Journal of Robotic Surgery最新文献

{"title":"Comment on \"Subjective workload in operating room team members during robotic hernia procedures\".","authors":"Syed Huzaifa Khan, Abuzar Farhad, Ubaid Ullah, Hammad Khan","doi":"10.1007/s11701-025-02730-6","DOIUrl":"https://doi.org/10.1007/s11701-025-02730-6","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"571"},"PeriodicalIF":3.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008583","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 \"Comparative outcomes of intracorporeal and extracorporeal urinary diversion in robotic cystectomy: a systematic review and meta-analysis\".","authors":"Gita Venkata Siva Maruthi Alluri, V Sushma Naidu, Koyel Roy","doi":"10.1007/s11701-025-02728-0","DOIUrl":"https://doi.org/10.1007/s11701-025-02728-0","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"569"},"PeriodicalIF":3.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008597","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":"Global research trends in endoscopic breast surgery: a bibliometric analysis from 1994 to 2024.","authors":"Yingnan Wang, Ruocen Liao, Dixuan Xue, Shengtao Hu, Zheyin Chen, Weizhen Zheng, Yuchen Sun, Zhijun Dai","doi":"10.1007/s11701-025-02746-y","DOIUrl":"https://doi.org/10.1007/s11701-025-02746-y","url":null,"abstract":"<p><p>Endoscopic breast surgery (EBS) is designed to reduce surgical trauma and optimize cosmetic outcomes through inconspicuous incisions. However, a comprehensive understanding of the evolution of research focus in EBS is lacking. This study aimed to analyze global publication trends, academic impacts, and evolving research directions in the field of EBS. The Web of Science Core Collection database was searched for publications related to EBS from database inception to December 31, 2024. Bibliometrix, CiteSpace, VOSviewer, and Scimago Graphica were utilized to analyze publication and citation trends, contributive countries, prolific institutions, influential authors, significant journals, and research hotspots. Among the 2074 publications initially identified, 333 met the inclusion criteria. The number of annual publications grew exponentially post-2019. China, South Korea, and the United States dominated research productivity, with Changhua Christian Hospital as the top institution. Lai HW was the most influential author, and Aesthetic Plastic Surgery was among the leading journals. Keyword analysis revealed a focus on endoscopic nipple-sparing mastectomy, breast reconstruction, and oncological safety. Research hotspots shifted from feasibility evaluations to advanced reconstructive techniques and robot-assisted surgeries. Research on EBS has undergone significant evolution over the past three decades. This study provides valuable insights into the current research landscape and development trends in EBS, offering guidance to researchers, clinicians, and policymakers to promote the field and improve patient outcomes. Priority should be given to future research evaluating long-term oncological safety, cost-effectiveness, and the implementation of large-scale multicenter trials to establish standardized protocols and evidence-based practices.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"568"},"PeriodicalIF":3.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006677","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":"Saturation of respiratory strain during robotic hysterectomy in obese women with endometrial cancer.","authors":"Edward R Kost, Martin W Goros, Paulina R Ramirez, Devin B Burroughs, Jonathan A Gelfond, Georgia A McCann","doi":"10.1007/s11701-025-02739-x","DOIUrl":"10.1007/s11701-025-02739-x","url":null,"abstract":"<p><p>To evaluate intraoperative ventilatory mechanics during robotic-assisted hysterectomy in obese women with endometrial cancer and introduce the concept of a physiologic \"ceiling effect\" in respiratory strain. We conducted a retrospective cohort study of 89 women with biopsy-confirmed endometrial cancer who underwent robotic-assisted total hysterectomy between 2011 and 2015. Intraoperative ventilatory parameters, including plateau airway pressure and static lung compliance, were recorded at five-minute intervals. Each patient's peak plateau pressure was identified to calculate static compliance and estimate maximum ventilatory strain. Patients were stratified by body mass index (BMI), and ventilatory parameters were compared across BMI categories at baseline (post-induction, supine) and during steep Trendelenburg positioning with carbon dioxide pneumoperitoneum. At baseline, increasing BMI was significantly associated with higher plateau airway pressure and lower static compliance. For example, plateau pressure increased from 18.6 ± 3.4 cm of water (cm H₂O) in patients with BMI less than 30 kg per square meter to 25.9 ± 3.3 cm H₂O in those with BMI greater than or equal to 50 (p < 0.001). However, following Trendelenburg positioning with pneumoperitoneum, peak plateau pressures converged across BMI categories, averaging 35.0 ± 3.3 cm H₂O (p = 0.167). Static compliance also converged across BMI strata, averaging 17.2 ± 4.2 ml per cm H₂O (p = 0.129). Pulmonary complications occurred in 4.5% of patients, with no cases of barotrauma or prolonged mechanical ventilation. Intraoperative ventilatory strain appears driven primarily by surgical positioning and pneumoperitoneum, rather than obesity alone. These findings support the feasibility and safety of robotic-assisted hysterectomy across a wide range of body mass index values and introduce the novel concept of a physiologic ceiling effect in ventilatory stress.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"567"},"PeriodicalIF":3.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024421","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":"Global trends and outcomes in robotic vs. laparoscopic Roux-en-Y gastric bypass: a 25-year meta-analysis of 38,647 patients across 27 countries.","authors":"Danilo Coco, Silvana Leanza","doi":"10.1007/s11701-025-02544-6","DOIUrl":"10.1007/s11701-025-02544-6","url":null,"abstract":"<p><p>The ongoing debate regarding comparative outcomes between robotic (RRYGB) and laparoscopic (LRYGB) Roux-en-Y gastric bypass necessitates large-scale, longitudinal analysis. This PRISMA-compliant meta-analysis represents the most comprehensive evaluation to date, synthesizing data from 42 high-quality comparative studies (2000-2025) encompassing an initial screening population of 482,915 procedures. After rigorous selection, our final analysis included 38,647 patients from 27 countries, offering unprecedented geographical and temporal granularity. Temporal trends revealed three distinct eras: the pioneering phase (2000-2008; 8 studies, 4,215 patients), rapid adoption period (2009-2016; 14 studies, 12,893 patients), and contemporary dominance (2017-2025; 20 studies, 21,539 patients). Geographically, North America led with 23 studies (54.8%) and 22,187 patients (57.4%), followed by Europe (14 studies, 11,239 patients) and emerging Asian centers (5 studies, 5,221 patients). Robotic adoption demonstrated exponential growth from 0.2% of cases in 2000-2008 to 5.7% in 2017-2025, while maintaining equivalent safety profiles to laparoscopy. Pooled analysis showed RRYGB required longer operative times (+ 38.7 min, p < 0.001) but offered superior intraoperative safety, including reduced blood loss (-28.3 mL, p < 0.001) and lower conversion rates (0.8% vs 1.1%, p = 0.03). Thirty-day outcomes revealed comparable mortality (0.06% vs 0.11%, p = 0.42) and major complications (4.2% vs 4.5%, p = 0.61). Long-term efficacy remained equivalent, with similar 1-year excess weight loss (68.3% vs 67.1%, p = 0.24) and 5-year diabetes remission rates (68.2% vs 65.7%, p = 0.28). These findings demonstrate that while RRYGB requires greater operative time investment, it provides measurable technical advantages without compromising safety or efficacy. The data support selective robotic adoption, particularly in complex cases where precision outweighs efficiency considerations, while highlighting the need for cost-effectiveness analyses to guide broader implementation. The study's unprecedented scale and geographical diversity provide robust evidence for global surgical practice and policy decisions.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"561"},"PeriodicalIF":3.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001620","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-assisted surgery for acute abdominal emergencies: a systematic review of 1142 cases.","authors":"Danilo Coco, Silvana Leanza","doi":"10.1007/s11701-025-02657-y","DOIUrl":"10.1007/s11701-025-02657-y","url":null,"abstract":"<p><p>This comprehensive systematic review assesses the clinical outcomes of robotic-assisted procedures for acute abdominal emergencies, analyzing data from 27 studies comprising 1142 cases. The investigation specifically examines five critical emergency conditions: complicated appendicitis (representing 32.5% of cases), acute cholecystitis (28.7%), small bowel obstruction (15.2%), perforated peptic ulcers (9.8%), and acute diverticulitis (7.4%). Analysis reveals robotic procedures averaged 152 min (± 38) in duration, with an overall conversion rate of 9.1%. Complication rates showed no significant difference from laparoscopic methods (13.2% versus 14.7%, p = 0.21). The data highlight two significant robotic advantages: improved intraoperative hemostasis (85 mL versus 120 mL average blood loss, p = 0.03) and lower conversion rates among obese patients (11.3% versus 18.6%, p = 0.04). These findings indicate that robotic systems may provide distinct technical benefits for specific emergency scenarios while delivering safety outcomes equivalent to traditional minimally invasive surgery.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"558"},"PeriodicalIF":3.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001634","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":"Interpretable machine learning model predicts 1-year inguinal hernia risk after robot-assisted radical prostatectomy.","authors":"Weidong Yu, You Ma, Junchao Wu, Meng Zhang, Cheng Yang","doi":"10.1007/s11701-025-02723-5","DOIUrl":"10.1007/s11701-025-02723-5","url":null,"abstract":"<p><p>Inguinal hernia represents a clinically significant yet underreported complication of robot-assisted radical prostatectomy (RARP) for localized prostate cancer, with a notably high incidence within the first postoperative year. Despite its adverse impact on quality of life and potential for severe sequelae, predictive tools for this outcome remain limited. To develop and validate the first machine learning (ML)-based clinical prediction model for inguinal hernia within 1 year after RARP, leveraging explainable artificial intelligence (AI) techniques for clinical interpretability. This retrospective study analyzed localized prostate cancer patients who underwent RARP between June 1, 2021 and May 1, 2023 at our center. Least absolute shrinkage and selection operator (LASSO) regression identified five key predictors from multiple clinical parameters. Five ML algorithms were developed and evaluated on a 70:30 training-test split. Model performance was assessed via area under the curve (AUC), accuracy, specificity, and decision curve analysis (DCA). SHapley Additive exPlanations (SHAP) methodology provided interpretable feature attribution. The final analysis included 652 eligible patients. Extreme gradient boosting (XGBoost) demonstrated superior discriminative ability, with an AUC of 0.833 (95% CI: 0.770-0.895) in the validation set and 0.791 (95% CI: 0.734-0.848) in the test set. SHAP analysis identified five critical predictors ranked by impact: age, body mass index (BMI), preoperative albumin level, T stage, and history of abdominal surgery. This study established the first ML-driven predictive model for post-RARP inguinal hernia, with XGBoost demonstrating optimal performance. High-risk patients identified by the model warrant personalized proactive interventions.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"564"},"PeriodicalIF":3.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001647","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":"Critique on construction of a risk factor prediction model of postoperative complications of elderly patients with colorectal cancer using machine learning.","authors":"Waleed Ahmad, Safia Bibi, Mashal Naveed, Laiba Tanveer, Hazrat Ali","doi":"10.1007/s11701-025-02717-3","DOIUrl":"https://doi.org/10.1007/s11701-025-02717-3","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"559"},"PeriodicalIF":3.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001639","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 \"Evaluation of single‑port TORS tongue base resection for obstructive sleep apnea: safety and patient outcomes\".","authors":"Hunain Shahbaz, Ibadullah Tahir","doi":"10.1007/s11701-025-02750-2","DOIUrl":"https://doi.org/10.1007/s11701-025-02750-2","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"563"},"PeriodicalIF":3.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001657","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":"Is it prime time for stent-less robotic radical cystectomy? A scoping review.","authors":"Sidharth Misra, Rahul Bisht, Zainab Yusufali Motiwala, Aditya Puniyani, Arusha Desai, Nihar Duddu, Danny Darlington Carbin","doi":"10.1007/s11701-025-02740-4","DOIUrl":"10.1007/s11701-025-02740-4","url":null,"abstract":"<p><p>The gold standard treatment for muscle-invasive bladder cancer (MIBC) still is radical cystectomy. Thanks to better peri-operative results than open surgery, robotic-assisted radical cystectomy (RARC) has become somewhat well-known. Though they are linked with problems like infection, pain, and higher healthcare expenses, conventionally ureteral stents are used during urinary diversion to minimize anastomotic leaks and strictures. This has spurred growing interest in stent-less urinary diversion methods. To assess the present data on the feasibility, safety, efficacy, and clinical outcomes of stent-less robotic-assisted radical cystectomy and decide if the stent-less technique is ready for general clinical use, a comprehensive literature review was conducted using PubMed, EMBASE, and Cochrane databases with search terms: \"robotic cystectomy,\" \"ureteral stent,\" \"stent-less urinary diversion,\" \"complications,\" and \"postoperative outcomes.\" Studies comparing outcomes of stented and stent-less RARC published in peer-reviewed journals were reviewed, with exclusion of pediatric studies and those exclusively focusing on open cystectomy. With respect to anastomotic integrity, complication rates, patient comfort, and cost-effectiveness, emerging studies show that stent-less RARC is viable in suitably selected patients and yields either comparable or possibly better results. Widespread acceptance is now limited, nonetheless, by variation in surgical procedures and institutional experience. Stent-less robotic cystectomy is interesting with possible benefits in terms of lower complications and higher patient satisfaction. Larger prospective randomized controlled trials and standardized surgical techniques are required, nonetheless, before suggesting regular use in clinical practice.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"560"},"PeriodicalIF":3.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001663","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}