Journal of Robotic Surgery最新文献

{"title":"Postoperative functional complications and quality of life following robot-assisted prostatectomy and radiotherapy in localized prostate cancer: evidence from a systematic review and meta-analysis.","authors":"Yang Liu, Yanan Wang, Xi Xiao, Chengyu You, Peng Yu, Qixiang Fang, Yongjin Yang, Zhilong Dong","doi":"10.1007/s11701-025-02496-x","DOIUrl":"https://doi.org/10.1007/s11701-025-02496-x","url":null,"abstract":"<p><p>To compare patient-reported functional outcomes and health-related quality of life (QoL) after robot-assisted radical prostatectomy (RARP) and radiotherapy (RT) for localised prostate cancer. We systematically searched PubMed, EMBASE, the Cochrane Library and Web of Science (inception to 10 January 2025). Comparative studies reporting urinary, bowel or sexual outcomes were eligible. Pooled relative risks (RRs) and weighted mean differences (WMDs) with 95% confidence intervals (CIs) were calculated using random-effects models. Study quality was assessed with the Newcastle-Ottawa Scale. Seven studies comprising 6 133 men (3625 RARP: 2508 RT) met the inclusion criteria. RARP was associated with significantly higher risks of urinary incontinence (RR = 5.19, 95% CI: 2.03-13.25; P = 0.007) and erectile dysfunction (RR = 1.69, 95% CI: 1.06-2.68; P < 0.05) compared to RT. Functional outcomes favored RT in urinary bother reduction (WMD = -9.04, 95% CI: -17.80 to -0.29), although no significant intergroup differences emerged in bowel domain scores. RT demonstrated superior preservation in sexual function (WMD = -5.91, 95% CI: -8.67 to -3.15), while maintaining comparable fecal urgency rates (RR = 0.42, 95% CI: 0.38-0.48). RT demonstrated superior post-treatment QoL profiles in multiple functional domains compared to RARP for localized prostate cancer, particularly regarding urinary continence and sexual health preservation. These findings can guide shared decision-making regarding treatment choice.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"314"},"PeriodicalIF":2.2,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369411","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":"Medical students' attitude toward robotic surgery: time to revise medical school curricula?","authors":"Antonio Gangemi, Paolo M Russo, Lisa Argnani, Eric Barducci, Chiara Angeli, Simone G D'Angelo, Gianandrea Pasquinelli, Davide Trerè, Rocco Liguori, Marco Seri, Anthony P Lisi, Gilberto Poggioli","doi":"10.1007/s11701-025-02417-y","DOIUrl":"https://doi.org/10.1007/s11701-025-02417-y","url":null,"abstract":"<p><p>This study aimed to investigate medical students' perception of, knowledge in, and perspectives toward Rrobotic-assisted surgery AS (RAS) from the largest public medical school in Italy. The literature that suggests the need to integrate the medical school curriculum with formal education in RAS robotic surgery is emerging but is still poor. A cross-sectional survey was conducted through the administration of a 24-item questionnaire organized in 3 sections, respectively, inquiring about medical student's knowledge and perception of RAS, their attitude toward this technology and lastly about themselves and their prospective surgical interest. Five hundred and nine medical students were recruited independently of their gender or nationality. Participation was on a voluntary basis only. The students accessed the google form questionnaire through a bar code created \"ad hoc\" for each medical school year and projected over the classroom monitor right before starting the didactic activities or during the classroom break. Even though only a minority of the students (41.7%) expressed a prospective interest for a surgical career and a significant proportion of them did not have any background knowledge in RAS (63.5%), most of them suggested that medical schools should offer curricular and/or extracurricular learning opportunities on RAS (89.4%). Our findings hint educators to think critically and perhaps consider the possibility of revising the existing official curricula that aim to train the future generations of physicians and surgeons.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"315"},"PeriodicalIF":2.2,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369410","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":"Author's reply to \"Comment on robotic surgery in abdominal aortoiliac aneurysm and occlusive disease: a systematic review and single-arm meta-analysis\".","authors":"Lucas Monteiro Delgado, Ana Carolina Bueno Santana, Lucas Soares de Souza Pinto Guedes, Bruna Maffei Bossi, Pedro Henrique Coelho de Melo Leite, Bernardo Fontel Pompeu","doi":"10.1007/s11701-025-02498-9","DOIUrl":"10.1007/s11701-025-02498-9","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"313"},"PeriodicalIF":2.2,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340507","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":"A mixed-method survey study evaluating two robotic surgical training courses in Germany.","authors":"Sjaak Pouwels, Beniamino Pascotto, Rodolfo J Oviedo, Marco Raffaelli, Antonio Albuquerque, Adel Abou-Mrad, Juan Santi Azagra, Ricardo Zorron, Jordi Tarascó, Enrique F Elli, Mario Rui Gonçalves, Miljana Vladimirov","doi":"10.1007/s11701-025-02493-0","DOIUrl":"https://doi.org/10.1007/s11701-025-02493-0","url":null,"abstract":"<p><strong>Background: </strong>Despite considerable efforts of several societies and robotic surgery working groups, there is still no standardized training for robotic surgery for residents. We recently organized two robotic surgical courses in Germany and the goal of this study is to evaluate both courses using a mix-method approach.</p><p><strong>Materials and methods: </strong>An anonymous survey, consisting of twenty-one questions of which seventeen were multiple choice and four were open end questions was filled out by the participants after both courses.</p><p><strong>Results: </strong>A total of 34 participants were present at both courses. Most of the participants were male (29 of 34 (85.3%)), mean age was 46.4 ± 10.2 years, Among the participants, the most of them were consultant surgeons (88.2%) and worked in an Academic Hospital (58.8%). A total of 21 participants had a Robotic system in their hospital. In terms of ideal course format, 64.7% of the respondents preferred a combination of formal lectures with hands-on lab experience. For the hands-on experience 32.4% preferred either a wet lab with organic animal organ ex-plants or with human cadavers. Most important themes in the thematic analysis were duration, frequency, and costs of robotic surgical courses.</p><p><strong>Conclusion: </strong>Robotic surgery is increasing worldwide and therefore adequate robotic surgical training courses are needed to train the future generations of surgeons.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"312"},"PeriodicalIF":2.2,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337153","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":"Outcomes of robotic-assisted surgery for pediatric renal tumors: a systematic review.","authors":"Amani N Alansari, Mohmed Sayed Zaazouee, Alaa Ahmed Elshanbary","doi":"10.1007/s11701-025-02473-4","DOIUrl":"10.1007/s11701-025-02473-4","url":null,"abstract":"<p><p>Robotic-assisted surgery (RAS) has gained interest due to its precision and minimally invasive advantages. However, its adoption in pediatric renal tumors remains limited, with concerns about feasibility, safety, and oncological outcomes. This systematic review summarized the literature evaluating the outcomes of RAS for pediatric renal tumors. We searched PubMed, Scopus, and Web of Science for studies on RAS in pediatric renal tumors. We considered all primary studies including case reports, case series, and cohort studies. Quality was assessed using Joanna Briggs Institute (JBI) critical appraisal tools. A total of 14 studies, including 7 case reports, 5 case series, and 2 cohort studies, with 79 pediatric patients undergoing RAS for renal tumors were included. Conversion to open surgery occurred in 6.3% of cases. Renal vein injury was reported in 2.5%. Operative times ranged from 90 to 360 min, with shorter durations for partial nephrectomies. Blood loss was highly variable, from < 5 mL in smaller tumors to > 350 mL in complex cases. Hospital stays ranged from 2 to 7 days, with one outlier requiring a 4-week hospitalization. Oncological outcomes were generally favorable, with 96.2% of patients remaining disease free at follow-up. However, three patients (3.8%) experienced local recurrence, and two patients (2.5%) with WT died due to CNS metastases. This systematic review demonstrates that RAS is a feasible and safe approach for managing pediatric renal tumors. However, larger studies with extended follow-up are necessary to validate long-term oncological outcomes and refine patient selection criteria.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"310"},"PeriodicalIF":2.2,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12181127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334177","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":"The rise of robotics and AI-assisted surgery in modern healthcare.","authors":"Jack Ng Kok Wah","doi":"10.1007/s11701-025-02485-0","DOIUrl":"10.1007/s11701-025-02485-0","url":null,"abstract":"<p><p>The integration of robotics and artificial intelligence (AI) in surgery represents a transformative advancement in modern healthcare, promising enhanced precision, efficiency, and patient outcomes. Recent studies indicate a rapid adoption of AI-assisted robotic surgery across various surgical specialties, driven by improvements in accuracy and reduced complication rates. The research synthesizes findings from 25 recent peer-reviewed studies (2024-2025) on AI-driven robotic surgery. Systematic review and meta-analyses were conducted focusing on clinical efficacy, surgical precision, complication rates, and economic impacts. Quantitative data were extracted from retrospective trials, cohort studies, and systematic reviews to evaluate outcomes compared to manual surgical techniques. AI-assisted robotic surgeries demonstrated a 25% reduction in operative time and a 30% decrease in intraoperative complications compared to manual methods. Surgical precision improved by 40%, reflected in enhanced targeting accuracy during tumor resections and implant placements. Patient recovery times were shortened by an average of 15%, with lower postoperative pain scores. Additionally, studies reported an average 20% increase in surgeon workflow efficiency and a 10% reduction in healthcare costs over the conventional procedures. AI-enhanced robotic surgery significantly improves surgical outcomes through higher precision and efficiency, supporting widespread clinical adoption. Despite upfront costs and ethical concerns, continued innovation and integration promise substantial benefits for patient safety and healthcare resource optimization. Future research should focus on long-term patient outcomes and addressing ethical and training challenges.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"311"},"PeriodicalIF":2.2,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12181090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334178","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":"Robot-assisted gynecologic surgery in elderly patients: perioperative outcomes and risk assessment in patients aged 70 years and older.","authors":"Mai Nakazono, Mika Mizuno, Shinichi Togami, Hikaru Hobara, Motohisa Onigahara, Mika Fukuda, Hiroaki Kobayashi","doi":"10.1007/s11701-025-02479-y","DOIUrl":"https://doi.org/10.1007/s11701-025-02479-y","url":null,"abstract":"<p><p>Robot-assisted surgery has become widely accepted as a minimally invasive approach. However, its safety and feasibility in older women undergoing gynecologic procedures remain insufficiently explored. This retrospective study compared perioperative outcomes between two older age groups and evaluated surgical risks by using the E-PASS and POSSUM scoring systems. A total of 61 women aged ≥ 70 years who underwent robot-assisted gynecologic surgery at our institution were analyzed. Endometrial cancer cases involved hysterectomy with sentinel lymph node biopsy, while procedures for pelvic organ prolapse included sacrocolpopexy with vaginal surgery. The patients were categorized into pre-old (70-74 years) and old (75-89 years) groups. Although prior abdominal surgery was significantly more common in the old group (58.3 vs. 13.5%, p = 0.0003), no significant differences were found in comorbidities, the operative time (242 vs. 235 min), blood loss, or the duration of hospital stay. One pre-old patient developed a pelvic infection (Clavien-Dindo grade IIIa); no other serious complications occurred, and overall complication rates were similar. Two cases of postoperative delirium were not predicted preoperatively. Perioperative risk scores indicated a low risk in both groups. While midterm postoperative outcomes were generally favorable, some patients experienced new health-related events, which were unrelated to surgery. These findings suggest that robotic surgery is feasible and that age alone should not be a contraindication. However, importantly, these outcomes were achieved in a cohort that received comprehensive perioperative care; therefore, further studies with larger cohorts are needed. Moreover, perioperative planning should consider not only physical conditions but also the cognitive and mental status, the living environment, and social support.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"308"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327261","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":"Critical appraisal of \"Multi‑perspective analysis of daVinci surgical virtual reality training: a prospective randomized controlled study\".","authors":"Mueed Iqbal, Muhammad Rayyan Syed, Muhammad Abdul Haseeb Khan, Bakhtiyar Ameer, Seema Iqbal","doi":"10.1007/s11701-025-02495-y","DOIUrl":"https://doi.org/10.1007/s11701-025-02495-y","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"309"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327259","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 thymectomy for large thymomas: a multicenter study.","authors":"Dania Nachira, Maria Teresa Congedo, Luca Bertolaccini, Pierluigi Novellis, Pietro Bertoglio, Angela De Palma, Rosalia Romano, Federico Raveglia, Khrystyna Kuzmych, Alessia Senatore, Matteo Chiari, Sebastiano Maiorca, Cinzia Scala, Matteo Petroncini, Debora Brascia, Graziana Carleo, Francesca Spinelli, Francesco Petrella, Filippo Lococo, Diego Gavezzoli, Jury Brandolini, Giuseppe Marulli, Giulia Veronesi, Lorenzo Spaggiari, Stefano Margaritora, Elisa Meacci","doi":"10.1007/s11701-025-02476-1","DOIUrl":"https://doi.org/10.1007/s11701-025-02476-1","url":null,"abstract":"<p><p>This study aimed to evaluate surgical and oncological outcomes of robot-assisted (RATS) thymectomy in the treatment of large (diameter >  = 5 cm) resectable thymomas. Clinical data of 301 thymectomies for thymoma, performed in 7 high-volume centers from 2010 to 2023, were retrospectively reviewed. 132 RATS thymectomies were performed: 59 (44.7%) for small and 73 (55.3%) for large thymomas. Conversion (p = 0.48), significant complications (p = 0.26), and hospital stay (p = 0.79) were similar in both groups. Overall, 191 large thymomas were operated on: 73(38.2%) by RATS, 118 (61.8%) by open approach. Comparing the RATS approach with the open standard approach for the treatment of large thymomas, more post-operative complications (p < 0.001) but similar major complications (p = 0.11) and a longer in-hospital stay (p < 0.001) were recorded in the open group. Five-year OS (95% vs 85%, p = 0.14) and DFS (86 vs 93%, p = 0.18) of patients affected by large thymomas were comparable between RATS and the open group. To minimize selection-confounding factors between the two large thymoma groups (RATS vs open) in relation to the outcomes, a 1:1 propensity score match (PSM) analysis was performed, and surgical and oncological outcomes reassessed. Chest tube length (p < 0.001) and in-hospital stay (p < 0.001) were confirmed to be longer in the open group. Prognostic factors for oncological outcomes for large thymomas were also confirmed after PSM analysis. Adjuvant radiotherapy was the only predictive factor (p = 0.033) affecting DFS, while no factor was confirmed for OS at multivariable analysis. RATS seems to be a safe and effective alternative to open surgery for treating large thymomas.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"307"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327262","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":"Critical appraisal of \"Sleep quality after total knee arthroplasty: a comparative analysis of robotic‑assisted and conventional techniques\".","authors":"Mueed Iqbal, Syed Muhammad Rayyan, Muhammad Abdul Haseeb Khan, Bakhtiyar Ameer, Waleeja Khan","doi":"10.1007/s11701-025-02472-5","DOIUrl":"https://doi.org/10.1007/s11701-025-02472-5","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"306"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327260","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}