{"title":"Visualized knowledge map of robot application in surgical field: a bibliometric analysis.","authors":"Haoran Wang, Jie Zhang, Ning Xie, Jun Liu","doi":"10.1007/s11701-025-02474-3","DOIUrl":"10.1007/s11701-025-02474-3","url":null,"abstract":"<p><p>This study aims to conduct a bibliometric analysis of the literature related to robotic surgery to understand the research hotspots and development trends in this field. We focus on the fields of robotics and surgery, having conducted a comprehensive literature review utilizing the Web of Science Core Collection (WOSCC) database, covering the period from 1999 to 2024. We quantified the annual publication count using GraphPad Prism. In addition, we analyzed authors, countries, institutions, journals, and keywords using CiteSpace and VOSviewer. China and the United States have emerged as the leading countries in terms of publication output. The primary keywords identified include \"robot-assisted surgery\" and \"minimally invasive surgery,\" among others, which collectively formed eight effective clusters. Research on robotic surgery exhibits a trend of continuous growth, and this field is expected to remain a focal point in surgical studies in the future.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"350"},"PeriodicalIF":2.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565399","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}
Yue Zhou, Yupei Dai, Guohang Shen, Lijing Si, Kaiyong Wang, Yang Chen, Ruoyan Wang
{"title":"Meta-analysis of TiRobot-assisted lumbar interbody fusion for degenerative lumbar disease: a comprehensive evaluation of screw placement accuracy and clinical safety.","authors":"Yue Zhou, Yupei Dai, Guohang Shen, Lijing Si, Kaiyong Wang, Yang Chen, Ruoyan Wang","doi":"10.1007/s11701-025-02536-6","DOIUrl":"https://doi.org/10.1007/s11701-025-02536-6","url":null,"abstract":"<p><p>This study focuses on the clinical management of lumbar degenerative diseases and employs meta-analysis methods to comprehensively investigate and compare the safety and pedicle screw placement accuracy of TiRobot-assisted technology versus freehand techniques in lumbar interbody fusion surgery. Although TiRobot-assisted lumbar interbody fusion has shown promise, existing studies report inconsistent findings. A systematic search was undertaken across four major databases-PubMed, Embase, the Cochrane Library, and Web of Science. The primary outcomes analyzed included operative time, intraoperative blood loss, pedicle screw placement accuracy, facet joint violation (FJV) grading, radiation exposure time and dose, and postoperative hospital stay. The meta-analysis demonstrated that the TiRobot group had considerable advantages over the freehand group with respect to reduced intraoperative blood loss, improved screw placement accuracy, lower FJV grade, decreased radiation dose, shorter hospital stay, and lower ODI scores (WMD < 0, p < 0.05). However, no significant advantage was noted in operative time (WMD > 0, p < 0.05). In summary, this study presents preliminary evidence supporting the superior safety and accuracy of TiRobot-assisted approaches in the management of lumbar degenerative diseases, suggesting its potential as a viable and safe alternative in clinical practice and offering valuable insights for future research.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"346"},"PeriodicalIF":2.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561518","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":"Factors associated with increased costs in robotic gastric bypass surgery: Australian healthcare system perspective.","authors":"Marianne Huynh, I-Wen Pan, Matthew Kroh","doi":"10.1007/s11701-025-02483-2","DOIUrl":"10.1007/s11701-025-02483-2","url":null,"abstract":"<p><p>This study aimed to understand the cost drivers of robotic Roux-en-Y gastric bypass (rRYGB) with specific application to the Australian healthcare system. US-based PINC AI™ Healthcare Data (1/1/2021-12/31/2022) were used to extract patients who underwent elective rRYGB procedures. We included patients who used single-type staplers in each case, had non-zero costs, and non-missing key variables. Factors including patient and hospital characteristics, type of staplers used [laparoscopic bedside staplers (LBS), other unspecified bedside staplers (OBS), and robotic staplers (RS)] were evaluated. Multivariable general linear models were used to identify cost drivers. Sensitivity analysis was done by the bootstrapping method. The results were then applied to Australian healthcare system model. In this US cohort, 7606 rRYGB discharges were studied, including 18.9% LBS, 8.7% OBS, and 72.4% RS cases. The factors associated with increased costs included type of staplers, patients older than 54, male, non-Hispanic White, diagnosis of obesity, comorbidity > = 3, severity of illness, hospitals in the Northeast, located in rural area, with large size (> = 500 beds), lower surgeon annual volume, and procedures done in 2022. After adjusting for other factors, compared to OBS and RS, rRYGB used the LBS significantly reduced total inpatient cost by $2,220 ± $432 (Mean difference ± Standard deviation) and $2,119 ± $181, and significantly reduced operative-room time by 43.3 ± 3.9 and 41.4 ± 2.1 min, respectively. Meanwhile, LBS has equivalent outcomes, including blood transfusion, bleeding, anastomotic leak, and ICU visits, compared to other types of staplers. RS and OBS were essential factors associated with increased costs in patients treated with rRYGB compared to LBS.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"344"},"PeriodicalIF":2.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12226609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555302","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":"Reflections on the scientific evolution of robotic surgery in urogenital diseases: a bibliometric analysis.","authors":"Zhi Wen, Yong-Bin Qin","doi":"10.1007/s11701-025-02525-9","DOIUrl":"https://doi.org/10.1007/s11701-025-02525-9","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"342"},"PeriodicalIF":2.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555303","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}
Abhishek Soni, S Vidyadhara, T Balamurugan, Madhava Pai Kanhangad
{"title":"Robotic-assisted kyphoplasty demonstrates superior efficacy, safety, and procedural efficiency compared to fluoroscopy-guided techniques: a retrospective analysis of 240 patients.","authors":"Abhishek Soni, S Vidyadhara, T Balamurugan, Madhava Pai Kanhangad","doi":"10.1007/s11701-025-02520-0","DOIUrl":"https://doi.org/10.1007/s11701-025-02520-0","url":null,"abstract":"<p><p>Osteoporotic vertebral compression fractures (OVCFs) are a significant health burden with increasing prevalence in the aging population. This study compares robotic-assisted kyphoplasty (RK) with conventional fluoroscopy-guided kyphoplasty (FK) for the treatment of OVCFs. A single-center retrospective study analyzed 240 patients (120 in each group) who underwent kyphoplasty for OVCFs between January 2020 and December 2022 under general anesthesia. Clinical outcomes were assessed using Visual Analog Scale (VAS) and Oswestry Disability Index (ODI). Radiological outcomes included vertebral height restoration and kyphotic angle correction. Procedural parameters including radiation exposure, procedural time, and complications were analyzed. Correlation analysis was performed to assess the impact of vertebral anatomy complexity on procedural outcomes. Both groups demonstrated significant clinical and radiological improvements with comparable pain relief and functional outcomes. The RK group showed superior vertebral height restoration (68.00% vs. 64.38%, p = 0.004) and significantly lower cement leakage rates (5.8% vs. 19.2%, p = 0.002) compared to the FK group. Radiation exposure was significantly lower in the RK group (18.76 mGy vs. 22.69 mGy, p < 0.00001). Total procedure time was significantly shorter in the RK group (50.91 min vs. 86.40 min, p < 0.00001). Correlation analysis revealed that thoracic level complexity affected both techniques similarly, with significant correlations between thoracic levels and increased radiation exposure and procedural time in both groups. However, the robotic group maintained superior absolute performance regardless of anatomical complexity. Robotic-assisted kyphoplasty provides superior safety profiles with reduced cement leakage and radiation exposure, better vertebral height restoration, and shorter procedural times compared to fluoroscopy-guided techniques. Importantly, these advantages persist across different levels of anatomical complexity, suggesting that robotic assistance offers consistently superior performance regardless of case difficulty. These findings support the adoption of robotic-assisted techniques for treating OVCFs.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"343"},"PeriodicalIF":2.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555304","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}
Muhammad Tausif, Syed Muhammad Rayyan, Muhammad Abdul Haseeb Khan, Hamad Saif, Mueed Iqbal
{"title":"Comment on \"Robotic thymectomy for large thymomas: a multicenter study\".","authors":"Muhammad Tausif, Syed Muhammad Rayyan, Muhammad Abdul Haseeb Khan, Hamad Saif, Mueed Iqbal","doi":"10.1007/s11701-025-02532-w","DOIUrl":"https://doi.org/10.1007/s11701-025-02532-w","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"345"},"PeriodicalIF":2.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555301","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 thymectomy for large thymomas: considering the impact of residual tumor complexity.","authors":"Yanzhe Wang, Haitao Wang","doi":"10.1007/s11701-025-02534-8","DOIUrl":"https://doi.org/10.1007/s11701-025-02534-8","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"341"},"PeriodicalIF":2.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545478","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 \"Assessing the learning curve in robot-assisted intracorporeal colorectal anastomosis and transrectal extraction (NICE) procedure: from Initial Learning to Mastery\".","authors":"Keerthi Sanapala, Sudarshana Borah","doi":"10.1007/s11701-025-02515-x","DOIUrl":"https://doi.org/10.1007/s11701-025-02515-x","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"339"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530419","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":"Letter to the Editor \"From practice to perfection-complications and operative time learning curves in benign robotic-assisted laparoscopic hysterectomy\".","authors":"Ziling Qin, Anqi Sun, Dianrong Song","doi":"10.1007/s11701-025-02513-z","DOIUrl":"https://doi.org/10.1007/s11701-025-02513-z","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"340"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545477","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 \"Early radiological outcomes of imageless robotic-assisted total knee arthroplasty with VELYS: a comparative study of CPAK varus vs. valgus phenotypes\".","authors":"Venkata Dileep Kumar Veldi, Rachana Mehta, Ranjana Sah","doi":"10.1007/s11701-025-02508-w","DOIUrl":"https://doi.org/10.1007/s11701-025-02508-w","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"338"},"PeriodicalIF":2.2,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530420","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}