International Journal of Medical Robotics and Computer Assisted Surgery最新文献

{"title":"Safety and Efficacy Clinical Trial of Robot-Assisted Prostate Biopsy Using a Hand-Held Robotic System","authors":"Wenhe Jiang,&nbsp;Yongzhuo Gao,&nbsp;Mingwei Wen,&nbsp;Qiangqiang Huang,&nbsp;Hui Dong,&nbsp;Huageng Liang,&nbsp;Dongmei Wu,&nbsp;Wei Dong","doi":"10.1002/rcs.70062","DOIUrl":"https://doi.org/10.1002/rcs.70062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Robotic systems are increasingly utilised to improve clinical outcomes in prostate interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We enroled 20 patients to verify the clinical feasibility of transrectal ultrasound (TRUS)-guided robot-assisted prostate biopsy (PBx). For each patient, controlled trials of systematic 12-core PBx were initially conducted manually using a biopsy gun, followed by a 3-core cognitive fusion targeted biopsy performed by the hand-held robot.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The targeting errors for robot-assisted biopsy and freehand biopsy were 3.71 ± 1.41 mm and 3.94 ± 1.49 mm, respectively. Their cancer core rates were 19.1% and 12.6%, and the average duration of each biopsy was 6.94 min and 1.62 min, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The robot's sampling success rate was lower than that of freehand with a biopsy gun in the clinical trial. However, robot-assisted PBx has shown improved cancer core rate, slightly enhanced surgical accuracy, and the capability to reach clinically significant tumours' 5 mm error range, all demonstrating its clinical value.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581824","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":"System and Technology of Breast Intervention Robot: A Review","authors":"Haiyan Du,&nbsp;Zhongwen Wang,&nbsp;Yongde Zhang,&nbsp;Xun Huang,&nbsp;Xilei Wang","doi":"10.1002/rcs.70055","DOIUrl":"https://doi.org/10.1002/rcs.70055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>At present, breast cancer has become the cancer with the highest incidence rate in the world. Breast intervention robot is an important biopsy or targeted therapy method for breast diseases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>According to the robot's work requirements, the structure, actuation method, auxiliary device, and puncture planning method for the breast intervention robot are summarised. Based on the research status of intervention breast robots, the limitations of current research are discussed and the future development trends are proposed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The structure, actuation method, auxiliary device, and puncture planning method of breast robots have been widely studied. They significantly impact robotic intervention accuracy, stability, efficiency, and patient satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The development of breast intervention robots faces many challenges. With the continuous progress of science and technology, these challenges are expected to be addressed through multidisciplinary research. Breast intervention robots have adequate potential for treating and diagnosing breast diseases.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571229","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":"Comparison of Short-Term Outcomes Between Robotic-Assisted and Open Pancreatoduodenectomy: A Retrospective Cohort Study With Inverse Probability of Treatment Weighting (IPTW) Analysis","authors":"Xi-Tai Huang,&nbsp;Jin-Zhao Xie,&nbsp;Jian-Peng Cai,&nbsp;Qiong-Cong Xu,&nbsp;Wei Chen,&nbsp;Chen-Song Huang,&nbsp;Bin Li,&nbsp;Jia-Ming Lai,&nbsp;Li-Jian Liang,&nbsp;Xiao-Yu Yin","doi":"10.1002/rcs.70057","DOIUrl":"https://doi.org/10.1002/rcs.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The advantages of robotic-assisted pancreatoduodenectomy (RPD) in comparison with open pancreatoduodenectomy (OPD) have not been well-established. We aimed to compare their short-term outcomes by inverse probability of treatment weighting (IPTW) analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients who underwent RPD/OPD at our hospital were recruited. Stabilised IPTW were performed to adjust observed covariates. Short-term outcomes were compared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After IPTW, the effective sample comprised 807 patients (199 RPD, 608 OPD) with balanced clinicopathological characteristics. RPD had a longer operation time, fewer intraoperative blood loss (IBL), and lower blood transfusion rate than OPD. RPD was associated with a lower incidence of clinically relevant postoperative pancreatic fistula and reoperation but did not reach statistical significance. In pancreatic adenocarcinoma, RPD had a significantly higher number of lymph nodes examined. There were no significant differences in postoperative morbidities and length-of-stay.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>RPD was associated with fewer IBL and transfusion rates than OPD. RPD can be considered feasible and safe.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571228","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":"Functional Outcomes After ‘SHURUI’ Single-Port Robot-Assisted Pyeloplasty for Uretero Pelvic Junction Obstruction: Single-Centre Experience","authors":"RuiXiao Li,&nbsp;JianXin Ni,&nbsp;Xuelian Li,&nbsp;Bin Wu,&nbsp;Bo Li,&nbsp;RuiPing Su,&nbsp;Song Xue,&nbsp;YongPan An,&nbsp;GuoJun Wu","doi":"10.1002/rcs.70056","DOIUrl":"https://doi.org/10.1002/rcs.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To explore the preliminary safety and efficacy of domestic single-port robot-assisted pyeloplasty in ureteropelvic junction obstruction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from patients undergoing single-port robotic-assisted pyeloplasty (November 2023—May 2024) using the ‘SHURUI’ SP system through a single-site approach were reviewed. Details included patient demographics, intraoperative and postoperative data, and surgical outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study included 20 patients, ages 13–39, with a male-to-female ratio of 4:1. Clinical presentations:abdominal pain (7cases), infection (2cases), and asymptomatic (11cases). All surgeries were successful, with an average operation time of 147(IQR, 125–175) minutes, blood loss of 35(IQR, 30–60) mL, and a hospital stay of 5(IQR, 3–6)days. The ureteral stent was removed 6–8 weeks post-surgery, with a subsequent CT scan at 4 months showing 100% success based on pain and obstruction resolution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The ‘SHURUI’ single-port robotic-assisted pyeloplasty is a safe and feasible treatment for UPJO in both adults and paediatric patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/rcs.70056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554366","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":"Impact of Prior Computed Tomography-Based Navigation Experience on Cup-Placement Accuracy in Early Cases of Robotic Arm-Assisted Total Hip Arthroplasty via Direct Anterior Approach: A Retrospective Cohort Study","authors":"Tomoya Okazaki,&nbsp;Takashi Imagama,&nbsp;Hiroshi Tanaka,&nbsp;Eiichi Shiigi,&nbsp;Yuta Matsuki,&nbsp;Takehiro Kaneoka,&nbsp;Takehiro Kawakami,&nbsp;Kazuhiro Yamazaki,&nbsp;Kei Sasaki,&nbsp;Takashi Sakai","doi":"10.1002/rcs.70058","DOIUrl":"https://doi.org/10.1002/rcs.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The present study aimed to examine the impact of prior experience of computed tomography-based navigated THA (CTN-THA) on the accuracy of cup placement in robotic arm-assisted total hip arthroplasty via direct anterior approach using the Mako system (Mako-THA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We evaluated the first 60 hips that underwent Mako-THA performed by surgeons with and without CTN-THA experience and compared the absolute error of pre-operative and post-operative cup placement using a three-dimensional template between the two groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The CTN-user group demonstrated significantly better results in radiographic inclination, <i>y</i>-(sagittal) axis placement, and <i>z</i>-(vertical) axis placement than the non-CTN-user group (CTN-user group: 1.0° ± 0.9°, 1.5 ± 1.4 mm, and 1.4 ± 1.1 mm, respectively; non-CTN-user group: 2.2° ± 1.8°, 2.3 ± 1.2 mm, and 2.4 ± 1.4 mm, respectively). There was no significant difference in radiographic anteversion (CTN-user group: 1.4° ± 1.4° vs. non-CTN-user group: 1.9° ± 1.8°).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Surgeons with prior CTN-THA experience achieved higher accuracy in cup placement than surgeons without CTN-THA experience.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554841","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":"Modelling and Simulation of Energy Cutting Tool for Soft Tissue Using a Novel extended Finite Element Method","authors":"Shilun Du,&nbsp;Yingda Hu,&nbsp;Murong Li,&nbsp;Mengruo Shen,&nbsp;Zhen Wang,&nbsp;Yong Lei","doi":"10.1002/rcs.70052","DOIUrl":"https://doi.org/10.1002/rcs.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Energy-based cutting tools combine cutting and haemostasis, making them widely utilised. Accurately predicting tissue deformation during energy-based cutting can provide precise navigation information to enhance surgical outcomes, while existing surgical cutting models focussing on blades-based tools are unable to accurately predict energy cutting deformation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This paper aims to propose a novel energy cutting model under different cutting trajectories. First, a stratified discontinuity mechanism-based modelling method of energy cutting is proposed. Second, a parameterised impact zone model is developed for describing complex surgical manipulations using intraoperative trajectories. Third, an incremental cutting computation algorithm and a novel void enrichment function are proposed to enhance the computational efficiency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean absolute deformation errors of numerical and experimental results under various of cutting trajectories are less than 1 mm. The computation efficiency and convergence are also validated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The desired cutting deformation accuracy is achieved robustly while maintaining computation efficiency.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535788","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":"Autonomous Establishment of CT-Independent Sections to Obtain Optimum Pedicle-Screw Axis in Direction, Length, and Safety Margin","authors":"Amit Kumar,&nbsp;Dwarakanath T. A.,&nbsp;Gaurav Bhutani,&nbsp;Dwarakanath Srinivas","doi":"10.1002/rcs.70049","DOIUrl":"https://doi.org/10.1002/rcs.70049","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Accurate perception of pedicle geometry during pedicle-screw placement surgery is critically important because the margin-for-error is small.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>An assessment algorithm is developed to provide machine-independent MultiPlanar Reconstruction (MiMPR) of the pedicle. The reconstruction is independent of the CT-machine frame and enhances patient data portability. Additionally, the algorithm obtains the pedicle-screw axis with optimum direction, length, and margin using MPRs. A method for the autonomous identification of four body features to form a CT-independent vertebral frame, {V}, in the image space is formulated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>Applied to 200 high-resolution CT images, the approach achieved a 100% success rate in defining the pedicle-medial axis and maximum screw diameter considering the safety margin of 2 mm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The method eliminates subjective assessment. It provides objective assessment in determining the pedicle-medial axis with optimal direction and margin without human annotation. Additionally, it significantly enhances screw placement accuracy in robot-assisted spinal fusion surgeries, regardless of vertebra orientation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530541","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":"Robot-Based Minimally Invasive Spherical Osteotomy System Improves the Accuracy and Reproducibility of the Resulting Surface","authors":"Ruo-Tao Liu,&nbsp;Qian Tang,&nbsp;Jin-Shan Zhang,&nbsp;Zhi-Chao Hu,&nbsp;Zi-Jun Lin,&nbsp;Zhen Ye,&nbsp;Chao-Zheng Zhou,&nbsp;Yong-Qiang Zheng,&nbsp;Chang-Qing Zhang,&nbsp;Guo-Yan Zheng,&nbsp;Zhen-Zhong Zhu","doi":"10.1002/rcs.70051","DOIUrl":"https://doi.org/10.1002/rcs.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>A minimally invasive spherical osteotomy assistant system (MISOS) based on a multi-axis surgical robot was designed to improve the control and precision of manual spherical osteotomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Based on human sawbone models, the feasibility of MISOS was verified by comparing the osteotomy centre deviation and the section curvature of the acetabulum, femur, and tibia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared with freehand spherical osteotomy, the MISOS system demonstrated superior centre deviation for the acetabulum (1.48 ± 0.93 vs. 11.15 ± 3.97 mm), femur (3.12 ± 0.75 vs. 8.81 ± 3.04 mm), and tibia (1.91 ± 0.84 vs. 7.33 ± 1.53 mm) as well as superior curvature deviation for the acetabulum (1.40 ± 0.08 vs. 3.16 ± 0.56 mm), femur (0.26 ± 0.07 vs. 0.491 ± 0.21 mm), and tibia (0.21 ± 0.02 vs. 0.46 ± 0.18 mm). These results indicate that MISOS can assist surgeons in performing accurate and stable spherical osteotomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The MISOS system demonstrates promise as a precise assistive tool for minimally invasive orthopaedic spherical osteotomy, with potential for broader clinical applications.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143513781","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":"Automated Digital Image Optimisation in Intraoperative 2D and 3D Imaging Using a Mobile C-Arm With Flat-Panel Detector","authors":"J. Groh,&nbsp;M. Perl,&nbsp;L. Bräuer,&nbsp;H. Stadthalter","doi":"10.1002/rcs.70053","DOIUrl":"https://doi.org/10.1002/rcs.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Assistance tools for intraoperative 2D and 3D imaging to decrease acquisition effort and to improve assessment of 3D image data were evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Two automated optimisation procedures were evaluated in a cadaver (Cios Spin, Siemens, Germany): The ScrewScout function for assisted pedicle screw assessment. Then, an algorithm for metal artefact reduction (MAR).</p>\u0000 \u0000 <p>Additionally, a tool for simplified setting of image contrast and brightness was evaluated regarding the result and elapsed time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The time required without automated assistance was 83s [70–105]. With the computer assistance, this time was significantly lower at 22s [15–32] (<i>p</i> = 0.003). MAR resulted in an improvement in image impression. This improvement became smaller with increasing clinical experience. The time needed for setting of image acquisition parameters was significantly (<i>p</i> = 0.05) lowered from 140s [24–389] to 61s [14–166] using the assistance tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Automated assistance tools for image optimisation can provide practical support in the intraoperative setting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/rcs.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497397","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":"The First Single-Port Robotic-Assisted Excision of Choledochal Cyst and Hepaticojejunostomy in Children","authors":"Eunyoung Jung","doi":"10.1002/rcs.70054","DOIUrl":"https://doi.org/10.1002/rcs.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Choledochal cysts are congenital anomalies requiring surgical intervention, typical excision and hepaticojejunostomy. The da Vinci single-port (SP) robotic system offers a minimally invasive approach with potential benefits for paediatric patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study describes the SP robotic-assisted resection of choledochal cysts and hepaticojejunostomy in two paediatric patients. Surgical techniques, system description, and procedural outcomes were detailed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both surgeries were successfully completed with minimal blood loss and no intraoperative complications. Patients transitioned to a soft diet by postoperative day 3 and were discharged by day 6 without complications. Follow-up at 6 months showed normal sonography and laboratory findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The da Vinci SP system facilitated precise single-incision surgery with improved manoeuvrability and visualisation, demonstrating safety and feasibility for paediatric choledochal cyst excision and hepaticojejunostomy. Further studies are warranted to confirm these findings across larger paediatric populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497398","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}