Journal of Robotic Surgery最新文献

{"title":"Robotic assisted vs. open ureteral reimplantation in adults: a systematic review and meta-analysis.","authors":"Atef A Hassan, Abdelrahman M Mady, Hesham Abozied, Mohamed I Algammal, Amr A Hassan, Mohamed Salman, Mohamed E Metwally, Moaz Abouelmagd, Hossam A Shouman, Ibrahim Tagreda, Mohamed Elsalhy, Esam Elnady, Mohamed Rehan, Saed Khater","doi":"10.1007/s11701-025-02511-1","DOIUrl":"10.1007/s11701-025-02511-1","url":null,"abstract":"<p><p>Ureteral reimplantation is a critical surgical procedure for restoring ureteral function, traditionally performed using open ureteral reimplantation (OUR). However, robotic-assisted ureteral reimplantation (RUR) has emerged as a minimally invasive alternative with potential perioperative advantages. To systematically compare the postoperative outcomes and efficacy of RUR and OUR in ureteral reimplantation in adults through a meta-analysis of existing studies. A comprehensive search of PubMed, Scopus, Web of Science, and the Cochrane Library identified studies comparing RUR and OUR in adults up to January 2025. Studies reporting at least one outcome of interest, such as complications, blood loss, hospital stay, or reintervention rates, were included. Pooled effect estimates were calculated using a random-effects model, and heterogeneity was assessed using the I² statistic. Four retrospective studies encompassing 258 patients (RUR: 141, OUR: 117) were included. RUR was associated with significantly fewer complications (RR: 0.40; 95% CI: 0.17-0.91; p = 0.03), shorter hospital stays (MD: -4.97 days; 95% CI: -9.55 to -0.38; p = 0.03), and reduced transfusion requirements (RR: 0.09; 95% CI: 0.02-0.46; p = 0.004) compared to OUR. No significant differences were observed in reintervention rates or operating time. RUR demonstrates significant perioperative advantages over OUR, including reduced complications, shorter hospital stays, and lower blood loss, while maintaining comparable long-term efficacy. These findings support the adoption of RUR as a safe and effective alternative for ureteral reimplantation. Further high-quality, multicenter studies are needed to confirm these results and address remaining gaps.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"373"},"PeriodicalIF":2.2,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609894","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":"Correspondence: short-term outcomes of robotic eTEP versus TAPP for ventral hernia repair: insights from a propensity-matched cohort.","authors":"Shad Khan, Ifra Bhittani, Muhammad Ismail, Farman Ullah Khan, Muhammad Aamir Khan","doi":"10.1007/s11701-025-02565-1","DOIUrl":"https://doi.org/10.1007/s11701-025-02565-1","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"372"},"PeriodicalIF":2.2,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609893","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-assisted versus free-hand techniques in adult spinal deformity surgery: a comparative analysis of postoperative outcomes.","authors":"Ved A Vengsarkar, Ariaz Goudarzi, Jialun Chi, Arsany Yassa, Jesse Wang, Lawal Labaran, Xudong Li","doi":"10.1007/s11701-025-02543-7","DOIUrl":"10.1007/s11701-025-02543-7","url":null,"abstract":"<p><p>Adult spinal deformity (ASD) represents a challenging area in spinal surgery due to its complexity and potential for postoperative complications. While robotic systems have promised enhanced precision for pedicle screw placement, improved alignment, and potentially fewer complications, the comparative efficacy and morbidity of robotic-assisted (RA) versus free-hand (FH) techniques remains underexplored in the context of ASD. This study aims to compare postoperative outcomes in patients undergoing RA techniques versus FH surgery to manage ASD. A retrospective review was performed and included patients over 18 who underwent a posterior fusion of at least 7 segments from 2015 to 2022. Two separate cohorts were created based on the use of RA or FH. Patients were matched with a 1:5 ratio based on age, sex, utilization of posterior column osteotomy, utilization of three-column osteotomy, utilization of pelvic fixation, number of instrumented levels, and prior lumbar revision. Multivariate logistic regression was used to compare 90-day complications and healthcare utilization. The RA group demonstrated a significantly lower incidence of atelectasis (3.0% vs. 6.8%; p=0.018), respiratory failure (2.7% vs. 6.7%; p = 0.010), pleural effusion (3.3% vs. 7.0%; p = 0.021), and pneumonia (2.1% vs. 6.0%; p = 0.004) compared to the FH group. In addition, the RA group also demonstrated a reduced incidence of spinal cord deficits (1.2% vs. 3.4%; p = 0.048) and a shorter average length of stay (LOS), in days (8.1 +/- 8.3 vs. 10.2 +/- 12.8; p = 0.009). In the present study, we discover that robotic assistance leads to improved short-term outcomes, including reduced rates of pulmonary (atelectasis, pneumonia, pleural effusion, respiratory failure) and neurologic (spinal cord deficit) complications, as well as shorter hospital stays. While RA systems have previously demonstrated technical advantages in pedicle screw placement, this study provides evidence of meaningful clinical benefits as well.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"375"},"PeriodicalIF":2.2,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609895","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":"A novel robot-assisted subretinal injection system: preliminary validation in ex vivo porcine eyes.","authors":"Qun Wang, Zhao Li, Chunbo Wang, Qianwei He, Ning Xu, Kunkun Yang, Na Li, Mengyao Liu, He Zhang, Liqiang Wang","doi":"10.1007/s11701-025-02521-z","DOIUrl":"https://doi.org/10.1007/s11701-025-02521-z","url":null,"abstract":"<p><p>To evaluate the application of a novel, partially automated, robot-assisted ophthalmic surgery for subretinal injection, a study was conducted comparing manual and robot-assisted injections performed by doctors of varying experience levels on fresh, isolated porcine eyes. This system was developed by a team from Harbin Institute of Technology. The core component is a specialized microneedle with adjustable puncture angle and integrated force-sensing capability. It enables flexible intraocular manipulation during subretinal injection procedures and performs autonomous retinal puncture guided by force feedback. Results showed that robot-assisted injections by all doctors achieved a 100% success rate without safety events such as retinal laceration or RPE penetration. While the senior doctor exhibited the highest manual injection success rate and lowest safety event probability, medical students showed the opposite. Compared to manual injection, robot-assisted injection demonstrated smaller needle force variation, more regular retinal \"bubble\" shape, and more stable subretinal fluid volume (p < 0.05). The surgical robot can accurately perform automatic subretinal injection with high success and good safety, potentially shortening the learning curve and replacing manual operation in the future.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"367"},"PeriodicalIF":2.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601941","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":"Predicting hemorrhagic complications in robotic-assisted partial nephrectomy for renal tumors: simplifying risk assessment with tumor diameter and depth.","authors":"I-Hung Shao, Chung-Lin Lee, Yu-Hsiang Lin, Hsiang-Sheng Wang, Ming-Chien Chen, Ying-Hsu Chang, Ting-Wen Sheng, Liang-Kang Huang, Hung-Chen Kan, Chung-Yi Liu, Po-Hung Lin, Kai-Jie Yu, Cheng-Keng Chuang, See-Tong Pang, Chun-Te Wu","doi":"10.1007/s11701-025-02537-5","DOIUrl":"https://doi.org/10.1007/s11701-025-02537-5","url":null,"abstract":"<p><strong>Purpose: </strong>Robotic-assisted partial nephrectomy has emerged as the standard surgical procedure for managing localized kidney cancers, with bleeding risk being a primary clinical consideration. This investigation seeks to establish simple predictive indicators for hemorrhage-related adverse events.</p><p><strong>Materials and methods: </strong>We performed a retrospective review of sequential patients undergoing robotic-assisted partial nephrectomy at a single tertiary medical center. Patient records and radiographic studies were analyzed to obtain clinical parameters. Tumor characteristics (size, infiltration depth, and standardized nephrometry measurements) were assessed by an experienced radiologist. Bleeding-related outcomes included surgical blood loss, transfusion requirements, reoperation, and need for angiographic intervention. Predictive factors for hemorrhagic events were examined statistically.</p><p><strong>Results: </strong>The study included 260 participants. Median nephrometry scores were 8.5 (PADUA) and 7.0 (RENAL). The average tumor size measured 39.1 mm with a mean penetration depth of 2.02 mm, and the median renal ischemia duration was 25.5 min. Mean operative hemorrhage volume was 147 ml. Transfusion was administered to 12.7% of cases, with 3.5% experiencing significant hemorrhagic complications. Tumor size independently predicted both intraoperative bleeding and transfusion needs, while invasion depth showed a strong association with severe bleeding events.</p><p><strong>Conclusions: </strong>Compared to comprehensive nephrometry systems, basic tumor measurements (diameter and depth) effectively anticipate bleeding risks. These straightforward parameters enable clinicians to identify high-risk patients and initiate preventive measures.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"368"},"PeriodicalIF":2.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601943","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":"Efficacy and safety of robot-assisted pedicle screw placement in lumbar spondylolisthesis: a meta-analysis.","authors":"Yupei Dai, Guohang Shen, Jian Wang, Yang Chen, Kaiyong Wang, Qunhua Jin","doi":"10.1007/s11701-025-02558-0","DOIUrl":"10.1007/s11701-025-02558-0","url":null,"abstract":"<p><p>This systematic review and meta-analysis aimed to evaluate the differences in efficacy and safety between robotic navigated pedicle screw insertion and conventional free-hand techniques in the management of lumbar spondylolisthesis. Utilizing a predefined search strategy, we systematically searched four major biomedical databases-PubMed, Cochrane Library, Web of Science, and Embase-up to January 27, 2025. After rigorous screening, six eligible clinical studies (comprising prospective cohort studies and retrospective analyses) involving 260 patients in total were incorporated into the quantitative synthesis. The primary outcomes measured included screw placement accuracy, operative time, intraoperative blood loss, postoperative drainage volume, length of hospital stay, Visual Analog Scale (VAS) score, Oswestry Disability Index (ODI), and the incidence of complications. The results revealed that robot-assisted pedicle screw placement significantly outperformed traditional manual placement regarding screw placement accuracy, intraoperative blood loss, postoperative drainage volume, length of hospital stay, and VAS score (P < 0.05). However, robot-assisted surgery was linked to a notably longer surgical duration compared to manual methods (WMD > 0, P < 0.05). To summarize, robot-assisted pedicle screw placement demonstrates significant advantages over traditional manual placement in the management of lumbar spondylolisthesis, with its safety and efficacy further validated.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"369"},"PeriodicalIF":2.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601942","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":"Cross-specialty impact in the adoption of minimally invasive surgery in abdominal surgical oncology at the hospital level.","authors":"Anne Pannekoek, Alexander Melamed, Jose Alejandro Rauh-Hain, Mengyuan Ruan, Stuart R Lipsitz, Li Siguo, George Molina","doi":"10.1007/s11701-025-02549-1","DOIUrl":"https://doi.org/10.1007/s11701-025-02549-1","url":null,"abstract":"<p><p>Colorectal surgeons have been early adopters of MIS. The objective of this study was to evaluate whether use of minimally invasive surgery (MIS) for colorectal cancers (CRC) has had an impact on use of MIS for hepatic, pancreatic, biliary, and gastric cancer (HPB/gastric) at the hospital level. We hypothesized that there is cross-specialty, hospital-level impact between colorectal and HPB/gastric surgeons in their use of MIS. Using the 2010-2019 National Cancer Database, we identified patients with histologically confirmed cancers who underwent curative-intent surgery. The hospital-level use of MIS for CRC and HPB/gastric cancers was standardized by adjusting hospital and patient covariates. Using these adjusted MIS rates as covariates, the yearly-level odds of receiving MIS for HPB/gastric cancers were estimated using logistic regression models. 87,241 and 134,019 patients (median age 65 years) with HPB/gastric cancers and CRC, respectively, were included. The proportion of hospitals performing more than 50% of their cases via MIS for both groups of cancers increased from 1% in 2010 to 27% in 2019. The proportion of hospitals performing more than 10% of their cases via a robotic approach increased from 1 to 33%. The odds of receiving MIS among patients with HPB/gastric cancers were more strongly associated with the level of MIS use for HPB/gastric cancer in the previous year than with MIS use for CRC. Adoption of MIS for HPB/gastric cancers appears to be influenced to a greater degree by intra-specialty factors rather than by cross-specialty use of MIS for CRC.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"366"},"PeriodicalIF":2.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592668","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 insights on comparative surgical outcomes of single-port SP1098 vs multi-port Xi platforms for benign hysterectomy using the validated comprehensive complication index.","authors":"Bilal Ahmad, Daniyal Ali Khan, Malghalara Jawad, Hazrat Ali, Abdur Rehman","doi":"10.1007/s11701-025-02547-3","DOIUrl":"https://doi.org/10.1007/s11701-025-02547-3","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"363"},"PeriodicalIF":2.2,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592667","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":"Correction: Comments on: Evaluating the safety, feasibility, and outcomes of the Senhance robotic system in robot-assisted radical prostatectomy: a systematic review and single-arm meta-analysis.","authors":"Zhi Wen, Yong-Bin Qin","doi":"10.1007/s11701-025-02517-9","DOIUrl":"https://doi.org/10.1007/s11701-025-02517-9","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"362"},"PeriodicalIF":2.2,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585278","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":"Global dynamics of robotic surgery research: a multi-method bibliometric investigation and focus on the top 100 most cited papers.","authors":"Siddig Ibrahim Abdelwahab, Manal Mohamed Elhassan Taha, Abdullah Farasani, Jobran M Moshi, Abrar Fahad Alshahrani, Ahmad Assiri, Saeed Alshahrani, Muhammad H Sultan, Khaled A Sahli, Hussam M Shubaily, Omer Ahmed Elrhima, Waseem Hassan","doi":"10.1007/s11701-025-02542-8","DOIUrl":"https://doi.org/10.1007/s11701-025-02542-8","url":null,"abstract":"<p><p>This study utilizes the Scopus database and adopts a multi-layered approach to provide a comprehensive and detailed overview of robotic surgery research. Specifically, three complementary strategies: (a) a title-abstract-keyword (TAK) search, (b) a title-specific search, and (c) a focused analysis of the top 100 most cited papers were employed. The TAK approach retrieved 49,026 publications, substantially surpassing the 8,029 identified via the title-only method, demonstrating that incorporating abstracts and keywords provides broader coverage. Analysis of prolific authors revealed Mottrie, A. as the most productive researcher in the TAK dataset, while Fukuda, T. led in the title-only set. Leading institutions such as the Cleveland Clinic Foundation and Yonsei University College of Medicine exhibited markedly higher outputs under TAK criteria. Country-level analysis confirmed the United States as the dominant contributor in both datasets, though absolute counts dropped significantly when limited to titles. The Journal of Robotic Surgery emerged as the most productive source across both methods. Funding sponsor analysis highlighted the National Natural Science Foundation of China as the leading funder, with the TAK dataset revealing greater international sponsorship diversity. Citation analysis of the top 100 most cited documents, spanning 1993-2021, showed an average of 279.6 citations per article, with recent papers (2018-2021) achieving unprecedented citation velocity, suggesting earlier peaks in influence for newer publications. Keyword analysis of the top 150 most frequently occurring terms in the title-specific dataset helped to map key research directions. From the title-based corpus, the 100 most cited papers were analyzed, reporting their total citations, citations per paper, and citations per year. A detailed author-level analysis was performed, including publication count, citation impact, and scholarly indices (h-index, g-index, m-index), complemented by visualizations of collaboration networks. Moreover, this study incorporates a co-word analysis of the top 100 cited papers, using unigrams, bigrams, and trigrams to illustrate central themes. The top 20 most cited papers are briefly discussed. The findings offer updated, actionable insights for researchers, clinicians, and policymakers seeking to navigate this rapidly advancing field.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"364"},"PeriodicalIF":2.2,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592669","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}