Journal of Robotic Surgery最新文献_第9页

Comment on: "A comparative analysis of perioperative outcomes in single-port and multi-port retroperitoneal robot-assisted partial nephrectomy: a systematic review and meta-analysis". 评论：“单孔和多孔腹膜后机器人辅助部分肾切除术围手术期结果的比较分析：一项系统回顾和荟萃分析”。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-05-24 DOI: 10.1007/s11701-025-02410-5

JiaWei Li, RuoYao Cheng, FeiYing Bu, TianLiang Wen

引用次数: 0

Comment on "Comparing outcomes of robotic-assisted radical prostatectomy by specialists and trainees using a modular training approach". 评论“比较专家和学员使用模块化培训方法进行机器人辅助根治性前列腺切除术的结果”。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-05-24 DOI: 10.1007/s11701-025-02411-4

Saraswati Sah, Renu Sah

引用次数: 0

Comment on "Multi-perspective analysis of daVinci surgical virtual reality training". 评《达芬奇外科虚拟现实训练的多视角分析》

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-05-24 DOI: 10.1007/s11701-025-02420-3

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

A meta-analytic appraisal of robotic-assisted cystectomy outcomes in the elderly octogenarian population. 机器人辅助膀胱切除术在老年人群中的meta分析评价。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-05-24 DOI: 10.1007/s11701-025-02379-1

Qing-Feng Liu, Peng Hao, Tao Wang

{"title":"A meta-analytic appraisal of robotic-assisted cystectomy outcomes in the elderly octogenarian population.","authors":"Qing-Feng Liu, Peng Hao, Tao Wang","doi":"10.1007/s11701-025-02379-1","DOIUrl":"https://doi.org/10.1007/s11701-025-02379-1","url":null,"abstract":"Objective: This analysis aims to compare the outcomes of robotic cystectomy in patients with bladder cancer who are under 80 years of age versus those who are 80 years or older.Materials and methods: A thorough search was conducted across key databases, including Google Scholar, Cochrane Library, PubMed, EMBASE, and Web of Science, with the most recent search conducted in July 2024. Data analysis was performed using Stata 18, applying a random-effects meta-analysis model. Weighted mean differences were calculated for continuous data, and odds ratios for categorical variables, accompanied by 95% confidence intervals.Results: Four studies were included in the meta-analysis. The baseline data revealed significant differences in age, sex distribution, BMI, ASA scores (≥ 3), and cT2 staging between the two age groups. Patients aged 80 and above had significantly longer surgical durations and a greater number of lymph nodes removed compared to those under 80. Marked heterogeneity was observed in the younger cohort, which showed higher rates of urinary diversion to the neobladder and pelvic lymph node dissection. Blood loss, hospitalization duration, total complications, minor complications, and major complications did not differ notably between the age groups.Conclusion: This study suggests that robot-assisted radical cystectomy (RARC) is a viable and safe procedure for carefully selected elderly patients when performed in high-volume specialized centers. However, the small sample size, intermediate follow-up period, and potential for selection bias warrant caution in interpreting long-term outcomes. Future multi-center studies with longer follow-ups are needed to confirm these findings and establish standardized criteria for patient selection.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"232"},"PeriodicalIF":2.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

More procedures, more efficiency: optimizing operating room during the phase of learning curve-experience of first 100 robotic bariatric procedures in a single center. 手术越多，效率越高：在学习曲线阶段优化手术室——在一个中心完成前100个机器人减肥手术的经验。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-05-24 DOI: 10.1007/s11701-025-02396-0

Zucchini Nicolas, Locci Eleonora, Moroni Enrico, Fantola Giovanni

{"title":"More procedures, more efficiency: optimizing operating room during the phase of learning curve-experience of first 100 robotic bariatric procedures in a single center.","authors":"Zucchini Nicolas, Locci Eleonora, Moroni Enrico, Fantola Giovanni","doi":"10.1007/s11701-025-02396-0","DOIUrl":"10.1007/s11701-025-02396-0","url":null,"abstract":"Robotic bariatric surgery (RBS) is increasingly adopted worldwide. This study aims to evaluate the implementation and evolution of RBS at a high volume center over five years, focusing on operative time (OT), operating room (OR) efficiency, and cost outcomes. A prospective analysis was conducted on patients undergoing elective RBS between July 2021 and March 2025 at ARNAS G. Brotzu, Cagliari. Metrics included OT, OR session time, and surgical volume. Variables analyzed included OT, OR session time, and surgical volume. Efficiency metrics such as overall OR efficiency, defined as OR session time/OT (Eff1), and robotic console utilization, defined as OR session time/console time (Eff2) were derived. Cost analysis incorporated OR activation time, surgeon and material costs. Statistical analyses included t-tests, Pearson's correlation, and linear regression. 100 robotic-assisted procedures were recorded. Robotic adoption increased from 4.06% in 2021 to 38.98% in 2025. A learning curve (LC) was identified, with a significant OT reduction after the first 34 Roux-en-Y gastric bypass cases (p = 0.001). Full robotic manual anastomosis showed a notable cost decrease in later cases (p < 0.0001). Increased surgical volume correlated with both reduced OT (r = - 0.58) and improved Eff1 (r = - 0.49, p = 0.005). However, Eff2 changes were not statistically significant (r = - 0.31, p = 0.09), underscoring the need for team-wide coordination. RBS in high-volume centers enhance OR efficiency and cost-effectiveness over time. The LC, surgical volume, and institutional workflows were key factors in optimizing efficiency, highlighting the importance of a collective LC for the entire surgical team.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"233"},"PeriodicalIF":2.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Safety and efficiency of robot-assisted aspiration and intraoperative lysis without catheterization for deep-seated intracerebral hemorrhage. 机器人辅助抽吸术中无导管溶解治疗深部脑出血的安全性和有效性。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-05-23 DOI: 10.1007/s11701-025-02408-z

Yu-Chi Wang, Ting-Wei Chang, Cheng-Chi Lee, Zhuo-Hao Liu, Bo-An Chen, Ching-Chang Chen

{"title":"Safety and efficiency of robot-assisted aspiration and intraoperative lysis without catheterization for deep-seated intracerebral hemorrhage.","authors":"Yu-Chi Wang, Ting-Wei Chang, Cheng-Chi Lee, Zhuo-Hao Liu, Bo-An Chen, Ching-Chang Chen","doi":"10.1007/s11701-025-02408-z","DOIUrl":"https://doi.org/10.1007/s11701-025-02408-z","url":null,"abstract":"Functional recovery after minimally invasive surgery for intracerebral hemorrhage (ICH) varies. In this study, we introduce a novel robot-assisted stereotactic aspiration and lysis procedure to evacuate deep-seated ICH and evaluate the efficiency of improving neurologic outcomes. Adult patients with spontaneous ICH less than 40 mL were prospectively recruited and underwent a novel protocol combining aspiration and lysis through a single trajectory planned and executed with a neurosurgical robot. No catheter drainage was required after each procedure. The clot volume and neurologic assessments including Glasgow Coma Scale (GCS), National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) were compared before and after surgery. Surgical complications and mortality within 30 days and neurological improvement survival (NIS), defined as the day on which the NIHSS had decreased by 3 points postoperatively, were recorded. Fifty-five patients with a mean clot volume of 25.5 mL and ICH score of 2 were enrolled. The overall reduction rate was 84.3%, which was inversely proportional to the initial volume (-0.42, p = 0.041). One patient (1.8%) had subclinical bleeding postoperatively, however, none of the patients died. Comparisons between before and after surgery showed an increase in GCS (11.7 vs. 13.4, p < 0.001), decrease in NIHSS (17.4 vs. 12.1, p < 0.001), and decrease in mRS (3.6 vs. 3.1, p < 0.001). Right hemisphere ICH was associated with better NIS than left ICH (p = 0.025). Robot-assisted stereotactic aspiration and thrombolysis can effectively improve neurological function in patients with deep-seated ICHs.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"230"},"PeriodicalIF":2.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simultaneous robotic-assisted prostatectomy and rectal resection: a systematic review. 同时机器人辅助前列腺切除术和直肠切除术：系统综述。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-05-23 DOI: 10.1007/s11701-025-02395-1

Harry Collin, Benjamin Huang, Amila Siriwardana, Craig Harris, Andrew Stevenson, Anojan Navaratnam, Rachel Esler, Matthew J Roberts

{"title":"Simultaneous robotic-assisted prostatectomy and rectal resection: a systematic review.","authors":"Harry Collin, Benjamin Huang, Amila Siriwardana, Craig Harris, Andrew Stevenson, Anojan Navaratnam, Rachel Esler, Matthew J Roberts","doi":"10.1007/s11701-025-02395-1","DOIUrl":"10.1007/s11701-025-02395-1","url":null,"abstract":"Prostate cancer (PC) and rectal cancer (RC) are common and can require complex management, especially when presenting synchronously or with invasive characteristics. Robotic surgery has emerged as a viable option for managing these challenging cases; however, the outcomes are yet to be summarised or compared to traditional approaches. This systematic review aims to evaluate the feasibility, oncological outcomes, and functional results of simultaneous robotic-assisted resections of the prostate and rectum. Following prior protocol registration (PROSPERO: CRD42023449872) and according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines, we conducted a systematic search across multiple databases, selecting studies that involved simultaneous bladder-sparing robotic-assisted prostatectomy and rectal resection. The Joanna Briggs Institute tool was used for risk of bias assessment. Data on patient demographics, treatment details, post-operative course, and functional and oncological outcomes were extracted and analysed. From 1357 identified records, 25 studies met our inclusion criteria resulting in 45 cases/patients. The median patient age was 62 years. Diverse treatment backgrounds and outcome definitions were recorded. Median operative time was 548 min and median estimated blood loss was 450 mL. The overall complication rate was 44.4%, with major complications (Clavien-Dindo III) occurring in 17.8% of cases. Surgical margins were negative in 92.6% of cases. Continence recovery occurred for most (78.6%) of the cases reporting on urinary function. Simultaneous robotic-assisted prostatectomy and rectal resection appears to be a feasible, safe and oncologically effective approach with satisfactory oncological and functional outcomes for managing patients with synchronous or invasive PC and RC.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"229"},"PeriodicalIF":2.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A ferrofluid-based haptic guidance system for robot-assisted endovascular procedures. 基于铁磁流体的机器人辅助血管内手术触觉引导系统。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-05-22 DOI: 10.1007/s11701-025-02398-y

Saket Pradhan, Dennis Kundrat, Giulio Dagnino

{"title":"A ferrofluid-based haptic guidance system for robot-assisted endovascular procedures.","authors":"Saket Pradhan, Dennis Kundrat, Giulio Dagnino","doi":"10.1007/s11701-025-02398-y","DOIUrl":"10.1007/s11701-025-02398-y","url":null,"abstract":"In the context of endovascular intervention, robot assistance provides improved instrument navigation, safety, and ergonomics compared to traditional surgical approaches. However, a significant challenge with these interventions is the lack of tactile feedback for surgeons, which is crucial for precise instrument manipulation. This paper introduces a novel concept for a ferrofluid-based haptic feedback system designed to potentially address this gap in robot-assisted endovascular surgeries. Leveraging the unique properties of ferrofluids, which alter their viscosity under magnetic fields, this system aims to mimic the tactile sensations that are otherwise lost in robotic surgeries. The study presents the development and validation of a ferrofluid-based system integrated within the CathBot, a robotic platform for endovascular procedures. The system utilizes ferrofluids in a teleoperated setup to provide real-time, intuitive feedback about instrument positioning, potentially enhancing surgical accuracy and safety. Experiments were conducted to evaluate the properties of the ferrofluids and their interaction with magnetic fields to create a responsive feedback mechanism. Results from structural experiments, force evaluations, and user studies indicate that ferrofluids have the potential to effectively providing tactile feedback through controlled magnetic fields, improving the surgeon's ability to detect and respond to contact points within the vasculature. Despite some challenges with fluid control and system integration, the preliminary outcomes are promising. The potential improvements include refining the feedback mechanism to better mimic natural tactile sensations and further integrating this technology with existing robotic systems to enhance operational efficiency and patient safety.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"226"},"PeriodicalIF":2.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of RATS in comparison to VATS and open lung resections for malignancy in propensity matched high-risk patients. 在倾向匹配的高危患者中，大鼠与VATS和开放式肺切除术的结果比较。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-05-22 DOI: 10.1007/s11701-025-02344-y

Fatemeh Habibi Nameghi, Asemota Oghogho, Diana Baltag, Bartlomiej Szafron, Cristina Viola, Jakub Kadlec, Waldemar Bartosik, Michael Irvine, Vasileios Kouritas

{"title":"Outcomes of RATS in comparison to VATS and open lung resections for malignancy in propensity matched high-risk patients.","authors":"Fatemeh Habibi Nameghi, Asemota Oghogho, Diana Baltag, Bartlomiej Szafron, Cristina Viola, Jakub Kadlec, Waldemar Bartosik, Michael Irvine, Vasileios Kouritas","doi":"10.1007/s11701-025-02344-y","DOIUrl":"https://doi.org/10.1007/s11701-025-02344-y","url":null,"abstract":"Robotic-assisted thoracoscopic surgery (RATS) is offered to early-stage, low-risk patients. This study compares the outcomes of high-risk malignancy patients who received RATS lung resection with propensity matched similar patients operated via video-assisted thoracoscopic surgery (VATS) and open thoracotomy (OT). All patients discussed at our high-risk meeting who had resections via RATS, VATS or OT between May 2019 and August 2023 were retrospectively investigated. Propensity-matched RATS, VATS and OT groups were created. 145 patients were analysed. The mean age was 71.3 ± 8.4 years and 63 (43.5%) were females. After propensity matching, three groups were created including 31 RATS, 31 VATS, and 31 OT patients. The three groups were similar in baseline characteristics. More segmentectomies were performed via RATS than via VATS or OT (29% vs 9.7% vs 9.7%, respectively, p = 0.009). Length of stay (LOS) and critical care complex CCC-LOS were shorter in the RATS group when compared to VATS or OT (p < 0.001 and p < 0.0001, respectively). Overall and respiratory complications were lower in RATS compared to VATS or OT (35.5% vs 48.4% vs 71%, p = 0.039 and 12.9% vs 38.7% vs 35.5%, p = 0.035, respectively). Unplanned admissions to CCC were lower in the RATS versus the VATS and OT groups (3.2% vs 12.9% vs 22.6%, respectively, p = 0.014). All other variables investigated were similar between groups. Offering RATS lung resections to high-risk patients is a viable surgical option for lung malignancy. The historical consensus to exclude RATS in such patients should be reevaluated as it may confer superior clinical outcomes to other approaches.","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"225"},"PeriodicalIF":2.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on: "comparison of perioperative outcomes between extracorporeal and intracorporeal urethral diversion in robot-assisted radical cystectomy: a meta-analysis and systematic review". 评论：“机器人辅助根治性膀胱切除术中体外和体内尿道改道围手术期结果的比较：荟萃分析和系统综述”。

IF 2.2 3区医学

Journal of Robotic Surgery Pub Date : 2025-05-22 DOI: 10.1007/s11701-025-02397-z

Xinpeng Lv, Hongjun Wu, Weiqiang Chen

引用次数: 0