Journal of Robotic Surgery最新文献

{"title":"Global trends in robotic duodenopancreatectomy for cancer: a systematic review and meta-analysis.","authors":"Danilo Coco, Silvana Leanza","doi":"10.1007/s11701-025-02810-7","DOIUrl":"10.1007/s11701-025-02810-7","url":null,"abstract":"<p><p>Robotic duodenopancreatectomy (RDP) has emerged as a transformative approach in pancreatic surgery, though its global adoption patterns and outcomes remain incompletely characterized. This systematic review and meta-analysis synthesizes data from 32 studies encompassing 3218 patients across North America, Europe, and Asia, representing the most comprehensive evaluation of RDP outcomes to date. Our analysis reveals a mean operative time of 356 min (95% CI 328-384; I² = 89%), with significant regional variation-North American centers demonstrated 15% shorter operative durations compared to Asian institutions (321 vs 382 min, p < 0.01), consistent with findings from Stewart et al. (Surg Endosc 2019) regarding robotic surgery trends. The pooled conversion rate of 8.2% (95% CI 6.1-10.7) compares favorably to laparoscopic approaches as reported in the LEOPARD-2 trial (van Hilst et al., Lancet Gastroenterol Hepatol 2019), while major complication rates (18.5%, 95% CI 15.2-22.3) and 90-day mortality (3.1%, 95% CI 2.0-4.5) remain within acceptable ranges. Oncologically, RDP achieved an 84.6% R0 resection rate (95% CI 80.1-88.4), with European centers demonstrating superior outcomes (88.3%), likely reflecting the volume-outcome relationship described by Gooiker et al. (Br J Surg 2011). The learning curve analysis, building on Boone et al. (JAMA Surg 2015), shows high-volume centers (> 20 cases/year) had significantly lower conversion rates (6.9% vs 11.3%, p = 0.03) and higher R0 margins (86.4% vs 80.2%, p = 0.02). These findings, analyzed using PRISMA-compliant methods with Egger's test confirming absence of publication bias (p = 0.21), position RDP as a viable alternative to open surgery when performed in experienced centers, though they underscore the need for standardized training protocols to address regional disparities.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"638"},"PeriodicalIF":3.0,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145178874","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":"Surgical proficiency of trainee surgeons on robotic platforms: a systematic review and meta-analysis.","authors":"Danilo Coco, Silvana Leanza","doi":"10.1007/s11701-025-02773-9","DOIUrl":"10.1007/s11701-025-02773-9","url":null,"abstract":"<p><p>Robotic-assisted surgery has transformed minimally invasive procedures by enhancing precision, dexterity, and visualization. However, it presents unique psychomotor and cognitive challenges that traditional surgical training often fails to address. Simulation-based platforms such as the da Vinci Skills Simulator (dVSS) and SimNow are widely implemented, yet a universally accepted standard for assessing robotic surgical proficiency remains elusive. Commonly used evaluation tools-GEARS, OSATS, and expert assessments-vary in standardization and applicability. To systematically review and quantitatively synthesize current evidence on simulation-based robotic surgical training in trainees, focusing on proficiency assessment tools, learning curve thresholds, and skill transfer from conventional surgical techniques. A systematic search of five databases (PubMed, Embase, Scopus, Web of Science, and Cochrane Library) was performed up to June 2025. Eligible studies included trainee populations assessed using validated robotic simulators or evaluation metrics. Data extraction followed PRISMA 2020 guidelines. Pooled effect sizes were calculated using a random-effects meta-analysis. Fourteen studies including 652 surgical trainees met the inclusion criteria. Simulation-based training significantly improved performance on GEARS (SMD 1.22, 95% CI 0.96-1.49) and OSATS (SMD 1.08, 95% CI 0.82-1.34). Task completion times (SMD -0.95) and error rates (SMD-1.03) also improved markedly. Learning curve analyses revealed performance plateaus between 15 and 35 sessions (median: 22). Subgroup analyses showed comparable efficacy between dVSS and SimNow simulators. Skill transfer from laparoscopic surgery showed a moderate effect (SMD ~ 0.40), while no significant benefit was observed from open surgical experience. The integration of expert-defined proficiency thresholds and real-time feedback accelerated skill acquisition and improved self-efficacy scores. Simulation-based training significantly enhances robotic surgical proficiency, especially when integrated with validated metrics and expert feedback. A competency-based framework incorporating performance analytics and learning curve insights is essential for effective training. Future research should prioritize AI-enhanced, personalized training platforms and long-term validation of simulator-acquired skills in clinical practice.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"640"},"PeriodicalIF":3.0,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145178967","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: Evaluating robotic and laparoscopic approaches for left and right colon carcinoma: a retrospective propensity score-matched analysis.","authors":"Ying Chen, Dong Zhang, Yang Zhou","doi":"10.1007/s11701-025-02660-3","DOIUrl":"https://doi.org/10.1007/s11701-025-02660-3","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"635"},"PeriodicalIF":3.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151333","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":"Multicenter evaluation of the DEXTER® Robotic Surgery System for Total Hysterectomy with Adnexal Surgery.","authors":"Marietta Gulz, Marie-Lucile Bodet, Matthias Streich, Anna Habegger, Martin Heubner, Damaris Erhardt, Borjana Bogdanovic, Michael David Mueller","doi":"10.1007/s11701-025-02647-0","DOIUrl":"10.1007/s11701-025-02647-0","url":null,"abstract":"<p><p>Minimally invasive hysterectomy is the preferred surgical approach for benign gynecologic conditions. The DEXTER® Robotic Surgery System was developed to address the limitations of conventional robotic systems, offering a mobile, modular, and accessible alternative adaptable to various surgical environments. This prospective, multicenter, single-arm study evaluated the clinical performance and early postoperative safety of the robotic-assisted hysterectomy with adnexal surgery for benign indications with DEXTER. The primary endpoints were short-term safety, assessed by the occurrence of Clavien-Dindo grade ≥ III adverse events up to 42 days postoperatively, and procedural success without conversion to laparoscopy or open surgery. Fifty-two patients were enrolled across four European centers-one university hospital and three community hospitals. All procedures were successfully completed without intraoperative complications or conversions. The mean total skin-to-skin operative time was 121.9 ± 42.7 min, and the mean estimated blood loss was 87.8 ± 93.8 mL. The system also demonstrated efficient setup with a mean docking time of 3.8 ± 1.3 min, as well as the feasibility of a three-trocar technique for minimal scarring and potential for outpatient application in select cases. The mean time to discharge was 2.0 ± 0.9 days. One major Clavien-Dindo IIIb complication occurred. No device-related adverse events were reported. These results confirm the safety and performance of DEXTER in robotic-assisted hysterectomy and support its role in expanding access to robotic-assisted surgery in diverse clinical settings.Trial registration: ClinicalTrials.gov NCT06473675.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"634"},"PeriodicalIF":3.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151275","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":"Robotic transabdominal preperitoneal versus laparoscopic intraperitoneal onlay mesh plus repair for small to medium primary ventral hernias: a propensity-matched cohort study.","authors":"Moaz Abulfaraj","doi":"10.1007/s11701-025-02817-0","DOIUrl":"https://doi.org/10.1007/s11701-025-02817-0","url":null,"abstract":"<p><p>Laparoscopic intraperitoneal onlay mesh (IPOM +) repair is a standard approach for small-to-medium-sized abdominal wall hernias of ≤ 5 cm. However, robotic transabdominal preperitoneal (TAPP) repair offers potential advantages in precision and postoperative recovery. We aimed to evaluate short-term outcomes in a propensity-matched cohort with at least 1 year follow-up. This retrospective propensity-matched study included patients undergoing first-time repair for abdominal wall hernias of ≤ 5 cm. After exclusions, 114 eligible patients (73 laparoscopic IPOM + , 2016-2022; 41 robotic TAPP, 2020-2024) underwent 1:1 propensity score matching, yielding 41 matched pairs. The primary endpoint was postoperative pain, while the secondary endpoints were hospital length of stay (LOS), operative time, complications, and cost-effectiveness. The robotic TAPP group had longer operative times (75.2 vs. 58.6 min; p < 0.001), lower 24 h pain scores (visual analog scale, 2.4 vs. 5.8; p < 0.001), and shorter LOS (1.2 vs. 2.1 days; p = 0.002). Fewer analgesics were required in the TAPP group (mean morphine equivalent dose: 10.3 vs. 18.7 mg; p = 0.01). Complications within 1 year occurred in three patients with IPOM + (two prolonged ileus, one adhesive small bowel obstruction) and one patient with TAPP (port-site hernia; p = 0.61). Six TAPP cases converted to lateral Rives-Stoppa due to thin peritoneum. Costs were comparable between the two groups ($2486 vs. $2445; p = 0.78). For primary abdominal wall hernias of ≤ 5 cm where laparoscopic TAPP is technically infeasible, robotic TAPP repair demonstrates superior short-term outcomes and fewer complications with comparable costs.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"637"},"PeriodicalIF":3.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145178889","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":"Evaluation of the analgesic efficacy of dinalbuphine sebacate in transoral robotic surgery for obstructive sleep apnea-hypopnea syndrome: a single-center retrospective cohort study.","authors":"Cheng-Wei Li, Yueh-Hsien Hsu, Chien-Han Tsao","doi":"10.1007/s11701-025-02829-w","DOIUrl":"10.1007/s11701-025-02829-w","url":null,"abstract":"<p><p>Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a chronic disorder with significant comorbidities. Transoral robotic surgery (TORS) combined with uvulopalatopharyngoplasty (UPPP) is an established treatment, but postoperative pain management remains challenging. This study evaluates the efficacy of dinalbuphine sebacate (DNS), an extended-release analgesic, in reducing opioid use and managing postoperative pain in TORS UPPP patients. This retrospective cohort included consecutive TORS-UPPP patients from 1 January 2020 to 30 June 2024; the database was locked on 30 June 2024 prior to analysis. The patients were divided into a DNS group (n = 96) and a conventional analgesia (CA) group (n = 42). The DNS group received a 150 mg intramuscular injection after anesthetic induction and after the surgery. Analgesic consumption, opioid usage, and pain scores were evaluated from the day of surgery (POD0) to two days postoperatively (POD2), as well as opioid prescriptions at discharge and during the first follow-up. The DNS group exhibited a significantly lower percentage of opioid use during POD0-POD2 (30.21% vs. 54.76%, p < 0.001) and a reduced oral morphine equivalent dose (15.31 ± 36.68 mg vs. 56.79 ± 85.83 mg, p = 0.001). Opioid prescriptions at discharge (68.75% vs. 88.10%, p = 0.016) and at the first follow-up (13.54% vs. 52.38%, p < 0.001) were also lower in the DNS group, with comparable analgesic effects. DNS effectively reduces postoperative opioid consumption and prescription in TORS UPPP patients without significant adverse effects. These findings support the integration of DNS into multimodal analgesia protocols for OSAHS surgery, substantially reduced inpatient and post-discharge opioid use (NNT ≈ 3-5) with small, likely non-clinically important differences in pain scores and no significant safety signal, supporting its clinical relevance in OSAHS surgical programs. Warranting further multicenter validation.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"636"},"PeriodicalIF":3.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12474697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151300","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":"Force in robotic thoracic surgery -a one year analysis of DaVinci 5 force feedback.","authors":"Peter J Kneuertz, Robert Mostellar, Robert E Merritt, Elliot L Servais, Brian Mitzman, Nestor R Villamizar, Luis F Tapias, John F Lazar, Desmond M D'Souza, Daniel S Oh, Gretchen P Jackson","doi":"10.1007/s11701-025-02781-9","DOIUrl":"10.1007/s11701-025-02781-9","url":null,"abstract":"<p><p>Lack of tactile sensation has been a limitation of robotic-assisted thoracic surgery (RATS). The da Vinci 5 System (launched in 2024) integrates force feedback (FFB), a technology that measures instrument-tip forces and relays them to console hand controllers. This study characterizes forces applied during RATS and evaluates the impact of FFB. Da Vinci 5 system data for all RATS procedures using FFB instruments performed in the US between March 29, 2024 and April 30, 2025 were reviewed. Common thoracic surgeries were analyzed, including lung resections, mediastinal, esophageal, and diaphragmatic procedures. Mean instrument-tip forces (Newtons, N) were compared by procedure and instrument type. Forces and time spent above > 6.5 N were compared across FFB settings. Data from 444 procedures by 73 unique surgeons were analyzed. Median forces during lung resections (1.45 N anatomic resection, 1.42 N wedge) were significantly lower compared to mediastinal procedures (1.61 N), esophageal (1.74 N), and diaphragm surgery (1.59 N) (p < 0.001). Higher forces were measured with the use of retraction (Cadiere or Fenestrated Bipolar) than dissecting (Maryland) instruments (p < 0.001). Median forces decreased progressively with higher FFB settings (off, 1.79 N vs. low, 1.67 N vs. medium, 1.45 N vs. high, 1.32 N, p < 0.001). Proportion of duration at force > 6.5 N similarly declined with increased FFB setting (p < 0.001). FFB technology is associated with reduced average and peak instrument forces during RATS, particularly at medium and high settings. Retraction instruments experienced the highest forces. Further research is needed to define optimal force thresholds and clinical impact.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"632"},"PeriodicalIF":3.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151319","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":"Intraoperative complications and prevention strategies in robot-assisted breast surgery.","authors":"Joon Suk Moon, Hyung Seok Park, Ji Young You, Kwan Ho Lee, Sae Byul Lee, Ku Sang Kim, Ho Yong Park, Byeongju Kang, Jeeyeon Lee","doi":"10.1007/s11701-025-02822-3","DOIUrl":"https://doi.org/10.1007/s11701-025-02822-3","url":null,"abstract":"<p><p>Robot-assisted breast surgery (RAS) improves cosmetic outcomes, but poses anatomical challenges-such as limited working space and lack of tactile feedback-that may increase intraoperative complication risk. To investigate the types and frequencies of intraoperative complications in RAS and assess preventive strategies employed by robotic breast surgeons based on their clinical experience, this Web-based survey was distributed to members of the Korea Robot-Endoscopy Minimal Access Breast Surgery Study Group. Twenty-six breast surgeons actively performing RAS responded to the questionnaire. The ten-item questionnaire was used to obtain data on surgeon demographics, RAS experience, intraoperative complications, and preventive strategies. The primary outcome was the prevalence of intraoperative complications; secondary outcomes included associations with surgeon experience and preventive strategies used. Among the 26 respondents, 80.8% (n = 21) reported at least one intraoperative complication during RAS. Patient-related complications included skin injury, brachial plexus palsy, incomplete breast tissue resection, and iatrogenic pneumothorax. Technical issues included CO₂ leakage and mechanical failure. All surgeons with > 50 cumulative RAS cases reported complications, whereas those with ≤ 20 cases reported none. This is the first study to systematically document intraoperative complications and preventive strategies in RAS in Korea. These findings offer valuable insights into complication patterns and practical prevention strategies that may inform surgical training, standardize practice, and improve patient safety in RAS.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"633"},"PeriodicalIF":3.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151285","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":"Machine learning-based prediction of post-operative outcomes in robotic-assisted radical prostatectomy: a multi-variable analysis of 758 cases.","authors":"Emad Rajih, Walaa M Borhan, Yasir Hassan Elhassan, Assaad Elhakim","doi":"10.1007/s11701-025-02786-4","DOIUrl":"10.1007/s11701-025-02786-4","url":null,"abstract":"<p><p>Robotic-assisted radical prostatectomy (RARP) has become the gold standard treatment for localized prostate cancer. However, predicting post-operative outcomes remains challenging. This study aims to develop and validate predictive models for key outcomes using machine learning approaches and compare them with traditional risk stratification systems. We conducted a retrospective analysis of 758 consecutive patients who underwent RARP between 2014 and 2018. Pre-operative variables included PSA, Gleason score, clinical stage, and IPSS scores. Primary outcomes were biochemical recurrence (BCR), positive surgical margins (PSM) (PSM), and functional outcomes at 12 months. Machine learning algorithms were compared with D'Amico and CAPRA risk stratification systems. The cohort included 758 patients with a mean age of 60.5 years. At 12-month follow-up (n = 634), biochemical recurrence rate was 4.5% (29/634). For pre-operative counseling applications, the machine learning model using only pre-surgical variables achieved AUC 0.783 for predicting 12-month biochemical recurrence, significantly outperforming D'Amico classification (AUC 0.692, p < 0.001). The comprehensive post-operative model incorporating pathological variables achieved optimal performance (AUC 0.847 for 12-month BCR, AUC 0.863 for 24-month BCR). At 12-month follow-up, biochemical recurrence occurred in 4.5% (34/753) of patients. Key pre-operative predictors included PSA (OR 1.23 per ng/mL, 95% CI 1.15-1.31), biopsy Gleason score ≥ 8 (OR 3.45, 95% CI 2.18-5.46), and clinical stage ≥ T2b (OR 2.67, 95% CI 1.89-3.77). Machine learning-based prediction models significantly outperform traditional risk stratification systems for predicting post-operative outcomes in RARP. These models provide personalized risk assessment to guide treatment decisions and patient counseling.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"631"},"PeriodicalIF":3.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151303","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 is a new revolution in spinal surgery: a visual bibliometrics analysis.","authors":"Haoran Wang, Yanrui Chen, Liang Li, Jun Liu, Boyao Wang","doi":"10.1007/s11701-025-02825-0","DOIUrl":"https://doi.org/10.1007/s11701-025-02825-0","url":null,"abstract":"<p><p>This study conducts a bibliometric analysis of the literature related to robotic surgery in spinal surgery to identify research hotspots and provide a foundation and suggestions for its future development. The paper focuses on the fields of robotics and spinal surgery, retrieving relevant literature from the Web of Science Core Collection (WOSCC) database from 2001 to December 31, 2024. The number of publications per year is quantified using GraphPad Prism, and CiteSpace is employed to analyze the collaboration among authors, countries, and institutions, as well as the co-citation patterns of journals or literature. Finally, keyword clustering and visualization analysis were performed. China and the USA lead in the number of publications and demonstrate the closest collaboration with other countries and institutions. The main identified keywords include \"accuracy\" and \"spine surgery\" with research hotspots focusing on \"image guidance\" and \"biomechanics\" The research on robotic surgery in spinal surgery shows a continuous growth trend, indicating that this field will remain a focal point in spinal surgery research in the future.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"630"},"PeriodicalIF":3.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132206","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}