Journal of Robotic Surgery最新文献_第4页

Reply to comment on: "Robotic vs laparoscopic distal gastrectomy with Billroth I and II reconstruction-a systematic review and meta-analysis" by our fellow colleagues Doctors Mehrab Neyazi, Rachana Mehta, Shubham Kumar and Ranjana Sah. 回复我们的同事Mehrab Neyazi， Rachana Mehta， Shubham Kumar和Ranjana Sah对“机器人与腹腔镜远端胃切除术合并Billroth I和II重建-系统回顾和荟萃分析”的评论。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-11 DOI: 10.1007/s11701-025-02280-x

Konstantinos Kossenas

引用次数: 0

The era of telesurgery: insights from ultra-long-distance Asia to Middle East human telesurgery robotic assisted radical prostatectomy. 远距外科时代：从超远距亚洲到中东人类远距外科机器人辅助根治性前列腺切除术的见解。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-11 DOI: 10.1007/s11701-025-02274-9

Saad Aldousari, Ahmad Almarzouq, Abdelkareem Hassan, Ahmed Shahin, Saleh Bubishate, Basmah Bahbahani

{"title":"The era of telesurgery: insights from ultra-long-distance Asia to Middle East human telesurgery robotic assisted radical prostatectomy.","authors":"Saad Aldousari, Ahmad Almarzouq, Abdelkareem Hassan, Ahmed Shahin, Saleh Bubishate, Basmah Bahbahani","doi":"10.1007/s11701-025-02274-9","DOIUrl":"10.1007/s11701-025-02274-9","url":null,"abstract":"To show the feasibility of performing human telesurgery robotic-assisted radical prostatectomy (RARP) between two countries using low-latency ultra-long-distance connectivity. This study described the outcomes of performing RARP on a man in his 60's with localized intermediate-risk prostatic adenocarcinoma located in Kuwait City while the surgeon (SA) was approximately 7000 kilometers (Km) away at Toumai robotic surgical system (TRSS) headquarters in Shanghai. Operative and connectivity details were reported. RARP was performed in December 2024. There were no major clinical or technical problems encountered during the procedure. The average round-trip latency (RTL) was 181.4 milliseconds (ms) using fiber optic broadband network with 5G network as back-up. On the Shanghai end two wired broadband networks were employed as back-up to ensure patient safety. There was an experienced fellowship-trained robotic surgeon (AA) in the operating room in Kuwait capable of taking over in case of clinical or connectivity issues. There were no reported complications. The patient was discharged on postoperative day (POD) 2. Final pathology described Gleason score 7(3 + 4), ISUP 2, and negative surgical margins (pT2Nx). The catheter was removed on POD 9, and the patient was continent a week later. His serum prostate specific antigen (PSA) was undetectable seven weeks post-operatively. This study described the feasibility of human RARP telesurgery between two countries using low-latency, long-distance fiber optic broadband network with 5G network as back-up with successful clinical outcomes. There is a need to establish robust legal and regulatory framework to allow wider international expansion of telesurgery.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"108"},"PeriodicalIF":2.2,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596943","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

Comment on: "Comparison of the Hinotori surgical robot with the da Vinci robotic system in radical prostatectomy: a systematic review and meta‑analysis". 评论：“Hinotori手术机器人与达芬奇机器人系统在根治性前列腺切除术中的比较：一项系统综述和荟萃分析”。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-11 DOI: 10.1007/s11701-025-02279-4

Yalong Zhang, Li Yang

引用次数: 0

A systematic review and meta-analysis of intracorporeal versus extracorporeal urinary diversion after robotic-assisted radical cystectomy in elderly patients with malignancy. 老年恶性肿瘤患者机器人辅助根治性膀胱切除术后体内与体外尿转移的系统回顾和荟萃分析。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-10 DOI: 10.1007/s11701-025-02268-7

Lin Cao, Li-Ge Huang, Li-Hao Zhang, Gang Yang, Jia-Bing Li

{"title":"A systematic review and meta-analysis of intracorporeal versus extracorporeal urinary diversion after robotic-assisted radical cystectomy in elderly patients with malignancy.","authors":"Lin Cao, Li-Ge Huang, Li-Hao Zhang, Gang Yang, Jia-Bing Li","doi":"10.1007/s11701-025-02268-7","DOIUrl":"https://doi.org/10.1007/s11701-025-02268-7","url":null,"abstract":"Recent studies have highlighted the progress of robotic-assisted radical cystectomy (RARC), yet information on intracorporeal (ICUD) and extracorporeal urinary diversion (ECUD), especially in elderly patients, remains limited. This review seeks to address this gap in the literature. A systematic literature review was conducted in PubMed, Embase, Web of Science, and Cochrane Library databases, following the PRISMA guidelines. Studies comparing ICUD to ECUD in patients aged ≥ 65 years. We combined the data using weighted mean differences (WMD) or odds ratios (OR) with random-effects models. For results showing moderate-to-high heterogeneity, a sensitivity analysis was performed by sequentially excluding individual studies. Nine studies comprising 4340 patients (1967 in ICUD and 2373 in ECUD) were included in the meta-analysis. ICUD was associated with significantly lower estimated blood loss (WMD: - 64.34 mL, 95% CI: - 113.26, - 15.42, P = 0.01), reduced blood transfusion rates (OR: 0.29, 95% CI: 0.11, 0.76, P = 0.01), and fewer overall gastrointestinal complications (OR: 0.65, 95% CI: 0.46, 0.92, P = 0.016) compared to ECUD in patients aged 65 and older. No significant differences were found in operative duration, length of hospitalization, or 30-day/90-day complication and readmission rates. Sensitivity analysis indicated low evidence for outcomes such as blood loss and transfusion rates. Overall, elderly patients undergoing RARC may benefit from ICUD in terms of reduced blood loss, lower blood transfusion rates, and fewer gastrointestinal complications. However, large prospective randomized studies are still required to confirm these findings.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"106"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587656","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

A standardized protocol for robot-assisted minimally invasive esophagectomy: improving efficiency and reducing costs. 机器人辅助微创食管切除术的标准化方案：提高效率和降低成本。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-10 DOI: 10.1007/s11701-025-02269-6

Hidehiko Kitagami, Saseem Poudel, Yosuke Kitayama, Junkichi Koinuma, Yuma Ebihara, Satoshi Hirano

{"title":"A standardized protocol for robot-assisted minimally invasive esophagectomy: improving efficiency and reducing costs.","authors":"Hidehiko Kitagami, Saseem Poudel, Yosuke Kitayama, Junkichi Koinuma, Yuma Ebihara, Satoshi Hirano","doi":"10.1007/s11701-025-02269-6","DOIUrl":"https://doi.org/10.1007/s11701-025-02269-6","url":null,"abstract":"Robot-assisted minimally invasive esophagectomy (RAMIE) has shown potential benefits over conventional procedures for esophageal cancer. However, uniform surgical protocols are lacking, leading to variability in outcomes and increased costs. This retrospective study included 180 patients with esophageal cancer who underwent RAMIE between May 2018 and September 2024. A standardized approach, termed counterclockwise partitioned mediastinal dissection (CPMD), was introduced in 114 of these cases. Perioperative parameters including operative time, blood loss, complications, and cost of disposable instruments, were compared between patients treated before and after protocol standardization. Among the 114 patients who received the standardized RAMIE protocol, the median thoracic console time significantly decreased to 148 min, with overall blood loss reduced to 62 ml. No conversions to open surgery were required in either cohort. Compared to the pre-standardization group, postoperative complications-including recurrent laryngeal nerve paralysis-were lower and only one patient needed reoperation. Importantly, reusing robotic instruments from the thoracic phase in the abdominal phase reduced disposable instrument costs, resulting in a savings of approximately 168,000 Japanese Yen (USD 1050) per case. Implementing a standardized RAMIE protocol enhances procedural efficiency, reduces blood loss, and lowers costs without compromising surgical or oncological outcomes. This approach may facilitate broader adoption of RAMIE as a safe and cost-effective strategy for esophageal cancer surgery.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"107"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598069","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

Comparison of the Hinotori surgical robot with the da Vinci robotic system in urologic surgery: a systematic review and meta-analysis. Hinotori手术机器人与达芬奇机器人系统在泌尿外科手术中的比较：系统综述和荟萃分析。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-08 DOI: 10.1007/s11701-025-02270-z

Gen Fan, Junji Wang, Yu Wang, Yushui Chen, Yinyu Wu, Songzhi Cai, Yang Li, Tielong Tang

{"title":"Comparison of the Hinotori surgical robot with the da Vinci robotic system in urologic surgery: a systematic review and meta-analysis.","authors":"Gen Fan, Junji Wang, Yu Wang, Yushui Chen, Yinyu Wu, Songzhi Cai, Yang Li, Tielong Tang","doi":"10.1007/s11701-025-02270-z","DOIUrl":"https://doi.org/10.1007/s11701-025-02270-z","url":null,"abstract":"The objective is to investigate the outcomes of the Hinotori Surgical Robotic System (HSRS) for urological surgery and to analyze the variation in perioperative performance between the HSRS and the da Vinci surgical robot. Multiple databases including PubMed, Cochrane Library, Embase and Web of Science were comprehensibly retrieved to screen studies that applied HSRS to urologic surgery and compared it with the da Vinci system. The results were combined and analyzed using estimated ratio of ratios (OR) and weighted mean difference (WMD). Eight studies with 740 patients were included. Among the baseline characteristics of patients in both groups, all outcomes showed similarity. In urologic surgery, the HSRS cohort experienced a longer operative time (WMD = 8.85, 95% Cl (1.73, 15.97), p < 0.05) and a relatively longer use of the robotic system (WMD = 10.77, 95% Cl [1.09, 20.44], p < 0.05), as well as a notable increase in console time (WMD = 20.99, 95% Cl 95% Cl [8.24, 33.75], p < 0.05). However, estimated blood loss, length of hospitalization, rate of severe complications, and rate of positive margins did not show statistical differences. In urologic surgery, HSRS has a longer operative time, robot system usage time, and console time, but its perioperative results are similar to the Da Vinci system. HSRS shows good clinical promise, however, further long-term data studies are needed to prove it.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"105"},"PeriodicalIF":2.2,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587626","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

Comparative study between Hugo™ RAS and intuitive da Vinci Xi systems in different gynecologic surgeries: a single-institution perspective study. Hugo™RAS与直觉达芬奇Xi系统在不同妇科手术中的比较研究：单机构视角研究

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-07 DOI: 10.1007/s11701-025-02255-y

Kim-Seng Law

{"title":"Comparative study between Hugo™ RAS and intuitive da Vinci Xi systems in different gynecologic surgeries: a single-institution perspective study.","authors":"Kim-Seng Law","doi":"10.1007/s11701-025-02255-y","DOIUrl":"10.1007/s11701-025-02255-y","url":null,"abstract":"The objective is to compare the feasibility, safety, and complications of the novel robot-assisted system Hugo™ RAS to the established Intuitive da Vinci Xi system in different gynecologic surgeries. This is a retrospective and propensity score-matching study conducted at a tertiary teaching hospital. The participants were women with various indications for gynecologic surgery who underwent robotic procedures. The results of our first 40 cases of gynecologic procedures performed with Hugo™ RAS were compared to those of a 1:3 propensity-matched cohort using the da Vinci Xi system. Length of hospital stay, blood loss, surgical time, console time, and perioperative complications were the main outcome measures. There were no differences in the length of hospital stay, blood loss, and complication rates between the novel Hugo™ RAS and da Vinci Xi system in different gynecologic procedures. However, the surgical time was longer with Hugo™ RAS in the staging of endometrial cancer. The Hugo™ RAS is a feasible and safe robotic platform for different indications in gynecologic surgery.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"103"},"PeriodicalIF":2.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574262","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

A comparison of CO₂-related complications in partial nephrectomies between the AirSeal system and conventional system: a systematic review and meta-analysis. AirSeal系统与常规系统在部分肾切除术中二氧化碳相关并发症的比较：系统回顾和荟萃分析。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-07 DOI: 10.1007/s11701-025-02227-2

Muhammad Faizan, Kainat Shariq, Fatima Sughra Abbas, Dua Atif Murtaza, Amna Naveed, Hamna Mukhtar Tarar, Rohma Fahim, Sumeet Kumar, Sarush Ahmed Siddiqui

{"title":"A comparison of CO2-related complications in partial nephrectomies between the AirSeal system and conventional system: a systematic review and meta-analysis.","authors":"Muhammad Faizan, Kainat Shariq, Fatima Sughra Abbas, Dua Atif Murtaza, Amna Naveed, Hamna Mukhtar Tarar, Rohma Fahim, Sumeet Kumar, Sarush Ahmed Siddiqui","doi":"10.1007/s11701-025-02227-2","DOIUrl":"https://doi.org/10.1007/s11701-025-02227-2","url":null,"abstract":"Laparoscopy has largely replaced open nephrectomies owing to its minimally invasive approach. Conventional insufflation systems use a one-way valve for allowing the instruments while maintaining insufflation. Subcutaneous emphysema is among the most common and feared complications resulting from insufflation. The established risk factors also include increased end-tidal CO2. AirSeal® offers a potential solution to reduce the incidence of adverse events. The present study aimed to evaluate the difference between the incidence of subcutaneous emphysema and an important predictor of the incidence of subcutaneous emphysema: end-tidal CO2. An independent reviewer extracted the relevant data and populated the data fields in the Excel sheet from the included studies. Continuous variables were pooled using standardized mean differences. Binary outcomes were pooled using the log odds ratio. Four randomized-controlled trials were included in the meta-analysis. A total of 307 patients were included in the analysis, and a pooled odds ratio of 0.40 (95% CI 0.10-1.66, I2 = 20%, p = 0.29) was obtained, which was not significant. Three studies compared the mean end-tidal CO2. The total number of patients included in this analysis was 194. The pooled standardized mean difference (SMD) was -0.59 (95% CI - 0.81, - 0.38; I2 = 0%, p = 0.91). AirSeal significantly lowers the EtCO2 in patients undergoing laparoscopic partial nephrectomy, which can therefore impact recovery as well as the rate of complications.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"104"},"PeriodicalIF":2.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587654","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

Comment on: "Comparing the outcomes of robotic vs. open partial nephrectomy in obese patients: a meta‑analysis and systematic review". 评论：“比较肥胖患者机器人与开放式部分肾切除术的结果：荟萃分析和系统回顾”。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-06 DOI: 10.1007/s11701-025-02271-y

Kangyu Wang, Li Yang

引用次数: 0

The ethical landscape of robot-assisted surgery: a systematic review. 机器人辅助手术的伦理景观：系统回顾。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-03-06 DOI: 10.1007/s11701-025-02228-1

Joschka Haltaufderheide, Stefanie Pfisterer-Heise, Dawid Pieper, Robert Ranisch

{"title":"The ethical landscape of robot-assisted surgery: a systematic review.","authors":"Joschka Haltaufderheide, Stefanie Pfisterer-Heise, Dawid Pieper, Robert Ranisch","doi":"10.1007/s11701-025-02228-1","DOIUrl":"10.1007/s11701-025-02228-1","url":null,"abstract":"Robot-assisted surgery has been widely adopted in recent years. However, compared to other health technologies operating in close proximity to patients in a vulnerable state, ethical issues of robot-assisted surgery have received less attention. Against the background of increasing automation that is expected to raise new ethical issues, this systematic review aims to map the state of the ethical debate in this field. A protocol was registered in the international prospective register of systematic reviews (PROSPERO CRD42023397951). Medline via PubMed, EMBASE, CINHAL, Philosophers' Index, IEEE Xplorer, Web of Science (Core Collection), Scopus and Google Scholar were searched in January 2023. Screening, extraction, and analysis were conducted independently by two authors. A qualitative narrative synthesis was performed. Out of 1723 records, 66 records were included in the final dataset. Seven major strands of the ethical debate emerged during the analysis. These include questions of harms and benefits, responsibility and control, professional-patient relationship, ethical issues in surgical training and learning, justice, translational questions, and economic considerations. The identified themes testify to a broad range of different ethical issues requiring careful deliberation and integration into the surgical ethos. Looking forward, we argue that a different perspective in addressing robotic surgical devices might be helpful to consider upcoming challenges of automation.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"102"},"PeriodicalIF":2.2,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574265","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