Journal of Robotic Surgery最新文献

{"title":"Revolutionizing spine surgery with emerging AI-FEA integration.","authors":"Christopher Franceschini, Mohsen Ahmadi, Xuanzong Zhang, Kelly Wu, Maohua Lin, Ridge Weston, Angela Rodio, Yufei Tang, Erik Engeberg, Gui Pires, Talha S Cheema, Frank D Vrionis","doi":"10.1007/s11701-025-02772-w","DOIUrl":"10.1007/s11701-025-02772-w","url":null,"abstract":"<p><p>This study explores the integration of artificial intelligence (AI) and finite element analysis (FEA) in spine surgery, highlighting their complementary roles across preoperative planning, intraoperative execution, and postoperative outcome prediction. The synergy between AI and FEA is reshaping modern spine care by improving biomechanical modeling, enhancing surgical precision, and enabling personalized treatment strategies. In the preoperative phase, AI-augmented FEA supports the design of patient-specific surgical plans, optimizing implant placement and simulating mechanical responses under various loading conditions. Intraoperatively, AI enables real-time image-guided navigation, robotic assistance, and automated anatomical recognition, reducing the risk of surgical error. Postoperatively, predictive models built on FEA simulations and patient data assist in tracking recovery, forecasting complications, and informing rehabilitation protocols. Together, these technologies contribute to a data-driven paradigm shift toward precision spine surgery. As intelligent feedback systems, digital twins, and autonomous surgical platforms continue to evolve, AI-FEA integration is poised to play a transformative role in delivering safer, more efficient, and individualized spine care.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"615"},"PeriodicalIF":3.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081980","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":"Is cross-platform training here? A review of robotic surgery curricula.","authors":"Atanu Pal, Chamila Lakmal Munasinghe Arachchige","doi":"10.1007/s11701-025-02789-1","DOIUrl":"https://doi.org/10.1007/s11701-025-02789-1","url":null,"abstract":"<p><strong>Introduction: </strong>Robotic surgery now involves more robots of different 'types'. Training so far has been type-specific and delivered by the manufacturer. From this context emerges the need for robotic training earlier in a surgical career with content that includes cross-platform generic principles. This timely review determines the extent to which these needs are being met.</p><p><strong>Methods: </strong>A systematic search identified studies on curricula for surgeons in training.</p><p><strong>Results: </strong>Of 79 studies, 25 were included, involving basic skills (6 studies), general surgery (12 studies), gynaecology (4 studies), urology (1 study), and Trans-Oral-Robotic-Surgery (2 studies). Studies varied in size (4-70 participants), were largely observational, based in high-income countries, and used da Vinci. Teaching methods varied. Basic robotic and device training used virtual reality (VR), inanimate models, and team training. Procedural training involved synthetic models, surgical videos and robotic access in the operating room. Outcome measures included reactions, technical skills measurement, comparison to expert performance, and real-world activity (e.g., participation in robotic surgery, robotic certification).</p><p><strong>Conclusions: </strong>This review captures the cumulative nature of surgical education. The sequence involves simulation, real-world participation, metric benchmarks, certification, and service delivery. No study here captured all steps. Studies were small, predominantly from the US, on one robot type, and resource-intensive. This restricts generalisability. A global solution to robotic training should be scalable, of high educational value yet lean on resources, and cover the commonality across robot types. Training embedded in real-world service delivery is sustainable and would also facilitate training transition from industry to institution, towards a cross-platform curriculum.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"617"},"PeriodicalIF":3.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087775","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":"Safety and efficacy of robot-assisted bile ductoplasty and intrapancreatic bile duct resection in congenital biliary dilatation: a single-center retrospective cohort (2013-2024).","authors":"Daiki Kato, Chiyoe Shirota, Hiroo Uchida, Akinari Hinoki, Satoshi Makita, Katsuhiro Ogawa, Masamune Okamoto, Akihiro Yasui, Shunya Takada, Kaito Hayashi, Yoichi Nakagawa, Hiroki Ishii, Hajime Asai, Hizuru Amano, Takahisa Tainaka","doi":"10.1007/s11701-025-02782-8","DOIUrl":"10.1007/s11701-025-02782-8","url":null,"abstract":"<p><p>Robot-assisted surgery is increasingly being utilized for congenital biliary dilatation (CBD); however, limited data exist on its feasibility across age groups, particularly for bile ductoplasty and intrapancreatic bile duct (IPBD) resection. This was a retrospective cohort study that compared the outcomes of robot-assisted versus laparoscopic CBD surgery in 159 patients (Rob group: 57; Lap group: 102) treated between 2013 and 2024. In the Rob group, hospital stay was significantly shorter, enteral feeding was started earlier, and drain duration was reduced, especially in pediatric patients. Late complications (e.g., cholangitis) were significantly less common in the Rob group compared to the Lap group (3.5 vs. 18%). The length of residual IPBD was similar in both groups. Furthermore, robotic procedures facilitate a secure and accurate hilar bile ductoplasty, thereby contributing to favorable outcomes without anastomotic stenosis or hepatolithiasis. While these findings support the potential advantages of robot-assisted CBD surgery, the follow-up period was significantly shorter in the Rob group than in the Lap group, and thus definitive conclusions regarding long-term outcomes cannot yet be drawn. Robot-assisted surgery appears safe and is associated with faster short-term recovery; long-term comparative effectiveness requires longer follow-up and adjusted analyses.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"618"},"PeriodicalIF":3.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087805","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":"Comment on 'Impact of non-surgical OR time on efficiency and costs with Hugo™ RAS': methodological and operational considerations.","authors":"Naveed Amir, Salman Khan, Najeeb Ullah","doi":"10.1007/s11701-025-02794-4","DOIUrl":"https://doi.org/10.1007/s11701-025-02794-4","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"616"},"PeriodicalIF":3.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082030","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":"Knowledge, attitudes, and awareness of telesurgery and robotic surgery among medical students and health professionals in Karachi, Pakistan: a cross-sectional study.","authors":"Makhdoom Bilawal, Rafay Shahab Ansari, Aqsa Abdul Majeed, Kanza Farhan, Sardar Noman Qayyum, Areesha Shams Memon, Bushra Iqbal, Maha Raja Dahar, Sham U Aiman, Irfan Ullah","doi":"10.1007/s11701-025-02788-2","DOIUrl":"https://doi.org/10.1007/s11701-025-02788-2","url":null,"abstract":"<p><p>Telesurgery refers to the surgical procedures performed by surgeons with the help of computer or satellite-linked robotic instruments when patients are in distant areas where a surgeon's physical presence is challenging. This innovative technology has great potential, particularly in providing access to specialized surgical care in remote or underserved areas. This innovation integrates telecommunication networks with robotic surgery and offers enhanced precision, reduced invasiveness, and faster patient recovery. As telesurgery continues to evolve, understanding the knowledge, attitudes, and awareness of healthcare professionals is crucial for its successful integration into medical practice. This cross-sectional study was conducted among 1,053 medical students and health professionals aged 18 and above in Karachi, Pakistan. Participants were selected through convenience sampling and completed a self-administered questionnaire covering demographics, knowledge, attitudes, and awareness of telesurgery. The study reported that 93.9% of participants had heard about telesurgery. However, only 33.6% correctly identified the concept. Acceptance of telesurgery was reported by 44.9% of participants, while 12.1% remained uncertain. Significant associations were found between knowledge and factors such as gender, clinical status, and professional experience (p < 0.05). Participants identified high costs and reliance on technology as major barriers, while rural areas and emergency scenarios were seen as key contexts for telesurgery's application. This study offers a thorough grasp of the knowledge, attitudes, and perceptions of medical students and professionals regarding the application of telesurgery, which will be heightened by initiating awareness programs and training sessions that will enlighten the importance of telesurgery.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"614"},"PeriodicalIF":3.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081977","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":"Bibliometric analysis of global research dynamics in robot-assisted hysterectomy over the past 20 years.","authors":"Jiatong Wang, Sirui Huang, Kaiyuan Li, Jing Li, Xin Huang","doi":"10.1007/s11701-025-02783-7","DOIUrl":"10.1007/s11701-025-02783-7","url":null,"abstract":"<p><p>Compared to open or conventional laparoscopic operations, surgical robots can improve surgical control and precision, which might improve patient outcomes. Nevertheless, a thorough quantitative investigation of their precise influence on hysterectomy has not yet been carried out. The objective of this research is to assess the body of literature on robot-assisted hysterectomy from 2005 to 2025, identifying key trends and research hotspots to guide future research directions. Using information from the Web of Science database, the research performed a bibliometric analysis of publications pertaining to robot-assisted hysterectomy that were published between 2005 and 2025. Keyword clustering and study subjects were analyzed using R software and VOS viewer, exposing patterns and new areas in the area. Two hundred and seventy-five researches on robotic-assisted hysterectomy were encompassed in the investigation. Research in the area has demonstrated a global growing trend in recent years. The number of articles rose rapidly between 2009 and 2015 after being very low between 2005 and 2008. The quantity of publications has varied somewhat between 2016 and 2024, although it has mostly stayed at a high level. The US is the leading country in publications, followed by China, Japan, South Korea, as well as Italy. The United States has a larger network of foreign partners and leads in publishing. The two most published and referenced journals are Gynecologic Oncology and the Journal of Robotic Surgery. The clinical use of robotically assisted hysterectomy is the primary focus of current research hotspots. The economic analysis of robotic surgery is also an important research direction, and the transformation of robotic-assisted hysterectomy into a day surgery model is gradually becoming a significant research area. Surgical robots are a valuable tool for hysterectomy because of their benefits in minimizing blood loss, lowering hospital stays, and speeding up recovery. The study offers useful references for upcoming clinical practice and research by methodically examining the state of robot-assisted hysterectomy as well as research hotspots.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"613"},"PeriodicalIF":3.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081995","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: Healthcare resource utilization for VELYS^™ robotic-assisted solution compared to manual surgery for total knee arthroplasty. Journal of Robotic Surgery.","authors":"Ying Sun, Yangyang Zhang, Xiaoyu Liu","doi":"10.1007/s11701-025-02766-8","DOIUrl":"https://doi.org/10.1007/s11701-025-02766-8","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"612"},"PeriodicalIF":3.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076478","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":"Analysis of risk factors for lower extremity DVT following robot-assisted radical prostatectomy and nursing intervention strategies: a single centre retrospective cohort study.","authors":"Chuanliang Zhang, Yifang Hou, Xiaohua Wu, Guowei Zeng, Lei Zhao, Ming Xiao","doi":"10.1007/s11701-025-02784-6","DOIUrl":"10.1007/s11701-025-02784-6","url":null,"abstract":"<p><p>To identify independent risk factors for lower extremity deep vein thrombosis (DVT) following robot-assisted radical prostatectomy (RARP), develop a risk prediction model, and propose targeted nursing intervention strategies. A retrospective analysis was conducted on clinical data from 199 RARP patients treated between January 2023 and April 2024. Univariate and multivariate logistic regression analyses were employed to identify risk factors, followed by the development and validation of a predictive model. Non-O blood type (OR = 3.058), elevated preoperative D-dimer levels (OR = 13.729), and intraoperative hypothermia (OR = 3.497) were identified as independent risk factors for DVT. The composite prediction model demonstrated an Area Under the Curve (AUC) of 0.777. Based on these findings, nursing strategies including intraoperative temperature management, early mobilization protocols, and personalized anticoagulation regimens were formulated. Nursing practitioners should prioritize high-risk patients and implement multidimensional interventions to reduce DVT incidence. The generalizability of these findings may be limited by the retrospective single-centre design and relatively small number of DVT events.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"611"},"PeriodicalIF":3.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12441100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076396","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":"Does age affect functional and perioperative outcomes after robotic-assisted prostatectomy in localized prostate cancer?","authors":"Deerush Kannan Sakthivel, Pushan Prabhakar, Mohamed Javid Raja Iyub, Manuel Ozambela, Murugesan Manoharan","doi":"10.1007/s11701-025-02767-7","DOIUrl":"10.1007/s11701-025-02767-7","url":null,"abstract":"<p><p>Robotic-assisted laparoscopic prostatectomy (RALP) is widely accepted for treating localized prostate cancer, particularly in low- and intermediate-risk groups. However, the impact of advancing age on postoperative continence recovery and complication rates remains uncertain, often influencing treatment decisions in elderly patients. To evaluate the influence of age on continence outcomes and perioperative complications following RALP in patients with low- and intermediate-risk prostate cancer. This retrospective study included 439 patients undergoing RALP, stratified into three age groups: ≤ 60 years (n = 133), 61-70 years (n = 221), and > 70 years (n = 85). Baseline demographic, perioperative, pathological, continence recovery, and biochemical recurrence outcomes were compared across groups. Continence was assessed at 3, 6, 12, and 24 months postoperatively. Complication rates were classified using the Clavien-Dindo system. Higher comorbidity scores (≥ 3) were more frequent in patients over 70 years (25.9% vs. 9% in ≤ 60 years, p = 0.022). Mean preoperative PSA was significantly higher in the oldest group (7.67 vs. 6.54 ng/mL, p = 0.039). Operative time and estimated blood loss were similar across groups (p = 0.138 and p = 0.677). Length of stay showed a trend toward longer hospitalization in older patients (≥ 3 days: 21.2% in > 70 vs. 7.5% in ≤ 60 years, p = 0.058). Pathological staging and Gleason grades were comparable (p > 0.3). Continence recovery at 3 months was similar (70.6-72.2%, p = 0.27), with slightly lower rates at 1 year in patients > 70 years (77.6% vs. 88.0% in ≤ 60). Biochemical recurrence rates and adjuvant therapy usage did not differ significantly (p > 0.6). Only 3 major complications exceeding Clavien-Dindo grade 2 were reported (p > 0.8). RALP is safe and effective across age groups, including elderly patients, with comparable oncologic and functional outcomes. Age alone should not preclude consideration of RALP in appropriately selected patients. These findings support individualized counseling and treatment planning to optimize outcomes in older adults.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"609"},"PeriodicalIF":3.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070937","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":"Reimagining breast surgery: robotic surgery, artificial intelligence, and the new frontier of plastic surgery.","authors":"Murtaja Satea Shafeea, Mor Rittblat, Aaron M Dingle","doi":"10.1007/s11701-025-02799-z","DOIUrl":"https://doi.org/10.1007/s11701-025-02799-z","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"610"},"PeriodicalIF":3.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070940","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}