Journal of Robotic Surgery最新文献_第10页

Short-term outcomes of robotic versus laparoscopic gastrectomy for proximal gastric cancer: a systematic review and meta-analysis of propensity score-matched or baseline-balanced retrospective studies. 机器人与腹腔镜胃切除术治疗近端胃癌的短期疗效：倾向评分匹配或基线平衡回顾性研究的系统回顾和荟萃分析

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-06-23 DOI: 10.1007/s11701-025-02415-0

Yang Yu, Suguru Yamauchi, Peining Zhang, Tetsu Fukunaga

{"title":"Short-term outcomes of robotic versus laparoscopic gastrectomy for proximal gastric cancer: a systematic review and meta-analysis of propensity score-matched or baseline-balanced retrospective studies.","authors":"Yang Yu, Suguru Yamauchi, Peining Zhang, Tetsu Fukunaga","doi":"10.1007/s11701-025-02415-0","DOIUrl":"10.1007/s11701-025-02415-0","url":null,"abstract":"The optimal minimally invasive surgical approach for proximal gastric cancer (PGC) remains controversial. This systematic review and pairwise meta-analysis incorporated propensity score-matched (PSM) and retrospective studies with balanced baseline characteristics (BB) studies. The objective of this study was to evaluate perioperative outcomes of robotic gastrectomy (RG) compared with laparoscopic gastrectomy (LG) in patients with PGC. A comprehensive literature search was carried out in alignment with PRISMA standards to identify eligible studies. Short-term outcomes were categorized into four domains: surgical performance, resection quality, postoperative complications, and recovery outcomes. Mean differences (MDs) and odds ratios (ORs), along with their corresponding 95% confidence intervals (CIs), were calculated as effect size estimates. Assessment of study quality involved evaluating the risk of bias and assessing potential publication bias, while heterogeneity and its potential sources were examined through sensitivity and subgroup analyses. This study included five PSM studies and three BB studies, with a total of 1163 PGC patients. Although RG was associated with a longer operative time compared to LG, it demonstrated advantages including reduced intraoperative blood loss, a greater number of dissected lymph nodes, shorter hospital stay, and earlier onset of flatus and oral intake. No statistically significant differences were observed in proximal margin, distal margin, non-R0 resection rate, overall complications, major complications, anastomotic leakage, anastomotic stricture, or reflux esophagitis. RG may provide improved short-term outcomes over LG for PGC. However, further high-quality evidence is necessary to validate these findings and thoroughly assess long-term outcomes.PROSPERO Registration: CRD420251019756.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"318"},"PeriodicalIF":2.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477317","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}

引用次数: 0

Correction: A comparison of open, laparoscopic, and robotic radical nephrectomy with tumor thrombectomy from the intercontinental collaboration on renal cell carcinoma. 更正：来自肾细胞癌洲际合作的开放、腹腔镜和机器人根治性肾切除术与肿瘤血栓切除术的比较。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-06-23 DOI: 10.1007/s11701-025-02492-1

Maxwell Sandberg, Gregory Russell, Jacob Malakismail, Mitchell Hayes, Reuben Ben David, Justin Miller, Kartik Patel, Brejjette Aljabi, Seok-Soon Byun, Oscar Rodriguez Faba, Donato Cannoletta, Tatiana Letowski, Gustavo Villoldo, Patricio Garcia Marchinena, Thiago Mourao, Gaetano Ciancio, Charles C Peyton, Rafael Zanotti, Philippe E Spiess, Reza Mehrazin, Diego Abreu, Stenio de Cassio Zequi, Alejandro Rodriguez

引用次数: 0

Comparing approaches to benign hysterectomy using conventional multi-port and newer single-port robots: a propensity score matching analysis of surgical outcomes and literature review. 比较使用传统多孔机器人和新型单孔机器人进行良性子宫切除术的方法：手术结果的倾向评分匹配分析和文献综述。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-06-23 DOI: 10.1007/s11701-025-02448-5

Naofumi Higuchi, Kiyoshi Kanno, Hiroshi Onji, Sayaka Masuda, Ryo Taniguchi, Yoshifumi Ochi, Yoshiko Kurose, Mari Sawada, Shiori Yanai, Tsutomu Hoshiba, Masaaki Andou

{"title":"Comparing approaches to benign hysterectomy using conventional multi-port and newer single-port robots: a propensity score matching analysis of surgical outcomes and literature review.","authors":"Naofumi Higuchi, Kiyoshi Kanno, Hiroshi Onji, Sayaka Masuda, Ryo Taniguchi, Yoshifumi Ochi, Yoshiko Kurose, Mari Sawada, Shiori Yanai, Tsutomu Hoshiba, Masaaki Andou","doi":"10.1007/s11701-025-02448-5","DOIUrl":"10.1007/s11701-025-02448-5","url":null,"abstract":"To compare the surgical outcomes of robot-assisted hysterectomy (RAH) for benign diseases using da Vinci SP (SP) and da Vinci Xi (Xi). A retrospective study with propensity score matching (PSM) analysis. An urban general hospital in Japan. 346 patients who underwent RAH at a single institution between May 2023 and April 2024. A 1:1 PSM analysis was performed using age, body mass index, number of previous deliveries, history of abdominal surgery, uterine weight, and severe endometriosis as covariates. Variables extracted for analysis included operative time, docking time, console time, estimated blood loss (EBL), hemoglobin drop, postoperative hospital stay, major intraoperative complication rates, and postoperative complication rates (Clavien-Dindo classification ≥ Grade 3), conversion to laparotomy, and blood transfusion requirements. After PSM, 262 patients (131 in each group) were included in this study. The median (range) of operative time, docking time, console time, EBL, and postoperative hospital stay were 94 (39-191) vs. 77 (33-194) min (p < 0.001), 2 (1-8) vs. 2 (1-6) min (p=0.088), 66 (27-178) vs. 62 (25-144) min (p=0.003), 5 (5-650) vs. 5 (5-350) mL (p=0.394), and 4 (3-15) vs. 4 (3-9) days (p=0.688), respectively, for SP and Xi groups. No major intraoperative complications, blood transfusions, or conversions to laparotomy were observed in either group. Postoperative complications occurred in 3.1% and 1.5% of patients of SP and Xi groups, respectively (p=0.684). The learning curve for RAH using SP indicated proficiency after eight cases. SP can be a safe alternative robotic platform to Xi for RAH.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"320"},"PeriodicalIF":2.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477313","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}

引用次数: 0

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. 机器人辅助前列腺切除术和局部前列腺癌放疗后功能并发症和生活质量：来自系统回顾和荟萃分析的证据

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-06-22 DOI: 10.1007/s11701-025-02496-x

Yang Liu, Yanan Wang, Xi Xiao, Chengyu You, Peng Yu, Qixiang Fang, Yongjin Yang, Zhilong Dong

{"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":"10.1007/s11701-025-02496-x","url":null,"abstract":"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.","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}

引用次数: 0

Medical students' attitude toward robotic surgery: time to revise medical school curricula? 医学生对机器人手术的态度：是时候修改医学院课程了？

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-06-22 DOI: 10.1007/s11701-025-02417-y

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

{"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":"10.1007/s11701-025-02417-y","url":null,"abstract":"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.","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}

引用次数: 0

Author's reply to "Comment on robotic surgery in abdominal aortoiliac aneurysm and occlusive disease: a systematic review and single-arm meta-analysis". 作者对“机器人手术治疗腹主动脉髂动脉瘤和闭塞性疾病的评论：系统综述和单臂荟萃分析”的回复。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-06-21 DOI: 10.1007/s11701-025-02498-9

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

引用次数: 0

A mixed-method survey study evaluating two robotic surgical training courses in Germany. 一项评估德国两个机器人外科培训课程的混合方法调查研究。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-06-21 DOI: 10.1007/s11701-025-02493-0

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

{"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":"10.1007/s11701-025-02493-0","url":null,"abstract":"Background: 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.Materials and methods: 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.Results: 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.Conclusion: Robotic surgery is increasing worldwide and therefore adequate robotic surgical training courses are needed to train the future generations of surgeons.","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}

引用次数: 0

Outcomes of robotic-assisted surgery for pediatric renal tumors: a systematic review. 儿童肾脏肿瘤机器人辅助手术的结果：系统综述。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-06-20 DOI: 10.1007/s11701-025-02473-4

Amani N Alansari, Mohmed Sayed Zaazouee, Alaa Ahmed Elshanbary

{"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":"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.","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}

引用次数: 0

The rise of robotics and AI-assisted surgery in modern healthcare. 机器人和人工智能辅助手术在现代医疗保健中的兴起。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-06-20 DOI: 10.1007/s11701-025-02485-0

Jack Ng Kok Wah

{"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":"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.","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}

引用次数: 0

Robot-assisted gynecologic surgery in elderly patients: perioperative outcomes and risk assessment in patients aged 70 years and older. 老年患者机器人辅助妇科手术：70岁及以上患者围手术期结局及风险评估

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-06-19 DOI: 10.1007/s11701-025-02479-y

Mai Nakazono, Mika Mizuno, Shinichi Togami, Hikaru Hobara, Motohisa Onigahara, Mika Fukuda, Hiroaki Kobayashi

{"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":"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.","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}

引用次数: 0