Journal of Robotic Surgery最新文献

{"title":"Robotic versus open salvage prostatectomy in recurrent disease: a systematic review and meta-analysis of surgical outcomes.","authors":"Song Cao, Chong-Jian Wang, Cai-Xia Chen, Hong-Yuan Li, Hao-Tian Huang, Lin-Han Jiang, Xue-Song Yang","doi":"10.1007/s11701-025-02400-7","DOIUrl":"https://doi.org/10.1007/s11701-025-02400-7","url":null,"abstract":"<p><p>The objective of this research was to evaluate the perioperative results, complications, and oncological outcomes associated with two distinct surgical methods for the treatment of recurrent prostate cancer: salvage robotic-assisted prostatectomy and salvage open prostatectomy. Our methodology concerned a complete search of major databases, along with PubMed, Web of Science, the Cochrane Library and Embase, covering studies published in all kinds of languages up to November 2024. Additionally, we omitted papers that included conference summaries and lacked relevance to our research. Various variables were assessed by employing weighted mean difference (WMD) and odds ratio (OR) metrics. The meta-analyses of the diverse parameters were carried out using Review Manager. Additionally, this study was registered with PROSPERO and the registration number is CRD42025632172. This meta-analysis encompassed three trials, comprising a total of 510 participants. The findings revealed that salvage robot-assisted prostatectomy (sRARP) had a longer operative time (WMD 13.88, 95% CI 3.94, 23.82; p = 0.006) and a lower rate of postoperative vesicourethral anastomotic stricture (OR 0.44, 95% CI 0.23-0.83; p = 0.01) compared to salvage open prostatectomy (sORP). However, no massive variations had been determined between the two surgical techniques regarding hospital stay, estimated blood loss, transfusion rate, complications, and oncological outcomes. In the context of recurrent prostate cancer, sRARP demonstrated superiority over sORP in reducing the rate of vesicourethral anastomotic stricture. Nonetheless, it is crucial to acknowledge that there were no significant disparities between the two techniques in terms of hospital stay, blood loss, transfusion requirements, complication rates, and oncological results. These insights suggest that robotic-assisted prostatectomy may offer certain advantages for patients undergoing salvage prostatectomy, but these benefits are not conclusive and warrant further validation through larger-scale, high-quality randomized controlled trials.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"243"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162907","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":"Sleep quality after total knee arthroplasty: a comparative analysis of robotic-assisted and conventional techniques.","authors":"A B Suhas Masilamani, Tarun Jayakumar, Praharsha Mulpur, Rajeev Reddy Kikkuri, Shravya Vaddiparthi, A V Gurava Reddy","doi":"10.1007/s11701-025-02405-2","DOIUrl":"https://doi.org/10.1007/s11701-025-02405-2","url":null,"abstract":"<p><p>Total knee arthroplasty (TKA) significantly alleviates pain and improves functionality in patients with end-stage knee osteoarthritis. However, postoperative sleep disturbances remain a common issue affecting quality of life (QOL) and rehabilitation. This study aimed to compare postoperative sleep quality between robotic-assisted TKA (RATKA) and conventional TKA (CTKA). This observational study enrolled 200 consecutive patients undergoing primary unilateral TKA, divided equally into RATKA and CTKA cohorts. All surgeries were performed by a single surgeon using cemented TKA, either conventionally or with the MAKO® robotic system. Standardized pain management and rehabilitation protocols were followed in both cohorts. Preoperative and postoperative sleep quality were evaluated weekly for the first month and subsequently at 3 and 6 months post-operatively, utilizing the Pittsburgh Sleep Quality Index (PSQI). Pain scores were recorded using the Visual Analog Scale (VAS). Preoperative PSQI scores showed no significant differences between the RATKA (5.55 ± 2.05) and conventional TKA (5.70 ± 2.26) groups. Postoperative sleep disturbances peaked at 1 week post-surgery in both cohorts (RATKA: 12.42 ± 1.75, TKA: 12.59 ± 2.42), with gradual improvement observed over 6 months, although baseline sleep quality was not fully restored. Pain scores (VAS) were significantly lower in the RATKA cohort at all postoperative intervals (p < 0.001). No significant correlation was found between sleep quality and age, BMI, gender, or surgical approach. Both RATKA and conventional TKA resulted in similar patterns of postoperative sleep disturbances, peaking shortly after surgery and progressively improving over 6 months without fully returning to pre-operative levels. Despite significantly better pain control in the RATKA cohort, postoperative sleep quality did not differ significantly between the two surgical techniques. Future research should explore comprehensive perioperative management strategies to address the multifactorial nature of sleep disturbances post-TKA.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"244"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162908","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 11 bibliometric publications in the Journal of Robotic Surgery: a few suggestions.","authors":"Siddig Ibrahim Abdelwahab, Manal Mohamed Elhassan Taha, Abdullah Farasani, Saleh M Abdullah, Jobran M Moshi, Nizar A Khamjan, Abrar Fahad Alshahrani, Ahmad Assiri, Saeed Alshahrani, Amal Mayudh Alhusayni, Muhammad H Sultan, Ali Elamin, Waseem Hassan","doi":"10.1007/s11701-025-02399-x","DOIUrl":"https://doi.org/10.1007/s11701-025-02399-x","url":null,"abstract":"<p><p>Bibliometric research offers valuable insights into publication trends, citation dynamics, and research collaborations. The growing body of bibliometric literature reflects the dedication of numerous authors who have contributed significantly to our understanding of scientific progress. At the same time, the differences in methodology and scope can affect the depth and interpretation of findings. This review takes a closer look at bibliometric studies published in the Journal of Robotic Surgery, with an emphasis on appreciating the contributions of each work while also identifying opportunities for further enrichment in future analyses. Eleven bibliometric studies were examined to better understand the current approaches applied in this field. These works were reviewed across several dimensions, including publication volume, citation patterns, author productivity, institutional and national involvement, collaboration structures, and thematic development. The studies collectively provided a solid foundation by highlighting the basic indicators such as publication counts and total citations. While these contributions are valuable, the integration of more diverse impact metrics-such as the g-index or m-index-was less frequent. Temporal mapping of prolific authors, institutions, and countries was also limited, which may constrain the understanding of evolving research leadership over time. Some studies engaged in collaboration network analysis; however, there were relatively few attempts to explore the clustering patterns within these networks. Co-word analysis tended to focus on author keywords, with fewer efforts devoted to examining titles, abstracts, or thematic progression. Moreover, elements such as long-term trend analysis, regional disparities, and citation burst detection were not widely addressed. The efforts of researchers in this area are greatly appreciated and their work has laid an important groundwork for future bibliometric studies in robotic surgery. A thoughtful expansion of methodologies may deepen the impact of future research and further strengthen the value of bibliometric analysis in robotic surgery.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"241"},"PeriodicalIF":2.2,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143127","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":"Comparison of perioperative outcomes between robotic surgery and traditional laparoscopy for colorectal endometriosis: a systematic review and meta-analysis.","authors":"Xiao Zhang, Xin Zhang","doi":"10.1007/s11701-025-02374-6","DOIUrl":"https://doi.org/10.1007/s11701-025-02374-6","url":null,"abstract":"<p><p>Robotic-assisted surgery (RAS) offers a broader surgical field, enhanced visualization, and greater instrument maneuverability, suggesting potential advantages over traditional laparoscopic surgery (LPS), which is currently the gold standard for treating colorectal endometriosis. To address this gap, we conducted a comprehensive review of existing studies to compare the perioperative outcomes of RAS and LPS in the management of colorectal endometriosis. A comprehensive search was conducted in the databases of PubMed, Web of Science, the Cochrane Library, and SpringerLink to identify any studies that prior to February 2nd, 2025. To compare RAS to LPS for colorectal endometriosis, we looked at things like operation duration, expected blood loss, length of stay, conversion to laparotomy, all complications, and bowel endometriosis resection. The operative time for RAS in colorectal endometriosis resection was significantly longer than that for LPS (data aggregated from six studies; WMD 21.51 min, 95% CI 4.58-38.43, p < 0.05). However, there were no significant differences between the two groups in intraoperative blood loss (four studies; WMD 1.2 ml, 95% CI - 34.01-36.41, p = 0.95), length of hospital stay (four studies; WMD 0.2 days, 95% CI - 1.09-1.49, p = 0.76), or the number of cases requiring conversion to laparotomy (four studies; OR 2.27, 95% CI 0.52-9.95, p = 0.28) (Fig. 2). LPS demonstrated a significantly higher utilization of segmental resection (six studies; OR 0.71, 95% CI 0.54-0.93, p < 0.05), while no significant differences were observed in the rates of shaving (six studies; OR 1.06, 95% CI 0.77-1.47, p = 0.71) or double discoid excision (six studies; OR 1.3, 95% CI 0.95-1.78, p = 0.1) (Fig. 3). Additionally, the included studies reported no significant differences in overall complication rates (five studies; OR 0.9, 95% CI 0.64-1.28, p = 0.57) (Fig. 3) or the incidence of Clavien-Dindo classification complications classified as Grade I(five studies; OR 0.85, 95% CI 0.44-1.65, p = 0.64), II(five studies; OR 0.59, 95% CI 0.35-1.0, p = 0.5), III(five studies; OR 1.12, 95% CI 0.63-2.0, p = 0.7), or IV(five studies; OR 0.8, 95% CI 0.14-4.59, p = 0.81). Our study found that, apart from a significantly longer operative time for RAS compared to LPS, RAS demonstrated comparable outcomes in intraoperative blood loss, length of hospital stay, conversion to open surgery, bowel endometriosis resection, and postoperative complication rates. These findings suggest that RAS has the potential to become a viable alternative to LPS in the future. However, this conclusion still requires validation through large-scale, prospective, randomized controlled trials.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"239"},"PeriodicalIF":2.2,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143844","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 registry-based modified IDEAL stage 2b evaluation of urological procedures performed using the versius robotic surgical system.","authors":"Ata Jaffer, Daniel Chia, Sonpreet Rai, Sachin Veer, Kevin Gallagher, Mohammed Aldiwani, Muddassar Hussain, Sohail Nakhuda, Farleigh Reeves, Abhay Rane, Sebastian Ourselin, Alan McNeill, Ben Challacombe, Prokar Dasgupta","doi":"10.1007/s11701-025-02324-2","DOIUrl":"10.1007/s11701-025-02324-2","url":null,"abstract":"<p><p>The IDEAL stage 1/2a study demonstrated feasibility of the use of the Versius robotic platform at a single institution. This multi-center collaborative modified stage 2b study adds wider exploration assessing surgical, oncologic and functional outcomes in patients undergoing urological procedures with the Versius. Data were collected from a prospective registry. Surgical outcomes were cross-checked from electronic patient records held at each hospital included in the study. All UK-based centers performing urological procedures using the Versius robot. All patients who underwent a robotic procedure using the Versius robot since inception to Jan 2023. Five UK hospitals have undertaken a total of 70 urological procedures using the Versius (Table 1). Device failure occurred in one of the cases requiring conversion to laparoscopy and a further case required conversion to open due to intra-operative complication (2/70, 2.9%). One positive margin was observed in a robotic prostatectomy patient (12.5%). Immediate continence was achieved in 4 of 8 (50%) after prostatectomy. Eight patients (11.4%) had complications within 30 days, and three were Clavien-Dindo class 3 and one class 4. A range of urological procedures were shown to be feasible and safe using the Versius across multiple sites.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"240"},"PeriodicalIF":2.2,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143117","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":"Preoperative positioning of robot-assisted tracheal intubation system in intensive care unit.","authors":"Randolph Osivue Odekhe, Huiping Shi, Hongji Xia, Qixin Cao","doi":"10.1007/s11701-025-02386-2","DOIUrl":"https://doi.org/10.1007/s11701-025-02386-2","url":null,"abstract":"<p><p>Patients with infectious diseases often exhibit severe respiratory distress and breathing difficulties in isolation wards. Tracheal intubation is performed manually to secure the airway by health care providers wearing personal protective equipment to prevent infection spread and getting infected. This paper presents the navigation and preoperative positioning of an autonomous mobile intubation robot capable of independently moving to the patient's bed, positioning the intubation device inside the mouth while the operator completes the intubation procedure remotely, and the robot exits the location independently. The mobile base navigation module includes mapping, localization and path planning using the R3 live multi-sensor fusion algorithm utilizing sensor imputs from lidar, inertia measurement unit (IMU) and RGB-D camera, YOLOv5s object detection and avoidance algorithm and improved A* global path planning algorithm together with time elastic band (TEB) local path planning algorithm respectively. The preoperative positioning module based on facial pose estimation using the retinaface algorithm combined with 6DRepNet to obtain facial pose. This is validated in simulation and physical experiments. The system's navigation time and positioning accuracy compared with related indicators of endotracheal intubation surgery obtained significantly improved results.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"236"},"PeriodicalIF":2.2,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144007","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 \"Institutional proficiency and learning curves in robotic-assisted thoracoscopic surgery: a single-center retrospective analysis using the cumulative sum method\".","authors":"Venkata Dileep Kumar Veldi, Rachana Mehta, Ranjana Sah","doi":"10.1007/s11701-025-02409-y","DOIUrl":"10.1007/s11701-025-02409-y","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"237"},"PeriodicalIF":2.2,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143770","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 the clinical efficacy of mammotome minimally invasive rotary cutting surgery in the treatment of benign breast tumors: a comparative study\".","authors":"Shree Rath","doi":"10.1007/s11701-025-02404-3","DOIUrl":"https://doi.org/10.1007/s11701-025-02404-3","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"238"},"PeriodicalIF":2.2,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143988","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: \"A comparative analysis of perioperative outcomes in single-port and multi-port retroperitoneal robot-assisted partial nephrectomy: a systematic review and meta-analysis\".","authors":"JiaWei Li, RuoYao Cheng, FeiYing Bu, TianLiang Wen","doi":"10.1007/s11701-025-02410-5","DOIUrl":"https://doi.org/10.1007/s11701-025-02410-5","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"231"},"PeriodicalIF":2.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136480","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 \"Comparing outcomes of robotic-assisted radical prostatectomy by specialists and trainees using a modular training approach\".","authors":"Saraswati Sah, Renu Sah","doi":"10.1007/s11701-025-02411-4","DOIUrl":"10.1007/s11701-025-02411-4","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"234"},"PeriodicalIF":2.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143139","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}