Journal of Robotic Surgery最新文献_第2页

Concurrent robotic colorectal surgical oncology training within a structured mentored international fellowship program. 在结构化指导的国际研究金项目中同时进行机器人结直肠肿瘤外科培训。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-27 DOI: 10.1007/s11701-025-02287-4

Trevor M Yeung, Philip Bauer, Ramy Behman, Andrea Marcadis, Adam Studniarek, Garrett Nash, Julio Garcia-Aguilar

{"title":"Concurrent robotic colorectal surgical oncology training within a structured mentored international fellowship program.","authors":"Trevor M Yeung, Philip Bauer, Ramy Behman, Andrea Marcadis, Adam Studniarek, Garrett Nash, Julio Garcia-Aguilar","doi":"10.1007/s11701-025-02287-4","DOIUrl":"10.1007/s11701-025-02287-4","url":null,"abstract":"Robotic colorectal surgery is increasingly adopted worldwide, with mentored programs for established surgeons becoming more common. However, there is a paucity of dedicated robotic training programs for colorectal fellows. This study aims to assess the feasibility and efficacy of a structured, apprentice-based robotic colorectal training program delivered to multiple fellows concurrently. The fellowship program incorporates simulation training, dry/wet laboratory work, dedicated robotic console time in the operating room (OR) and individualised mentorship. Overall robotic proficiency was assessed using the Global Evaluative Assessment of Robotic Skills (GEARS) and procedure-specific proficiency was assessed using a modified European Academy of Robotic Colorectal Surgery (EARCS) Global Assessment Score (GAS) throughout the fellowship. A total of 59 cases (29 right hemicolectomies, 30 anterior resections) were evaluated between August 2023 and July 2024. Significant improvements were observed in GEARS scores (p = 0.0065) and modified GAS for both right hemicolectomies (p = 0.0052) and anterior resections (p = 0.0005), demonstrating a high level of competence and independence. Mean operative times were 213 min (right hemicolectomy) and 328 min (anterior resection). Median length of stay in the hospital was 2 days (right hemicolectomy) and 4 days (anterior resection). Median lymph node yield was 29 (right hemicolectomy) and 26 (anterior resection). There was 0% involved margins for both procedures. Robotic colorectal surgical oncology training delivered to multiple fellows concurrently in an apprenticeship model with dedicated console time is achievable and successful, leading to high levels of robotic competency and independence, whilst maintaining a high standard of clinical care and oncological outcome.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"129"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732170","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

Robotic versus open surgery for ureteroenteric stricture after radical cystectomy: a systematic review and meta-analysis. 根治性膀胱切除术后输尿管肠管狭窄的机器人手术与开放手术：系统综述与荟萃分析。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-27 DOI: 10.1007/s11701-025-02295-4

Gen Fan, Jiakai Ma, Yinyu Wu, Junji Wang, Yu Wang, Yushui Chen, Ke Hu, Tielong Tang

{"title":"Robotic versus open surgery for ureteroenteric stricture after radical cystectomy: a systematic review and meta-analysis.","authors":"Gen Fan, Jiakai Ma, Yinyu Wu, Junji Wang, Yu Wang, Yushui Chen, Ke Hu, Tielong Tang","doi":"10.1007/s11701-025-02295-4","DOIUrl":"https://doi.org/10.1007/s11701-025-02295-4","url":null,"abstract":"Ureteroenteric stricture (UES) frequently occurs as a postoperative complication following radical cystectomy, potentially causing severe clinical issues. The aim of this study was to systematically review and meta-analyze to compare the clinical efficacy and safety of robot-assisted ureteroenteric reimplantation (RUER) versus open ureteroenteric reimplantation (OUER) in the treatment of UES. The research was comprehensively explored in the PubMed, Embase, Cochrane Library, and Web of Science databases, covering the timeframe from their inception up to January 17, 2025. The research included quality-evaluated observational studies that compared RUER with OUER for UES. The primary assessment metric was the rate of stenosis recurrence versus reconstruction success. This analysis covered four studies involving a total of 161 participants, with 39 in the OUER cohort and 122 in the RUER cohort. The findings indicated that the RUER cohort experienced a shorter hospital stay than the OUER cohort (RR = - 3.18, 95% CI [- 4.88, - 1.48], p < 0.05). However, there were no notable differences between the two cohorts in terms of stenosis recurrence, reconstruction success, surgical duration, blood loss, intraoperative complications, minor issues, or the incidence of severe complications. RUER has the advantage of shorter hospitalization time than conventional open surgery in the treatment of UES, and both perform comparably in terms of safety. Nevertheless, it is essential to recognize that larger-scale randomized controlled studies are needed to thoroughly validate the reliability of these findings.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"130"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732102","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: Complete hepatic caudate lobe resection: is robotic approach safe? Report from experienced centers. 纠正：完全肝尾状叶切除术：机器人入路安全吗？由经验丰富的中心报告。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-27 DOI: 10.1007/s11701-025-02266-9

Greta Donisi, Emanuele Doria, Gregory Sergeant, Gemma Bosch, Fernando Burdio, Celine De Meyere, Mathieu D'Hondt, Fabrizio Di Benedetto, Rosalinda Filippo, Annarita Libia, Victor Lopez-Lopez, Paolo Magistri, Riccardo Memeo, Patricia Sanchez-Velazquez, Marcello Giuseppe Spampinato, Ricardo Robles-Campos, Iswanto Sucandy, Benedetto Ielpo

引用次数: 0

Preliminary results of feasibility, safety and efficacy of robotic assisted laparoscopic pyeloplasty with the SHURUI single-port robotic surgical platform in children. SHURUI单口机器人手术平台辅助儿童腹腔镜肾盂成形术的可行性、安全性和有效性初步结果

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-27 DOI: 10.1007/s11701-025-02294-5

Yangyue Huang, Weiping Zhang, Hongcheng Song, Yuzhu He, DeFu Lin, Minglei Li, Ning Li, Chao Liu, Wenwen Han

{"title":"Preliminary results of feasibility, safety and efficacy of robotic assisted laparoscopic pyeloplasty with the SHURUI single-port robotic surgical platform in children.","authors":"Yangyue Huang, Weiping Zhang, Hongcheng Song, Yuzhu He, DeFu Lin, Minglei Li, Ning Li, Chao Liu, Wenwen Han","doi":"10.1007/s11701-025-02294-5","DOIUrl":"10.1007/s11701-025-02294-5","url":null,"abstract":"This study aims to evaluate the feasibility, safety and efficacy of robotic assisted laparoscopic pyeloplasty (RALP) with the novel SHURUI single-port (SR-SP) robotic surgical platform in children. Between November 2023 and April 2024, 20 pediatric patients diagnosed with ureteropelvic junction obstruction (UPJO) underwent transperitoneal RALP with the SR-SP surgical platform. Baseline characteristics, perioperative parameters and follow-up data were collected and analyzed. All surgical procedures were successfully performed without conversion to open or laparoscopic surgery. The median docking time, console time, and operative time were 3.5 min (range 3.5-6.0), 144.5 min (range 88.0-290.0), and 221.5 min (range 136.0-450.0), respectively. The median estimated blood loss was 5 ml (range 2-20) and the median length of hospital stays was 6 days (range 4-24). Through trans-umbilical incision, RALP was feasible in patients with a height of no less than 114 cm. The minimum incision length was 2 cm. No intraoperative complication was identified. Two cases were identified with the Clavien-Dindo Grade II postoperative complications and one with the Clavien-Dindo Grade III complications. The surgical success rate was 95%. The median SCAR scale score for incision scars was 2 points (range 1-3). Surgeons reported a favorable technical difficulty rating with a National Aeronautics and Space Administration Task Load Index (NASA-TLX) score of 30.7. RALP using the novel SR-SP robotic surgical platform is feasible, safe and effective in older children. The SR-SP surgical platform may serve as a promising alternative to the da Vinci SP surgical platform.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"128"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721925","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

"Fish-hook" suturing technique reduces vascular injuries of the pelvic wall during vesico-urethral anastomosis and impacts urinary continence in robot-assisted radical prostatectomy. “鱼钩”缝合技术减少膀胱尿道吻合术中骨盆壁血管损伤，影响机器人辅助根治性前列腺切除术中的尿失禁。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-27 DOI: 10.1007/s11701-025-02275-8

Yuta Yamada, Naoki Kimura, Yuji Hakozaki, Takuya Iwaki, Koki Sugano, Shohei Suda, Shigenori Kakutani, Kazuma Sugimoto, Haruki Kume

{"title":"\"Fish-hook\" suturing technique reduces vascular injuries of the pelvic wall during vesico-urethral anastomosis and impacts urinary continence in robot-assisted radical prostatectomy.","authors":"Yuta Yamada, Naoki Kimura, Yuji Hakozaki, Takuya Iwaki, Koki Sugano, Shohei Suda, Shigenori Kakutani, Kazuma Sugimoto, Haruki Kume","doi":"10.1007/s11701-025-02275-8","DOIUrl":"10.1007/s11701-025-02275-8","url":null,"abstract":"The objective of the present study was to describe our novel suturing technique, the \"Fish-hook\", during urethra-vesico anastomosis in a robot-assisted radical prostatectomy procedure. The medical information was extracted from the clinical records of 348 patients with prostate cancer who underwent robot-assisted radical prostatectomy at Chiba Tokushukai Hospital between April 2017 and June 2023. The impact of the \"Fish-hook\" technique on surgical outcomes was examined by statistical analysis. The \"Fish-hook\" technique was not used in 123 patients (Group 1) and was used in 225 patients (Group 2). The suturing time for urethra-vesico anastomosis was significantly shorter in Group 2. The number of cases with the needle-driver having no contact with the pelvic wall during anastomosis was 51 vs. 212 cases (Group 1 vs. Group 2; P < 0.01). The hemostasis associated with the injury to the pelvic wall was observed in 14 and 6 cases of Group 1 and 2, respectively. Additionally, Cox proportional hazard models show that urinary continence recovery was shorter in Group 2 than in Group 1 (time to pad 1 per day/pad free is 110/365 days vs. 87/181 days; P = 0.01/< 0.01, respectively) The \"Fish-hook\" suturing technique showed an excellent outcome regarding urinary continence. This suturing method allows the surgeons to perform sutures in small working spaces without injuring the pelvic wall.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"126"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721918","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

Robotics versus open surgery: the impact on cytokine release and patient outcomes. 机器人与开放手术：对细胞因子释放和患者预后的影响。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-26 DOI: 10.1007/s11701-025-02282-9

Sidharth Misra, Zainab Yusufali Motiwala, Aditya Puniyani, Laaiba Shamsi, Fatima Nadeem, Danny Darlington Carbin

{"title":"Robotics versus open surgery: the impact on cytokine release and patient outcomes.","authors":"Sidharth Misra, Zainab Yusufali Motiwala, Aditya Puniyani, Laaiba Shamsi, Fatima Nadeem, Danny Darlington Carbin","doi":"10.1007/s11701-025-02282-9","DOIUrl":"https://doi.org/10.1007/s11701-025-02282-9","url":null,"abstract":"Surgical techniques have witnessed a significant evolution with the advent of robotic surgery. The impact of robotic surgery on the body's immune system, specifically its role in causing cytokine storm has gained interest. The present narrative review explores the association between robotic surgery and cytokine release in the body and attempts to contrast it with open surgical technique consequently, highlighting the impact on patient outcomes. A literature review was conducted using PubMed, Embase, Google Scholar, Web of Science and Cochrane databases. Screening was done using the keywords \"Robotic Surgery,\" \"Robot Assisted Surgery,\" \"Conventional Surgery,\" \"Cytokine,\" \"Tissue Injury,\" \"Inflammatory Response,\" and \"IL-6.\" A total of 5379 articles were identified in the literature search out of which 5172 article records were excluded after the title and abstract screening that was done by two independent reviewers. 207 full text articles were assessed for eligibility and 154 were excluded. Finally, 53 articles were used as a core for this review article. Robotic surgery has been found to have a lower cytokine response and improved clinical outcomes in comparison to the open approach. It is crucial to consider the confounding factors when evaluating the postoperative outcomes that could affect the relationship between the surgical approach, cytokine release and clinical outcomes.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"125"},"PeriodicalIF":2.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732106","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

Expanding access to high-quality surgical care in Africa: a landmark achievement in telesurgery. 扩大非洲高质量外科护理的可及性：远程手术的里程碑式成就。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-24 DOI: 10.1007/s11701-025-02292-7

Marcio Covas Moschovas, Kenneth Palmer, Giovana Barani, Cathy Corder, Peter Carnegie, Timesh Dhanji, Ela Patel, Apolineo Paxi, Jacinta Chaves Figueiredo, Belmira Luís, Alberto Matos, Mischa Dohler, Vipul Patel

{"title":"Expanding access to high-quality surgical care in Africa: a landmark achievement in telesurgery.","authors":"Marcio Covas Moschovas, Kenneth Palmer, Giovana Barani, Cathy Corder, Peter Carnegie, Timesh Dhanji, Ela Patel, Apolineo Paxi, Jacinta Chaves Figueiredo, Belmira Luís, Alberto Matos, Mischa Dohler, Vipul Patel","doi":"10.1007/s11701-025-02292-7","DOIUrl":"https://doi.org/10.1007/s11701-025-02292-7","url":null,"abstract":"Telesurgery, the use of robotic technology and telecommunications to perform surgical procedures remotely, has emerged as a groundbreaking advancement in modern medicine. Since the landmark Lindbergh operation in 2001, where a surgeon in New York successfully operated on a patient in France, telesurgery has demonstrated its potential to overcome geographical barriers and improve access to specialized surgical care. Technological advancements in robotic platforms, high-speed networks, and secure data transmission have addressed many of the initial challenges, enabling safer and more precise remote operations. This study explores the feasibility of telesurgery and its implementation in resource-limited settings. A pioneering effort in Africa involved the successful completion of two radical prostatectomies via telesurgery in Angola using the MicroPort® MedBot™ robotic platform. These procedures, conducted with robust telecommunications infrastructure and skilled surgical teams, highlight the humanitarian potential of telesurgery to address healthcare disparities in underserved regions. Beyond clinical applications, telesurgery offers new opportunities for remote surgical training and mentorship, building local capacity in advanced techniques. The telesurgeries in Angola represent a promising step forward in the journey toward universal healthcare access. By demonstrating the feasibility and reliability of remote robotic surgery in Africa, this landmark achievement provides a template for similar initiatives in other low-resource regions worldwide.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"124"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701752","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

Comments on: "Comparison of perioperative outcomes and prognosis between the da Vinci and Hinotori robotic systems in urologic tumor surgery: a meta-analysis". 评论：“达芬奇和Hinotori机器人系统在泌尿外科肿瘤手术中的围手术期结果和预后的比较：一项荟萃分析”。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-21 DOI: 10.1007/s11701-025-02289-2

Mengyuan Zhang, Ying Xiong

引用次数: 0

Enhancing bibliometric analysis accuracy in robotic surgery: a proposal for search strategy refinement. 提高文献计量学分析在机器人手术中的准确性：一个搜索策略改进的建议。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-21 DOI: 10.1007/s11701-025-02293-6

Li Wang, Fan Yu, Xi Chen, Jie Tian

引用次数: 0

Robot-assisted mesh rectosacropexy and sigmoid colon resection for obstructive defecation syndrome: a two-stage surgical approach. 机器人辅助补片直肠粘连和乙状结肠切除术治疗梗阻性排便综合征：两期手术方法。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-21 DOI: 10.1007/s11701-025-02283-8

Jamal Driouch, Shazadi Sajid, Dirk Bausch, Omar Thaher

{"title":"Robot-assisted mesh rectosacropexy and sigmoid colon resection for obstructive defecation syndrome: a two-stage surgical approach.","authors":"Jamal Driouch, Shazadi Sajid, Dirk Bausch, Omar Thaher","doi":"10.1007/s11701-025-02283-8","DOIUrl":"https://doi.org/10.1007/s11701-025-02283-8","url":null,"abstract":"Obstructive Defecation Syndrome (ODS) significantly affects the quality of life and is often associated with rectocele, rectoanal intussusception, and dolichosigma. Robot-assisted rectosacropexy followed by sigmoid resection may offer an effective therapeutic approach. This study included 7 female patients (mean age 61.14 years, BMI 27.17) with confirmed ODS and no prior treatment for rectal prolapse or dolichosigma. Using standardized scores (Wexner, Altomare ODS), outcomes were assessed preoperatively and at 1, 3, and 6 months postoperatively. Robot-assisted rectosacropexy with mesh placement and subsequent sigmoid resection were performed in two surgical stages. Significant improvements in constipation (Wexner score reduced from 14.1 to 8.7, p < 0.01) and ODS symptoms (Altomare ODS score from 19.1 to 5.6, p < 0.01) were noted at 6 months. Continence (Wexner Incontinence Score) improved from 13.4 to 7.1. No conversions or major complications occurred, and all patients reported satisfaction with the treatment. Robot-assisted rectosacropexy followed by sigmoid resection is a safe and effective two-step approach for ODS. Further studies are needed to explore its long-term efficacy and functional outcomes.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"123"},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677328","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