Journal of Robotic Surgery最新文献

{"title":"Comment on \"Oncologic and perioperative outcomes following robot-assisted radical prostatectomy in morbidly obese patients: a systematic review and meta-analysis\".","authors":"Suman Rani, Jaibir Singh, Sulochana Devi","doi":"10.1007/s11701-025-02774-8","DOIUrl":"https://doi.org/10.1007/s11701-025-02774-8","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"588"},"PeriodicalIF":3.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030779","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 intraoperative and postoperative outcomes between open and robotic-assisted kidney transplantation: a meta-analysis and systematic review.","authors":"Yushui Chen, Songzhi Cai, Yinyu Wu, Yu Wang, Gen Fan, Yang Li, Tielong Tang","doi":"10.1007/s11701-025-02732-4","DOIUrl":"10.1007/s11701-025-02732-4","url":null,"abstract":"<p><p>Renal transplantation is the best option for end-stage renal disease, and in this study, patients who underwent robotic-assisted renal transplantation (RAKT) and open renal transplantation (OKT) were selected to compare their intraoperative and postoperative clinical outcomes: including Operation Time, Length of Stay, WIT (warm ischaemia time), CIT (cold ischaemia time), Estimated Blood Loss, Post 1 month Creatinine, Incision Length, Rewarming Time, Wound infection. The study was registered in PROSPERO with CRD code: CRD420251061084. We searched in Web of Science, Pubmed, Wiely, Elsevier databases, screened according to inclusion and exclusion criteria and finally included 7 papers. The quality of the included literature was assessed using the Newcastle-Ottawa Scale, and the intraoperative and postoperative clinical outcomes were analysed using StataMP 16, with forest plots drawn, and we analysed heterogeneity; sensitivity analyses were carried out using the one-by-one exclusion method, publication bias analyses were performed using the Egger test, and subgroup analyses were carried out for the operation time. RAKT has less Estimated Blood Loss: SMD (95% CI) was -0.577 (-0.755,0.399), I² = 35.0%, p = 0.139, shorter Incision length: SMD (95% CI) was -7.114 (-7.568,-6.660), I² = 0.0%, p = 0.447, and longer CIT: SMD (95% CI) was 0.408 (0.263,0.554), I² = 0.00%, p = 0.575 compared to OKT, and is recommended for patients about to undergo kidney transplantation. Compared with OKT, RAKT results in less blood loss, shorter incision length, and CIT. RAKT is recommended as the first choice for patients undergoing kidney transplantation.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"584"},"PeriodicalIF":3.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030747","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":"What happens when the network fails? A response to telesurgery recommendations and a proposal for a new class of intraoperative complications in telesurgery.","authors":"Pietro Pasquini, Enrico Pazzaglia, Francesco Brucchi, Emily Jamaer, Mario De Angelis, Alexandre Mottrie","doi":"10.1007/s11701-025-02751-1","DOIUrl":"https://doi.org/10.1007/s11701-025-02751-1","url":null,"abstract":"<p><p>This Letter to the Editor responds to the recent publication by Patel et al. (J Robot Surg. Jul 11;19(1):370, 2025), which outlines a framework and recommendations for telesurgery. Their work identifies the most suitable network connections and the need for redundancy systems to reduce network failures, while also prompting further reflections on additional implications. In particular, it led us to consider the exclusive challenges of telesurgery, which we identified primarily in a new category of complications related to network connectivity, alongside the well-established clinical and technical complications of traditional and robotic surgery. This correspondence further emphasizes the ongoing transformation of surgery from a direct interaction between surgeon and patient to a coordinated team-based practice involving assistants, machines, and technical specialists. By addressing these emerging challenges, this commentary highlights the necessity of re-evaluating safety assumptions in telesurgical practice.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"587"},"PeriodicalIF":3.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030872","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":"The effect of postoperative weight loss on difficult intubation in bariatric surgery patients: a prospective observational study.","authors":"Aman Iqbal, Muhammad Younas","doi":"10.1007/s11701-025-02747-x","DOIUrl":"https://doi.org/10.1007/s11701-025-02747-x","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"579"},"PeriodicalIF":3.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024475","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":"Critique on \"Hysterectomy for oncological and non-oncological reasons in patients over 70 years of age: comparison of robot-assisted, laparoscopic, and open approaches\".","authors":"Kamran Hussain, Abida Nawab, Abdul Rehman","doi":"10.1007/s11701-025-02759-7","DOIUrl":"https://doi.org/10.1007/s11701-025-02759-7","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"581"},"PeriodicalIF":3.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030862","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":"Specimen extraction techniques utilized in minimally invasive surgery for uterine cancer and an enlarged uterus: a quality assurance study.","authors":"Anna Quian, Ann Marie Mercier, Clarissa Lam, Robert M Wenham, Hye Sook Chon, Mian M Shahzad, Jing-Yi Chern, Zachary Thompson, Mitchel S Hoffman","doi":"10.1007/s11701-025-02768-6","DOIUrl":"https://doi.org/10.1007/s11701-025-02768-6","url":null,"abstract":"<p><p>This study was conducted to investigate the techniques and complications of enlarged uterine extraction during minimally invasive surgery for uterine malignancy. The electronic medical record was queried for patients with uterine malignancy and enlarged uterus (≥ 250 g) who underwent primary hysterectomy with laparoscopic or robotic approach. Statistical analysis was performed using Fisher's exact test for categorical variables and Kruskal-Wallis test for continuous variables. All patients with presumed uterine confined endometrial cancer who underwent upfront surgical management with minimally invasive hysterectomy and had uterine specimen weight ≥ 250 g were included. Seventy-eight patients met inclusion criteria. Mean specimen weight and mean operating time differed by extraction technique: intact vaginal extraction 307 g, 163 min; vaginal removal in specimen bag 337 g, 214 min; incidental vaginal morcellation 321 g, 178 min; vaginal morcellation in specimen bag 361 g, 212 min; and small laparotomy 677 g, 237 min. Specimens that required removal with small laparotomy incisions were larger in weight (p = < .001) and had increased operative time (p = < .001). Adjuvant treatment was given to 52.6% (41/78) of patients; 36.6% (15/41) received chemotherapy and 63.4% (26/41) received radiation. Rates of adjuvant radiation differed among extraction techniques (p = .018). Recurrence rates (n = 8) and patient death (n = 6) were not associated with extraction techniques (p = .408 and p = .537, respectively). Adjuvant radiation rates were statistically different among extraction techniques. Specimens removed by small laparotomy were significantly larger and required greater operative time. This study demonstrated that minimally invasive surgery was feasible in patients with uterine malignancy and an enlarged uterus.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"580"},"PeriodicalIF":3.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030859","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 surgery in healthcare: current challenges, technological advances, and global implementation prospects.","authors":"David B Olawade, Sheila Marinze, Kusal Weerasinghe, Eghosasere Egbon, Joy Uchechi Onuoha, Jennifer Teke","doi":"10.1007/s11701-025-02702-w","DOIUrl":"https://doi.org/10.1007/s11701-025-02702-w","url":null,"abstract":"<p><p>Robotic surgery has transformed the field of surgery, offering enhanced precision, minimal invasiveness, and improved patient outcomes. This narrative review explores the multifaceted aspects of robotic surgery, examining the challenges, recent advances, and future prospects for its integration into healthcare. Our comprehensive analysis of 48 studies reveals significant geographic disparities in robotic surgery research and implementation, with 68.8% of studies originating from high-income countries. Despite its potential, the widespread adoption of robotic surgery faces significant obstacles, including high costs, training requirements, limited accessibility, and ethical considerations. Financial constraints make it difficult for resource-limited healthcare facilities to afford these systems, whilst the absence of standardised training restricts the pool of proficient robotic surgeons. Furthermore, ethical and medico-legal concerns about liability and patient consent complicate its adoption. Advances in artificial intelligence (AI) and machine learning (ML) are enhancing robotic systems with real-time decision support and personalised surgical approaches. In addition, telemedicine and remote robotic surgery show promise for expanding access to underserved areas. Looking forward, the development of affordable, portable robotic systems and integration of data-driven analytics are key to addressing current challenges and optimising patient care. This review provides a globally minded analysis of implementation barriers and identifies critical needs for more inclusive research and culturally appropriate solutions for diverse healthcare contexts. A multi-stakeholder approach involving policymakers, healthcare providers, and technology companies is crucial for overcoming these barriers and realising robotic surgery's full potential. As solutions to cost, training, and accessibility emerge, robotic surgery is expected to become a fundamental component of healthcare, offering substantial improvements in patient outcomes and operational efficiency.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"577"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024444","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 total hip and knee arthroplasty: economic impact and workflow efficiency.","authors":"Benjamin E Jevnikar, Shujaa T Khan, Ahmed K Emara, Khaled A Elmenawi, Matthew Deren, Nicolas S Piuzzi","doi":"10.1007/s11701-025-02698-3","DOIUrl":"10.1007/s11701-025-02698-3","url":null,"abstract":"<p><p>Robotic-assisted total joint arthroplasty (RA-TJA) is projected to account for 70% of all arthroplasties by 2030, yet its economic value and operational efficiency have yet to be thoroughly synthesized. While early literature emphasized technical precision, evolving payment models and implementation costs have shifted focus toward cost-effectiveness and workflow integration. To evaluate the economic and institutional viability of RA-TJA by synthesizing available evidence on capital costs, perioperative expenses, learning curves, throughput, and long-term adoption trends. This review also considers market competition, global uptake, and the need for standardized outcomes reporting. A narrative literature review of published cost analyses, real-world efficiency studies, and policy-relevant frameworks was conducted. Literature addressing per-case cost variability, bundled payments, and implementation strategies was analyzed. Emerging economic models and global diffusion patterns were incorporated to contextualize long-term feasibility. Robotic platforms consistently incur higher upfront and perioperative costs than manual or navigated arthroplasty. However, in both high- and low-volume institutions, these costs may be offset by reduced complications, shorter hospital stays, and improved discharge metrics. Efficiency gains are amplified through procedural clustering and experienced teams. Adoption is accelerating globally, facilitated by leasing models and market competition, yet value remains highly dependent on institutional context. A lack of standardized outcome reporting and platform heterogeneity limits cross-study comparisons. Ongoing, long-term, multicenter randomized trials are expected to address these evidence gaps. Robotic assistance can improve the efficiency and precision of arthroplasty procedures, with the potential for substantial cost-effectiveness when optimized. Institutions adopting this technology can expect improved outcomes by leveraging local surgical volume and infrastructure. Wider integration will be facilitated by robust long-term data, standardized outcome metrics, and continuous innovation that aligns with value-based care models.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"578"},"PeriodicalIF":3.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12417245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024499","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":"Ensuring clinical translation of the Hernia ASCEND Hugo™ RAS training pathway: the need for outcome validation and anatomical accuracy.","authors":"Laraib Saleem, Noor-Ul-Eman Haider, Mehwish Amjad, Mahjabina S Ghayur, Syed Muhammad Rayyan","doi":"10.1007/s11701-025-02738-y","DOIUrl":"https://doi.org/10.1007/s11701-025-02738-y","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"574"},"PeriodicalIF":3.0,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008533","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 upper urinary tract reconstruction for ureteral stricture: a single-center series.","authors":"Alice Bourillon, Lucas Freton, Juliette Hascoet, Claire Richard, Camille Haudebert, Gregory Verhoest, Romain Mathieu, Lee C Zhao, Karim Bensalah, Benoit Peyronnet","doi":"10.1007/s11701-025-02754-y","DOIUrl":"10.1007/s11701-025-02754-y","url":null,"abstract":"<p><p>The surgical approach of ureteral stricture has changed dramatically over the past 15 years with the rise of robotic upper urinary tract reconstruction. This study aimed to evaluate the outcomes of all robotic ureteral reconstructions performed at a single academic center for ureteral stricture and to assess the predictive factors of stricture recurrence. The charts of all patients who underwent robot-assisted ureteral reconstruction between 2013 and 2024 at a single academic center were retrospectively reviewed. Many different surgical techniques were used including non-refluxing reimplantation with or without psoas hitch, refluxing ureteral reimplantation (side-to-side), Boari flap, uretero-ureterostomy, ureterolysis and buccal mucosa graft (BMG) ureteroplasty. The primary outcome was the absence of stricture recurrence, defined as no need for repeat surgery, urinary drainage, or symptomatic upper urinary tract dilation at the last follow-up. Sixty patients, accounting for 63 ureteral reconstructions, were included in the final analysis. Twenty-five patients experienced early postoperative complications (40%), the majority being Clavien-Dindo grade 2. There were only three (5%) major complications (Clavien-Dindo grade 3b). Stricture recurrence occurred in six patients (10%), with a median time to recurrence of 2.5 months postoperatively. Radiotherapy was the only factor significantly associated with an increased risk of stricture recurrence. The present series confirm the overall low morbidity and low recurrence rate of robotic ureteral reconstruction using a variety of surgical techniques. Comparative studies with longer follow-up periods are necessary to evaluate outcomes in comparison to traditional surgical approaches.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"573"},"PeriodicalIF":3.0,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008594","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}