Journal of Robotic Surgery最新文献

{"title":"Correction: Measures of performance and proficiency in robotic assisted surgery: a systematic review.","authors":"Charlotte El-Sayed, A Yiu, J Burke, P Vaughan-Shaw, J Todd, P Lim, Z Kasmani, C Munsch, L Rooshenas, M Campbell, S P Bach","doi":"10.1007/s11701-025-02484-1","DOIUrl":"https://doi.org/10.1007/s11701-025-02484-1","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"303"},"PeriodicalIF":2.2,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318378","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 retrospective comparison between DaVinci XI and DaVinci SP robotic-assisted cholecystectomies.","authors":"Jenny Tran, Matthew Schultzel, Daniel Burgess, Ingle Rommanee","doi":"10.1007/s11701-025-02478-z","DOIUrl":"https://doi.org/10.1007/s11701-025-02478-z","url":null,"abstract":"<p><p>Determine procedure and patient outcome differences between multiport robotic-assisted cholecystectomies and single port robotic assisted cholecystectomies. We are retrospectively comparing clinical data from patients that have received cholecystectomy procedure using DaVinci XI (MPC) and SP (SPC) by two surgeons between December 2021 and April 2023. There was a total of 119 patients; 99 patients underwent robotic-assisted multiport cholecystectomy using DaVinci XI (MPC) and 20 patients underwent robotic-assisted single port cholecystectomy using DaVinci SP (SPC). Patient data including demographics, robotic operation time and postoperative complications were collected retrospectively and analyzed using unpaired t-test with p-value < 0.05. The comparison will focus on patient demographics, robotic procedure time, post-operative complications between the two patient groups, multiport robotic-assisted cholecystectomy and single port robotic-assisted cholecystectomy. There were no intraoperative or postoperative complications in all 119 patient procedures. There was no significant difference between active procedure time between multiport DaVinci XI and single port DaVinci SP (14.78 ± 9.7, 11.75 ± 3.16 (p = 0.386). The non significance decreases in active procedure time and no intraoperative, postoperative complications suggest single port cholecystectomy can be considered as a safe option for robotic-assisted cholecystectomy and should be considered as an alternative for patients especially for cosmetic appeal. This study was reviewed and granted exemption under TUC IRB Review Board (# M-1324).</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"305"},"PeriodicalIF":2.2,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327258","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":"Understanding and acceptance of open, laparoscopic, and robotic surgery among nursing students: implications for educational curricula based on a mixed-methods study.","authors":"Esra Özkan, Askeri Çankaya, Hatice Özsoy","doi":"10.1007/s11701-025-02373-7","DOIUrl":"10.1007/s11701-025-02373-7","url":null,"abstract":"<p><p>This study aimed to assess university nursing students' knowledge and perceptions of open, laparoscopic, and robotic surgery applications. A simultaneous sequential nested quantitative-qualitative hybrid research method design was conducted. The sub-sample for the qualitative phase was conducted with 35 nursing students using the maximum variation sampling strategy with 423 nursing students studying at two universities located in the north and south-east of Türkiye. The data for quantitative were collected using a structured questionnaire comprising two parts created by the researchers in two parts to determine the nursing student's knowledge levels about surgical techniques and to determine the students' sociodemographic characteristics. The qualitative part consisted of six open-ended questions to determine the level of knowledge of open robotic and laparoscopic surgery. Descriptive data were assessed using numbers, percentages, mean, and standard deviation for quantitative analyses. Qualitative data were collected using thematic analysis after data saturation was achieved. It was found that 90.5% of nursing students knew about open surgery, 70.7% knew about laparoscopic surgery, and 62.4% were familiar with robotic surgery. Nursing students' knowledge levels regarding open, laparoscopic, and robotic surgery were 5.26 ± 2.531, 2.498 ± 2.498, and 3.69 ± 2.165, respectively. Themes, derived from semi-structured interviews are \"safe, effective and patient-centered surgical care optimization supported by technology and artificial intelligence in robotic surgery\", \"safe surgical care supported by technology and innovation that increases patient comfort and clinical success in laparoscopic surgery\", \"risks, challenges and training requirements for improving patient safety and quality of care in open surgery\" were discussed. It reveals the need for more studies comparing the superiority of surgical methods in a clinical context. Enhancing knowledge of surgical techniques can improve nursing students' readiness for modern surgical practices, promoting safer and more effective. Emphasis on technological surgical methods in nursing education and to increase training on the differences in surgical methods. The content of the study was explained to all nursing students in the inclusion group, and after obtaining consent from the nursing students who would participate voluntarily, the study was started with the nursing students who participated voluntarily.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"304"},"PeriodicalIF":2.2,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327263","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 \"A comparison of open, laparoscopic, and robotic radical nephrectomy with tumor thrombectomy from the intercontinental collaboration on renal cell carcinoma\".","authors":"Avinash Sachdev, Saraswati Sah, Rachana Mehta, Ranjana Sah","doi":"10.1007/s11701-025-02477-0","DOIUrl":"https://doi.org/10.1007/s11701-025-02477-0","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"301"},"PeriodicalIF":2.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318377","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":"Simulation and comparison of objectively graded microsurgery steps by using a microscope and Symani robotic system by young professionals.","authors":"Henning Wieker, Niklas Brandenburg, Dorothee Spille, Juliane Wagner, Jan-Tobias Weitkamp, Jörg Wiltfang, Johannes Spille","doi":"10.1007/s11701-025-02490-3","DOIUrl":"10.1007/s11701-025-02490-3","url":null,"abstract":"<p><p>The aim of the current study was to compare the accuracy of objectively graded microsurgery steps by young professionals using a microscope and a microsurgery robot. 40 students performed three exercises with a dental surgical operating microscope and a microsurgery robot. The exercises consisted of grasping and placing a needle, threading the needle, and performing a surgical knot. All students successfully completed the exercises with the microscope and the Symani. The microscope demonstrated significantly shorter operating times for grasping and placing a needle (p = 0.003) and for a single-button suture of an anastomosis (p < 0.001). Gaming, sewing, or knitting had a significant advantage for both the microscope and the Symani for grasping and placing a needle (p < 0.001). Young professionals appear to be able to work adequately with both the microscope and the robot in the surgical model for anastomoses. The students demonstrated a strong interest in adopting robotic technologies, which is why implementing robotics in the clinics' teaching process is necessary. This could inspire the next generation of medical professionals for robotic surgery and microsurgery, as well as support their career path.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"299"},"PeriodicalIF":2.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318379","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":"Assessing the learning curve in robot-assisted intracorporeal colorectal anastomosis and transrectal extraction (NICE) procedure: from Initial Learning to Mastery.","authors":"Jacques Bistre-Varon, Muhammed Elhadi, Robert Wei, Jimena Alcocer-Barrios, Ryan Gunter, Joshua Coursey, Priya Prakash, Erin McAtee, Haley Lanser, Rachel Ellsworth, Matthew Weaver, Jean-Paul LeFave, Eric M Haas","doi":"10.1007/s11701-025-02467-2","DOIUrl":"https://doi.org/10.1007/s11701-025-02467-2","url":null,"abstract":"<p><p>The robotic NICE procedure is a novel minimally invasive approach in colorectal surgery, yet its learning curve remains undefined; this study aimed to define its distinct phases by analyzing operative time trends. A retrospective review of 170 consecutive NICE procedures performed by a single surgeon between May 2018 and August 2019 was undertaken. Skin-to-skin operative time was the learning curve surrogate and plotted with unadjusted and risk-adjusted cumulative sum (CUSUM) analyses. Risk adjustment incorporated age, body mass index, ASA class, sex, prior abdominal surgery, diagnosis, anastomotic level, and the need for diverting loop ileostomy-used as a marker of case complexity rather than a direct time determinant. Phase-specific peri-operative outcomes were compared non-parametrically. Five proficiency phases were identified: Initial Learning (cases 1-10), Experienced (11-65), Second Learning (66-80), Advanced Experienced (81-124) and Mastery (125-170). The unadjusted CUSUM rose to + 342 min above the cohort mean by case 10, crossed the baseline at case 55, then gradually declined and plateaued at approximately -215 min by case 170. Risk-adjusted CUSUM displayed parallel inflection points (peak + 78 min, nadir -162 min), confirming that an easier case mix did not explain efficiency gains. Mean operative time fell from 248.8 ± 64.1 min in the first phase to approximately 185 min in Mastery, and inter-quartile variability narrowed from 125 to 59 min. Intraoperative complications (overall 12.4%), blood loss, organ/space surgical site infection, and 30-day morbidity did not differ across phases (p > 0.05). The robotic NICE procedure follows a five-phase learning curve, with true proficiency-and a 20% reduction in operative time-achieved after ~ 55 cases. Safety metrics remained similar across phases, confirming that efficiency gains reflect skill acquisition rather than easier case mix. These milestones can guide training for surgeons adopting the technique.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"300"},"PeriodicalIF":2.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318376","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 meta-analysis assessing the efficacy of concurrent robotic inguinal hernia repair (RIHR) during robotic-assisted radical prostatectomy (RARP).","authors":"Hong-Yuan Li, Lin Ren, Cong-Jian Wang, Cai-Xia Chen, Hao-Tian Huang, Song Cao, Lin-Han Jiang, Xue-Song Yang","doi":"10.1007/s11701-025-02437-8","DOIUrl":"https://doi.org/10.1007/s11701-025-02437-8","url":null,"abstract":"<p><p>The objective of this study was to investigate the efficacy of concurrent robotic inguinal hernia repair (RIHR) performed during robotic-assisted radical prostatectomy (RARP), as well as to evaluate its safety and feasibility. By April 2024, we have performed comprehensive searches across multiple major databases globally, such as Embase, PubMed, and Web of Science. Data analysis was performed using Review Manager 5.4 (RevMan 5.4). Our study has been registered with PROSPERO (CRD42024592239). A total of eight cohort studies were included in the analysis. Pooled data demonstrated that concurrent robotic inguinal hernia repair (RIHR) during robot-assisted radical prostatectomy (RARP) required significantly longer operative time compared to controls (MD 30.80 min, 95% CI 2.36-59.25, p = 0.03; I² = 100%). Its total complication rate is higher (OR 1.62, 95% CI 1.15-2.27, p = 0.005, I² = 0%). Its minor complication rate is higher (OR 1.71, 95% CI 1.02-2.87, p = 0.04, I² = 14%). No statistically significant differences were observed in major complications, estimated blood loss, or length of hospital stay. The concurrent performance of robot-assisted inguinal hernia repair (RIHR) during robot-assisted radical prostatectomy (RARP) is generally feasible and safe. However, the included studies demonstrated variable methodological quality with significant heterogeneity. Further high-quality studies are warranted to validate these findings.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"302"},"PeriodicalIF":2.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318375","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 posterior retroperitoneoscopic adrenalectomy: initial experience with Hugo™ RAS system.","authors":"Martí Manyalich-Blasi, David Saavedra-Pérez, Leidy M Fajardo Guzman, Maria Magdalena Llompart, Jordi Ardid Brito, Juan Jose Espert, Antonio Rull Ortuño, Miguel Pera Roman, Oscar Vidal","doi":"10.1007/s11701-025-02414-1","DOIUrl":"10.1007/s11701-025-02414-1","url":null,"abstract":"<p><p>Robot-assisted surgery has revolutionized minimally invasive procedures, offering superior three-dimensional visualization and mobile instruments suitable for smaller areas. For this reason, robotic retroperitoneal adrenalectomy (RRA) is emerging as an ideal procedure for this technology. This study aimed to assess the outcomes of the first 10 consecutive cases of this procedure using the RAS Hugo™ platform. Conducted between July 2023 and February 2024, the surgeries were performed with patients in the prone position, accessing the retroperitoneal space using standard endoscopic techniques. High-energy sealing instruments were utilized for adrenal vein sectioning, and specimens were extracted using protective bags. Ten surgical interventions were performed, with six male patients and four female patients. Most patients underwent surgery due to suspected primary hyperaldosteronism (n=7), while the remainder were operated on for Cushing's syndrome (n=3). Median patient age was 58 years (range 50-73) with a median BMI of 28.5 kg/m² (range 21-36), and American Society of Anaesthesiologists (ASA) risk scores were evenly split between ASA II and ASA III. Lesions were equally distributed between the right and left adrenal glands, with a median tumor size of 1.5 cm (range 0.5-3.5). Median operative time was 124.5 min (range 102-198), with one case requiring conversion to endoscopic approach due to pyelonephritis. No postoperative complications were reported, and median hospital stay was 1 day (range 1-3). RRA demonstrates feasibility for selected patients, offering enhanced image resolution and precision in confined spaces. However, challenges such as increased operative time and the need for skilled teams warrant consideration.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"298"},"PeriodicalIF":2.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310537","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":"Robotic vs laparoscopic approaches of pancreatic resection: a systematic review and meta-analysis.","authors":"Ghader Jamjoum, Samar M Altoukhi, Muntaha Sami Alsulaimani, Fouad Abdulsalam S Alghamidi, Muath A Alqahtani, Lina Saleh Aljedani, Ziyad Khalid Alahmari, Ashraf Maghrabi","doi":"10.1007/s11701-025-02446-7","DOIUrl":"10.1007/s11701-025-02446-7","url":null,"abstract":"<p><p>Pancreatic resection is necessary to treat pancreatic diseases, especially malignancy. Minimally invasive procedures, including robotic (RPR) and laparoscopic (LPR) pancreatic resections, have grown in popularity due to their potential to improve recovery and lower morbidity. The aim of this study is to provide evidence-based data for clinical decision-making by systematically comparing RPR and LPR with respect to postoperative recovery, perioperative safety, and oncological outcomes. A systematic review and meta-analysis following PRISMA guidelines was conducted using PubMed, Google Scholar, Cochrane, and Web of Science. Two independent reviewers extracted data, and pooled prevalence was analyzed using a random-effects model. Heterogeneity was assessed with Higgins I² and Cochran's Q test. A sensitivity analysis was done using R. Forty-six peer-reviewed articles with follow-up periods ranging from 3 to 288 months were included in this review. Robotic surgery was performed in 4.8%-67.6% of cases, with patient ages ranging from 30 to 70 years. A considerably shorter hospital stay (MD: - 0.72, P = 0.004) and a higher rate of conversion to open surgery (OR: 0.52, P < 0.00001) were associated with RPR. However, no significant differences were observed between RPR.and LPR in important outcomes, including resection rate, lymph node yield, overall complications, operating time, 90-day mortality, and postoperative complications. While RPR outperforms LPR in terms of conversion and hospital stay rates, it is not significantly superior in terms of oncological outcomes and morbidity rate. The high heterogeneity in the studies suggests the need for more research to determine the optimal minimally invasive technique for pancreatic surgery.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"295"},"PeriodicalIF":2.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303307","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":"Spinal anaesthetic with intrathecal diamorphine in robotic-assisted colorectal surgery: a retrospective cohort study.","authors":"Hannah Foster-Rain, Marcel Gatt, Simon Davies, Andrew Scott, Murray Williams","doi":"10.1007/s11701-025-02461-8","DOIUrl":"https://doi.org/10.1007/s11701-025-02461-8","url":null,"abstract":"<p><p>Spinal anaesthesia (SA) with intrathecal diamorphine can be utilised as part of multimodal analgesia to reduce opioid use and enhance recovery in patients undergoing major abdominal operations. There is limited evidence that this also applies to patients undergoing robotic-assisted colorectal surgery (RACS). The aim of this study was to investigate perioperative opioid administration and post-operative complications in RACS patients receiving SA versus those who received conventional analgesia (CA). Data from 201 consecutive patients undergoing RACS at York and Scarborough Teaching Hospitals NHS Foundation Trust were retrospectively included. 120 patients received SA with intrathecal diamorphine, and 81 patients received CA with oral and intravenous analgesia alone. The primary outcome was intra-operative and 24 h post-operative intravenous morphine equivalent (MEQ) administration. Secondary outcomes included post-operative nausea and vomiting, ileus, anastomotic leak, urinary retention, evidence of organ dysfunction, unplanned critical care admission, length of hospital stay, and death. There was a significant difference in both intra-operative and post-operative opioid MEQ administration in the SA group when compared to the CA group, respectively median (IQR) of 0 mg (0-6 mg) vs. 10 mg (5-15 mg), p < 0.001 and 5 mg (0-14.4 mg) vs. 20 mg (4.3-31.8 mg), p < 0.001. There were no significant differences in the secondary outcomes assessed. This study suggests that SA may be an effective form of analgesia to reduce perioperative opioid administration in RACS. This did not translate into observed improvements in secondary outcomes. These observations would need to be validated in appropriately designed prospective studies.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"296"},"PeriodicalIF":2.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303308","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}