroraha, Aaron Spaulding, Michael A Edwards","doi":"10.1007/s11701-025-02232-5","DOIUrl":"10.1007/s11701-025-02232-5","url":null,"abstract":"<p><p>Robotic gastric bypass (RGB) continues to increase. However, conflicting data remain on its impact on patient-reported outcomes. We utilized the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Project (MBSAQIP) databases. Gastric bypass cases performed with laparoscopy (LGB) or robotic assistance (RGB) between 2015 and 2021 were analyzed. A 1:1 matched analysis compared outcomes between LGB and RGB performed at different time intervals (2015-2018 vs. 2091-2021). 286,531 RYGB cases (87% LGB, 13% RGB) were analyzed, yielding 25,594 matched LGB and RGB cases. Mortality was low (0.1%) and comparable between cohorts. Surgical site infection (SSI) (0.9% vs. 1.3%, p < 0.001) and bleeding (0.3% vs. 0.4%, p = 0.04) were lower with RGB; however, readmission (5.8% vs. 4.9%, p < 0.001), reoperation (2.2% vs. 1.85%, p = 0.005), and morbidity (7.6% vs. 6.8%, p < 0.001) were higher. Operative length (OL) was longer for RGB (p < 0.001). In the early cohort, SSI and bleeding (p = 0.002 and p = 0.039) were lower for RGB; however, operative duration and LOS (p < 0.001) were more extended. In the later cohort, SSI (p = 0.006) and bleeding (p = 0.046) remained lower with RGB, while morbidity was higher (p = 0.005). Mean OL narrowed but remained longer for RGB (p < 0.001), while LOS was comparable. Both RGB and LGB demonstrate safety profiles with low mortality and morbidity. With increased robotic utilization, RGB was associated with a persistently reduced incidence of SSI and bleeding but longer OL.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"75"},"PeriodicalIF":2.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460109","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":"Does transurethral resection of the prostate before robot-assisted radical prostatectomy have adverse effects on patients diagnosed with prostate cancer: a comparative evidence-based analysis?","authors":"Anneng Hu, Yuhang Lin, Xiaole Zhu, Junyang Li, Fuwen Luo, Xiaodong Yu","doi":"10.1007/s11701-025-02234-3","DOIUrl":"10.1007/s11701-025-02234-3","url":null,"abstract":"<p><p>In clinical practice, it is not uncommon for a history of trans-urethral resection of the prostate (TURP) to complicate a future robotic-assisted radical prostatectomy (RARP). This study aims to determine if prior TURP adversely affects outcomes in subsequent RARP, analyzing perioperative, functional, and oncological results between the procedures. Research published in English before September 2024 was systematically reviewed using Web of Science, PubMed, Cochrane Library, and the EMBASE. Review Manager 5.4 was used to do the meta-analysis, included 15 studies, with 869 patients who underwent RARP following TURP and 5,879 patients who underwent RARP alone. Compared to standard RARP, RARP following TURP was associated with extended operative time (OT) (WMD: 26.63 min, 95% CI: 16.79-36.48, P < 0.00001), increased estimated blood loss (EBL) (WMD: 19.85 ml, 95% CI: 9.22-30.48, P = 0.0003), longer hospital stay(LOS) (WMD: 0.52 days, 95% CI: 0.28-0.77, P < 0.0001), and extended catheter removal duration (WMD: 0.18 days, 95% CI: 0.02-0.35, P = 0.03). The overall nerve-sparing success rate was lower (OR: 0.53, 95% CI: 0.35-0.78, P = 0.001), with reduced bilateral nerve-sparing success rates (OR: 0.58, 95% CI: 0.39-0.84, P = 0.005). Patients in the TURP group had higher rates of bladder neck reconstruction (OR: 8.38, 95% CI: 5.80-12.10, P < 0.0001) and major complications (Clavien grade ≥ 3) (OR: 1.94, 95% CI: 1.10-3.41, P = 0.02). Furthermore, the positive surgical margin (PSM) rate was elevated in the prior-TURP group (OR: 1.25, 95% CI: 1.02-1.53, P = 0.03). Quality-of-life outcomes indicated that patients undergoing RARP after TURP experienced lower urinary incontinence recovery rates at one year (OR: 0.58, 95% CI: 0.34-0.97, P = 0.04) and reduced continence recovery rates (OR: 0.60, 95% CI: 0.44-0.81, P = 0.007). Nevertheless, there were no notable differences between the two groups in terms of the rates of transfusions, unilateral nerve-sparing, lymphadenectomy, minor complications (Clavien grade < 3), or biochemical recurrence (BCR) after a year. Although RARP after TURP is achievable, it is notably more complex. Findings suggest that while the surgical difficulty is increased, oncological and functional outcomes for the prior-TURP group remain comparable to the non-TURP group. This research aims to provide clinicians with data to support informed decision-making when treating individuals who have experienced TURP in the past.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"74"},"PeriodicalIF":2.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460096","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":"Comparing the outcomes of robotic vs. open partial nephrectomy in obese patients: a meta-analysis and systematic review.","authors":"Yan-Yan Wang, Zhen-Ni Xie, Yi-Qin Cao, Zhi-Kai Dai, Hong-Fang Ye","doi":"10.1007/s11701-025-02237-0","DOIUrl":"https://doi.org/10.1007/s11701-025-02237-0","url":null,"abstract":"<p><p>This meta-analysis examines and compares the perioperative results (such as complications, recovery, and other surgical outcomes) in obese patients who undergo either robotic-assisted partial nephrectomy (RPN) or open partial nephrectomy (OPN). Essentially, the study is looking at how these two types of surgeries perform in obese patients, specifically focusing on outcomes related to the surgery process itself. We conducted a comprehensive search of major databases, including PubMed, Cochrane Library, and Web of Science, focusing on English studies, up to November 2024. Review articles, research protocols without published data, conference abstracts, and irrelevant studies were excluded. We performed data analysis using the Cochran-Mantel-Haenszel method and random-effects models, followed by mean differences, inverse variance, and 95% confidence intervals (CIs). The results were presented as odds ratios (ORs) and 95% CIs, and data with p values less than 0.05 were identified. This meta-analysis included three cohort studies with a total of 604 patients. Compared to OPN, RPN was associated with significantly shorter hospital stays (WMD  - 2.27, 95% CI  - 3.67 to  - 0.87; p = 0.002), lower overall complication rates (OR 0.50, 95% CI 0.34-0.73; p = 0.0004), and reduced estimated blood loss (WMD  - 125.12, 95% CI  - 198.02 to  - 52.22; p = 0.0008). No significant differences were found between the two groups in transfusion rates, major complications, renal ischemia times, or operative times. RPN offers a safe and feasible option for obese patients compared to OPN, with advantages such as shorter hospital stays, reduced blood loss, and fewer overall complications.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"76"},"PeriodicalIF":2.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460093","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":"Comment on: \"Robotic vs laparoscopic distal gastrectomy with Billroth I and II reconstruction: a systematic review and meta-analysis\".","authors":"Mehrab Neyazi, Rachana Mehta, Shubham Kumar, Ranjana Sah","doi":"10.1007/s11701-025-02229-0","DOIUrl":"https://doi.org/10.1007/s11701-025-02229-0","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"73"},"PeriodicalIF":2.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442358","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":"Impact of low-pressure pneumoperitoneum on post-operative pain in robotic urological surgery: a systematic review.","authors":"Yama Baheer, Lawrence Isherwood, Ross Warner, Jeremy Teoh, Karel Decaestecker, Prokar Dasgupta, Will Tillinghast, George Trutza, Nikhil Vasdev","doi":"10.1007/s11701-025-02221-8","DOIUrl":"https://doi.org/10.1007/s11701-025-02221-8","url":null,"abstract":"<p><p>Robotic technology has revolutionised minimally invasive urological surgery, enhancing precision and minimising surgical complications. Recent evidence suggests that utilising lower pneumoperitoneum pressures improves clinical outcomes but the comparative impact on post-operative pain remains uncertain. This systematic review analyses the literature on low-pressure pneumoperitoneum to investigate its impact on pain and recovery following robotic-assisted urological surgeries, including prostatectomy, partial ephrectomy, and cystectomy. Post-operative opioid consumption, total operating time, estimated intra-operative bleeding, and total inpatient stay were investigated as secondary outcomes. PubMed, NHS Knowledge and Library Hub, Cochrane Central databases, and EMBASE were searched between January 2010 and May 2024. Any identified studies were reviewed against eligibility criteria by two independent authors prior to inclusion. The review was written in compliance with Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. Nine studies were included: six focused on prostatectomy, two on partial nephrectomy, and one on cystectomy. Low-pressure pneumoperitoneum was found to result in reduced postoperative pain scores, particularly in the immediate recovery period and on postoperative day 1. Despite these improvements, post-operative opioid consumption remained consistent with standard pressures. The surgical workspace was not compromised when pneumoperitoneum pressures were lower. Lowering pneumoperitoneum pressures in robotic-assisted urological surgery appears to reduce immediate postoperative pain scores without increasing overall complications. This has not led to a noticeable reduction in post-operative opioid consumption. The lack of consistent reduction in opioid use and limited high-quality studies highlight the need for further research, particularly for partial nephrectomy and cystectomy.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"72"},"PeriodicalIF":2.2,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442361","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: Chinese expert consensus on transoral vestibular approach robotic thyroidectomy and parathyroidectomy (version 2024).","authors":"Qingqing He, Wen Tian, Ping Wang, Xudong Wang","doi":"10.1007/s11701-025-02236-1","DOIUrl":"https://doi.org/10.1007/s11701-025-02236-1","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"71"},"PeriodicalIF":2.2,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426462","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 inguinal hernia repair and prostatectomy: safety and outcomes from a retrospective cohort study.","authors":"Omaira Rodríguez González, Alexis Sanchez, Veronica Rodriguez, Luz Galvis, Antonio Ardiles, Cristina Inchausti, Natalia Otaño, Rene Sotelo","doi":"10.1007/s11701-025-02233-4","DOIUrl":"10.1007/s11701-025-02233-4","url":null,"abstract":"<p><p>Prostate cancer and inguinal hernia frequently coexist in elderly men, with 20-33% of patients undergoing radical prostatectomy also presenting with an inguinal hernia. Combining robot-assisted radical prostatectomy (RARP) with transabdominal preperitoneal (rTAPP) hernia repair offers both clinical and logistical benefits, although concerns regarding mesh-related complications remain. This retrospective cohort study analyzed 40 patients who underwent combined RARP and rTAPP hernia repair between August 2021 and September 2024. The mean operative time was 192.83 ± 32.57 min, with 54.2 ± 16.75 min dedicated to hernia repair. No mesh-related complications, including seromas or hematomas in the inguinal region, were observed. Minor complications (Clavien-Dindo ≤ 2) occurred in 25.64% of patients, with seromas (12.82%) and surgical site infections (7.69%) being the most common. The average hospital stay was 1.9 ± 0.50 days, and no hernia recurrences were noted during a mean follow-up of 16.03 ± 10.32 months. These findings support the safety and feasibility of simultaneous RARP and rTAPP hernia repair, maintaining low complication rates and eliminating the need for additional surgeries. Further multicenter studies are needed to validate these results and assess long-term outcomes.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"69"},"PeriodicalIF":2.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411256","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}