Journal of Robotic Surgery最新文献

{"title":"Global research landscape and hot‑spot evolution of telesurgery in urology: A bibliometric analysis based on Web of Science Core Collection.","authors":"Jiangwei Man, Lanchun Shao, Rui Yan, Hao Wang, Yalong Zhang, Changhong Xu, Kangyu Wang, Li Yang","doi":"10.1007/s11701-026-03976-4","DOIUrl":"10.1007/s11701-026-03976-4","url":null,"abstract":"<p><p>To systematically delineate the research landscape and evolutionary trajectory of telesurgery in urology, analyze the global research architecture, core research forces, and frontier hotspot evolution patterns, and provide a bibliometric basis for clinical translation and future research in this field. The Web of Science Core Collection was searched for literature on urological telesurgery from database inception to May 3, 2026. The language was restricted to English, and document types were limited to \"Article\" or \"Review.\" A total of 181 publications were finally included after screening. Multiple bibliometric tools were employed for multi-dimensional analysis: Microsoft Excel 2024 was used to analyze temporal trends in annual publication output and total citation counts; VOSviewer 1.6.20 was used to construct co-occurrence networks of countries/regions, institutions, authors, and journals; CiteSpace 6.4.R1 was used for keyword co-occurrence, clustering analysis, timeline mapping, and burst detection to parse the knowledge structure and hotspot evolution pathways; and the Bibliometrix 4.1.1 package was supplemented to visualize national collaboration patterns and core terminologies. Since 1996, the overall publication output in urological telesurgery has shown a fluctuating upward trend, with a rapid burst phase during 2024-2025. In 2025, 35 articles were published with 898 total citations, indicating that academic impact grew significantly faster than publication volume. In the global research landscape, the United States has long held a dominant position, with absolute advantages in publication scale, core institutions, and international collaboration networks. China started later but has shown the fastest output growth in recent years, though its depth of international collaboration and academic influence still have considerable room for improvement. High-productivity and highly cited authors are predominantly European and American scholars, forming two distinct contribution models: sustained clinical cohort research and foundational theoretical studies. Research outputs are mainly published in authoritative specialty journals of robotic surgery and urology. Keyword analysis reveals that robotic surgery is the core theme, with renal and prostate procedures being the main clinical application scenarios. The field has undergone three developmental stages: laparoscopic technique exploration, clinical feasibility validation, and long-term clinical outcome evaluation. Current frontiers include 5G networks, telepresence surgery, and long-term follow-up outcomes. Urological telesurgery has progressed beyond the nascent stage of technological exploration and entered a phase of rapid development characterized by clinical validation and scaled application. Future efforts should focus on multi-center, prospective clinical studies, refinement of technical standards and safety evaluation systems, and deep integration of robotic technology, communic","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166749","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":"Femoral rotation and medial flexion gap tightness in functional alignment robotic total knee arthroplasty for varus knees.","authors":"Eduardo Frois Temponi, Pedro Henrique Oliveira Gomes, Alexandre Leite de Andrade, Miguel Jourdain Alípio do Vale, Matheus Braga Jacques Soares, Luiz Fernando Machado Soares, Lúcio Honório de Carvalho Júnior","doi":"10.1007/s11701-026-04037-6","DOIUrl":"10.1007/s11701-026-04037-6","url":null,"abstract":"<p><p>Functional-alignment (FA) robotic total knee arthroplasty (TKA) combines component positioning and soft-tissue management. This study described the association between medial flexion-gap tightness and surgeon-selected femoral rotation, together with release grades and intraoperative gap asymmetry in varus knees. This observational single-surgeon study included the 65 varus knees in an 89-knee database. Medial tightness was defined as lateral minus medial preoperative flexion gap. Correlation and ordinary least-squares regression used 63 complete observations. Recorded preoperative, planned and final trial gaps were analysed with endpoint-specific denominators. An exploratory model considered tibial coronal positioning and posterior slope. Selected rotation was associated with medial tightness (Spearman ρ = 0.571; p < 0.001). The univariable fit was rotation = 1.93° + 0.343°/mm × tightness (R² = 0.257; slope 95% CI, 0.194-0.492). The adjusted slope was 0.296°/mm (95% CI, 0.131-0.460; n = 60). Release was mild in 64/65 and moderate in 1/65 knees. Mean absolute final asymmetry was 0.38 mm in extension and 0.29 mm in flexion. Asymmetry <1 mm occurred in 50/60 (83.3%) and 55/59 (93.2%), respectively; 53/58 (91.4%) met ≤1 mm in both positions. Greater medial flexion tightness was associated with greater selected femoral rotation. Predominantly mild release and small final mean asymmetry accompanied the combined workflow. The equation describes one surgeon's decisions and is not a validated surgical rule. These observations do not establish an independent release-sparing effect, clinical superiority of submillimetre symmetry, patellofemoral safety or long-term benefit.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13654885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171663","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":"Body mass index and robotic-assisted total hip arthroplasty: current evidence, technical challenges, and clinical implications-a critical review.","authors":"Ekrem Özdemir, Esra Demirel","doi":"10.1007/s11701-026-04044-7","DOIUrl":"https://doi.org/10.1007/s11701-026-04044-7","url":null,"abstract":"<p><p>Higher body mass index (BMI) can increase the technical difficulty of total hip arthroplasty (THA), but whether robotic assistance preserves surgical accuracy in patients who are overweight or obese remains uncertain. This critical review evaluated current evidence regarding BMI-related radiographic, clinical, perioperative, and safety outcomes following robotic-assisted THA. A structured search of MEDLINE/PubMed and ClinicalTrials.gov was conducted through 8 September 2026 and supplemented by targeted citation checking. Owing to substantial clinical and methodological heterogeneity, findings were synthesised narratively without meta-analysis. Eight directly relevant studies, comprising one randomised trial and seven non-randomised studies, were included. Evidence from robotic-assisted THA cohorts did not demonstrate a clear deterioration in acetabular component-positioning accuracy with increasing BMI. Comparisons involving patients who are overweight or obese generally favoured robotic assistance over manual THA for target-zone achievement and restoration of leg length or centre of rotation, whereas patient-reported outcomes (PROMs) and complication rates showed no consistent statistically significant differences; however, the available studies were insufficiently powered to detect differences in uncommon complications, and the absence of significant differences should not be interpreted as evidence of equivalence. Robotic-assisted procedures were generally associated with longer operative times. Interpretation was limited by heterogeneous BMI thresholds, robotic platforms, surgical approaches, radiographic targets, and follow-up durations, together with sparse reporting of BMI-by-treatment interaction analyses. Robotic assistance may therefore help maintain radiographic execution in technically demanding patients with higher BMI; however, the available evidence does not establish that BMI modifies its comparative effectiveness over manual THA. Improvements in PROMs and cost-effectiveness, as well as reductions in complication and revision rates, remain unproven. Prospective studies using harmonised radiographic endpoints and prespecified BMI-by-treatment interaction analyses are required.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168447","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":"Feasibility and perioperative outcomes of Senhance-assisted robotic cholecystectomy: a single-arm meta-analysis.","authors":"Ye Tao, Wen-Tao Lei, Xin-Min Niu, Zheng-Wei Leng, Wei Li","doi":"10.1007/s11701-026-03991-5","DOIUrl":"10.1007/s11701-026-03991-5","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The Senhance Digital Laparoscopy System (SDLS) is an emerging robotic platform with distinctive features, including haptic feedback, eye-tracking camera control, and reusable instruments compatible with standard laparoscopic trocars. However, comprehensive evidence regarding its application in cholecystectomy remains limited. This single-arm meta-analysis was designed to consolidate the current evidence by quantitatively synthesizing key perioperative outcomes-including operative time, console time, docking time, surgical success rate, and postoperative length of hospital stay-to provide a comprehensive, evidence-based assessment of the feasibility and perioperative outcomes of Senhance-assisted robotic cholecystectomy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;To identify potentially relevant publications, the following electronic databases were systematically queried from their respective inception dates through August 1, 2026: Web of Science, Embase, PubMed, and Cochrane Library. Eligible studies were those reporting perioperative outcomes of Senhance-assisted cholecystectomy. The analysis focused on operative time and console time as primary measures, with docking time, hospital stay, and surgical success rate as secondary measures. all meta-analyses were performed using random-effects models. Subgroup analyses were performed based on economic level, study design, and sample size. Assessment of study quality was conducted using the Joanna Briggs Institute (JBI) case series Critical Appraisal Checklist.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Eight studies comprising 198 patients were included. The pooled operative time was 81.48 min (95% CI: 78.52 to 84.44; I² = 0.0%), console time was 39.35 min (95% CI: 33.29 to 45.41; I² = 90.0%), docking time was 11.54 min (95% CI: 8.37 to 14.70; I² = 96.2%), and length of hospital stay was 1.89 days (95% CI: 0.81 to 2.97; I² = 97.9%). The pooled surgical success rate was 96% (95% CI: 90% to 99%; I² = 50.7%). Subgroup analysis for docking time revealed a significant difference by sample size (p = 0.038), while console time showed no significant differences across subgroups. Sensitivity analysis demonstrated the robustness of the findings for operative time, console time, docking time, and surgical success rate, whereas the length of hospital stay was significantly influenced by a single study (Sasaki, 2023). All included studies were rated as high quality with low risk of bias.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The findings of this single-arm meta-analysis indicate that Senhance-assisted robotic cholecystectomy is both safe and feasible, demonstrating a high surgical success rate, acceptable operative times, and a short postoperative hospital stay. The console time is comparable to that of conventional laparoscopic cholecystectomy, while docking time remains a modifiable factor that can be optimized through experience and team training. However, the heterogeneity in length of hospital stay ","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149298","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 consensus framework for the safe and equitable implementation of telesurgery and remote surgical education: a society of robotic surgery supported accelerated Delphi study.","authors":"Vipul Patel, Marcio Covas Moschovas, Bhaskar Somani, Mischa Dohler, Mohamad Omar Al-Kalaa, Alexandre Mottrie, Louis Kavoussi, Saad Al-Dousari, Younes Ahallal, Ajit Sachdeva, Eduardo Parra-Davila, Martin Roche, Kenneth Palmer, Martin Martino, Sharona Ross, Yu Ozawa, Rohan Sharma, Saleh Bubishate, Marco Montesi, Travis Rogers, David Albala, Raymond Leveillee, Carla Pugh, Jay Redan, Xu Zhang, Jacques Marescaux, Adnan Siddiqui, Kenichi Hakamada, Girma Tefera, Louise Agersnap, Prokar Dasgupta, Justin Collins, Shady Saikali","doi":"10.1007/s11701-026-04050-9","DOIUrl":"10.1007/s11701-026-04050-9","url":null,"abstract":"&lt;p&gt;&lt;p&gt;An estimated 160 million additional surgical procedures are required annually to address unmet surgical need globally, with the greatest deficits occurring in low- and middle-income countries. While telesurgery has re-emerged as a feasible model for delivering remote operative expertise, its broader implementation remains constrained by unresolved technical, ethical, regulatory, educational, and governance challenges. We aimed to develop an international multidisciplinary consensus framework to guide the safe, equitable, and scalable implementation of telesurgery and remote surgical education. A Society of Robotic Surgery (SRS)-supported accelerated Delphi consensus process was conducted between February and March 2026. Candidate statements were generated through a comprehensive literature review and refined by a multidisciplinary working group of clinicians, engineers, industry representatives, regulators, and healthcare leaders who convened at a telesurgery conference in Orlando, in February 2026. A three-round electronic Delphi survey was performed using a 7-point Likert scale across nine predefined domains: (1) Global Need, Ethics & Humanitarian Rationale; (2) Technical Infrastructure, Connectivity & Network Performance; (3) Cybersecurity & Data Protection; (4) Surgeon Credentialing, Training & Skill Maintenance; (5) Safety Protocols, Human Factors & Team Dynamics; (6) Clinical Indications, Case Selection & Procedural Scope; (7) Regulatory, Legal, Licensure & Liability; (8) Economics, Administration & Reimbursement; and (9) Industry Responsibilities, Research & Global Roadmap. Consensus was predefined as ≥ 80% agreement (Likert scores 5-7). A total of 153 international experts participated in Round 1, including surgeons, engineers, industry representatives, hospital administrators, and regulatory stakeholders. Participant retention was 79.1% from Round 1 to Round 2 and 90.1% from Round 2 to Round 3. Of 86 core recommendation statements, 83 (96.6%) achieved consensus after three rounds. Consensus was strongest in cybersecurity, safety protocols, clinical indications, regulatory governance, economics, and industry responsibilities, where all statements reached agreement. Three statements failed to achieve consensus, relating to procedure-specific latency thresholds, dual-site credentialing requirements, and telesurgery as a preferred intervention when alternative treatments are available. Four additional terminology statements defining telesurgery, tele-mentoring, tele-proctoring, and tele-preceptoring achieved consensus after a single Delphi round, providing provisional standardized definitions for the field. To our knowledge, this is among the first multidisciplinary consensus frameworks to integrate clinical implementation, remote surgical education, cybersecurity, regulation, economics, and governance within a single Delphi exercise. The findings position telesurgery not only as a model for remote operative care but also as a platform","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138831","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":"Navigating decision-making for high-cost robotic surgery in the emergency department: an acute care surgery experience.","authors":"Chih-Yuan Fu, Pei-Hua Li, Sheng-Yu Chan, Feng-Ren Hsieh, Yu-Hao Wang, Ting-An Hsu, Chien-Hung Liao","doi":"10.1007/s11701-026-04038-5","DOIUrl":"10.1007/s11701-026-04038-5","url":null,"abstract":"<p><p>Although robotic surgery is increasingly applied in acute care surgery (ACS), the preoperative decision-making process in the emergency department (ED) remains poorly understood. This study evaluated the feasibility and factors associated with choosing high-cost robotic surgery in an acute setting. This single-center retrospective study included ED patients undergoing urgent cholecystectomy between December 2025 and July 2026. Decision-making metrics and sociodemographic factors were compared between robotic (RC) and laparoscopic cholecystectomy (LC). Multivariable logistic regression identified factors independently associated with choosing RC, and a subgroup analysis evaluated whether the decision was finalized during the ED stay among RC patients. Among 107 patients, 46 (43.0%) underwent RC and 61 (57.0%) underwent LC. RC patients required a longer time from consultation to consent (19.1 vs. 11.4 h, p < 0.001) and more counseling sessions (2.4 vs. 1.1, p < 0.001). Nevertheless, 54.3% of RC patients finalized their decision during their ED stay. Younger age (OR = 0.891, 95% CI 0.813-0.976, p = 0.013), family presence in the ED (OR = 5.001, 95% CI 4.213-5.936, p < 0.001), a greater number of counseling sessions (OR = 1.276, 95% CI 1.064-1.530, p = 0.009), and commercial insurance coverage (OR = 2.235, 95% CI 1.899-2.630, p < 0.001) were independently associated with choosing RC. Among RC patients, younger age and greater family involvement were associated with finalizing the decision during the ED stay (both p < 0.001). High-cost robotic surgery can be integrated into the ACS setting despite a more complex decision-making process. Patient, family, financial, and counseling-related factors were associated with the choice of robotic surgery.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138894","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 research trends and hotspots of robot-assisted urological telesurgery: a bibliometric analysis.","authors":"Biao Zhang, Xuan Li, Shujun Yang, Cheng Wang, Can Li, Hong Chang, Panfeng Shang, Su Zhang","doi":"10.1007/s11701-026-04043-8","DOIUrl":"10.1007/s11701-026-04043-8","url":null,"abstract":"<p><p>With the integration of telecommunication and intelligent robotic technology, robot-assisted urological telesurgery has progressively evolved from early technical exploration toward broader clinical applications and procedural optimization, yet the global knowledge architecture, collaborative patterns and thematic evolution of this field remain unsystematically characterized. This study adopted bibliometric methodologies to systematically map the global research landscape, thematic evolutionary trends, and collaborative patterns of robot-assisted urological telesurgery over the period 2005-2025. The results demonstrated an overall increase in cumulative publication output from 2005 to 2025, accompanied by fluctuating annual productivity. China surpassed the United States in publication output in 2023, whereas the United States retained the highest citation impact and a central position in international collaboration. Qingdao University was the most productive affiliation, and author productivity was led by Patel V, followed by Moschovas MC, Niu HT and Yang XC. Journal of Robotic Surgery was the most productive source, whereas Surgical Endoscopy and European Urology occupied prominent positions in the local citation structure. Keyword co-occurrence, clustering, burst detection and timeline analyses revealed a progressive transition from early system development and feasibility exploration toward broader minimally invasive and robot-assisted urological applications. \"Minimally invasive surgical procedures\" remained an active burst term from 2023 to 2025, while current thematic clusters prominently involved minimally invasive surgery, robotic surgical procedures, robot-assisted surgery and remote surgery. Despite increasing research activity, international and inter-institutional collaboration remained geographically clustered. This bibliometric research summarizes the global knowledge framework and hotspot transitions within this discipline, and underscores the requirements for extensive international collaboration, standardized training programmes, high-end communication infrastructure and accessible remotesurgical care services.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138846","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":"Learning curve and short-term outcomes of our first 150 consecutive robotic Roux-en-Y gastric bypass procedures using the Hugo™ RAS system: a single-centre, single-surgeon experience.","authors":"Mehrdad Biglari, Mathias Sioen, Maxime Bossuyt","doi":"10.1007/s11701-026-04042-9","DOIUrl":"10.1007/s11701-026-04042-9","url":null,"abstract":"<p><p>Robotic-assisted Roux-en-Y gastric bypass (RYGB) is increasingly being adopted as an alternative to conventional laparoscopic surgery. However, data on the learning curve and short-term outcomes of RYGB using the Hugo™ robotic-assisted surgery (RAS) system remain limited. This study assessed the technical feasibility, console-time learning curve, and short-term postoperative outcomes of robotic-assisted RYGB using the Hugo™ RAS system. We conducted a retrospective, single-centre case series of the first 150 consecutive robotic-assisted RYGB procedures performed by a single experienced bariatric surgeon using the Hugo™ RAS system between May 2023 and July 2026. Patient characteristics, console time, postoperative complications, and length of hospital stay were recorded. Complications were classified according to the Clavien-Dindo classification. Segmented regression analysis was used to characterize the console-time learning curve and estimate the breakpoint. Of 150 procedures, 147 were included in the clinical series; three converted to laparoscopy were excluded from statistical analyses. Console-time data were available for 139 cases. Mean console time was 104.6 min and decreased across the sequential series. Segmented regression identified a breakpoint at approximately case 17, after which the decline in console time became less pronounced. The documented complication rate during available follow-up was 7.5%. Mean hospital stay was 2.03 days. No mortality occurred. Robotic-assisted RYGB using the Hugo™ RAS system was technically feasible and associated with a progressive reduction in console time. These findings provide further clinical data on the implementation of Hugo™ RAS for RYGB. Prospective comparative multicentre studies are needed to assess clinical outcomes, reproducibility, and generalizability.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138851","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 comparison of perioperative outcomes for da Vinci robotic-assisted, laparoscopic and open surgery in oncologic procedures: a systematic literature review and meta-analysis of evidence from China.","authors":"Xuefeng Hu, Usha Seshadri-Kreaden, Ana Yankovsky, Danni Xiao, Haoran Zhan, Neera M Patel, Yifan Xu, Yu-Hsiang Kao, Ben Forrest, Ziting Wu, Beini Lyu","doi":"10.1007/s11701-026-04021-0","DOIUrl":"10.1007/s11701-026-04021-0","url":null,"abstract":"<p><p>The use of robot-assisted surgery (RAS) has increased markedly in China, but comparative evidence on its perioperative performance in cancer care is dispersed across specialties and study designs. This review synthesized Chinese evidence to examine the safety and effectiveness of da Vinci robot-assisted surgery (dV-RAS) relative to laparoscopic/video-assisted thoracoscopic surgery (LAP/VATS) and open surgery across seven oncologic procedures. We systematically reviewed comparative studies published from 2010 to 2024 and pooled estimates for dV-RAS versus LAP/VATS or open surgery. Prespecified perioperative outcomes were conversion to open surgery, operative time, estimated blood loss, blood transfusion, hospital length of stay, postoperative complications, readmission, reoperation, and 30-day mortality. The review included 116 studies. Relative to LAP/VATS, dV-RAS was associated with lower odds of conversion to open surgery (odds ratio [OR] 0.26; 95% confidence interval [CI] 0.21-0.33; p < 0.01), less blood loss (mean difference [MD] - 32.48 mL; 95% CI - 40.86 to - 24.11; p < 0.01), lower odds of transfusion (OR 0.61; 95% CI 0.51-0.73; p < 0.01), a shorter hospital stay (MD - 1.06 days; 95% CI - 1.30 to - 0.82; p < 0.01), fewer 30-day postoperative complications (OR 0.67; 95% CI 0.61-0.73; p < 0.01), and fewer reoperations (OR 0.62; 95% CI 0.40-0.96; p = 0.03). Comparisons with open surgery likewise favored dV-RAS for blood loss, transfusion, length of stay, and postoperative complications. Operative time, readmission, and 30-day mortality did not differ significantly between approaches. Across seven oncologic procedures, pooled evidence from China indicated that dV-RAS was associated with better outcomes on several perioperative measures than LAP/VATS or open surgery. Because between-study heterogeneity was substantial and most included studies were retrospective, the findings should be interpreted cautiously and confirmed in higher-quality prospective research.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128794","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":"Student and surgeon perceptions of a robotic theatre live-link within the undergraduate curriculum.","authors":"Lewis Blenkinsop, Kenneth Campbell, Neil Harrison, Ross Dolan","doi":"10.1007/s11701-026-04055-4","DOIUrl":"10.1007/s11701-026-04055-4","url":null,"abstract":"<p><p>Explore student and surgeon perceptions of robotic theatre live-links as part of an undergraduate medical degree programme. During the surgical block, in the fourth year of a five-year medical programme at the University of Dundee, a robotic live-link session was introduced. Students undertook a pre-session case discussion and targeted anatomy revision before linking in to view the live operation. During the live-link session, the operating surgeon facilitated group discussion and answered questions via a headset. Following the session, 12 students and four participating surgeons completed a questionnaire exploring their experience of the session. The data collected was analysed descriptively to assess the acceptability of this teaching method to the staff and students as well as the students' perceived benefits of the learning environment. The session was well received, with 92% (11/12) of students describing it as relevant or very relevant to their learning. Students also reported fewer barriers to learning compared with their experiences in theatre, such as feeling unable to ask questions. Surgeons felt the quality of the teaching delivered was as good as or better than that normally delivered in theatre. They also reported that the live-link did not impact negatively on their ability to undertake the clinical case. This appears to be the first instance of a robotic theatre live-link being timetabled within an undergraduate curriculum. Student and faculty feedback is positive, and it may provide a way to introduce students to theatre without the usual barriers to learning.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128863","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}