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

{"title":"A Mixed-Reality Navigation Simulator for Training Infiltration Procedures of the Spine: Evaluation in Kambin Triangle Location","authors":"César F. Domínguez-Velasco,&nbsp;Jessica Alatorre-Flores,&nbsp;Jorge A. Pérez-Terrazas,&nbsp;Efrain Albor-Ramírez,&nbsp;Felipe Camarillo-Juárez,&nbsp;Marino A. Capurso-García,&nbsp;Fabrizio Cutolo,&nbsp;Vincenzo Ferrari,&nbsp;Miguel A. Padilla-Castañeda","doi":"10.1002/rcs.70139","DOIUrl":"10.1002/rcs.70139","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>During minimally invasive surgeries, the Kambin Triangle infiltration procedure is primarily used as a safe anatomical access route to critical spine structures. Inadequate location of final infiltrations can be critical for inexperienced residents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed reality (MR) navigator simulator for spine infiltration was developed. It combines virtual fluoroscopy simulation (FS) and augmented reality views with 3D-printed lumbar spine patient models. Ten residents of orthopaedics tested the system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Residents showed more infiltration success under MR than FS but with higher risky contacts at the nerve roots. Residents reported an improved understanding of the anatomy and clinical case during MRI guidance and greater ease in locating target points in this condition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results demonstrate the advantages of combining MR with FS for training minimally invasive spinal procedures to progressively train in a scenario close to reality once the anatomical and safety aspects of the approach have been understood.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12902903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183680","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":"RoboRetrieve—A Hand-Held Surgical Robot for Spillage-Free Specimen Retrieval Tasks in Minimally Invasive Surgery","authors":"Siqin Dong,&nbsp;Michel Audette,&nbsp;Eric Feliberti,&nbsp;Krishnanand Kaipa","doi":"10.1002/rcs.70133","DOIUrl":"10.1002/rcs.70133","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Specimen retrieval in laparoscopy involves extraction of a resected specimen from a patient's abdominal cavity. A major challenge is the spillage of retrieved content, causing dissemination of malignancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This paper presents <i>RoboRetrieve</i>, a hand-held robot to perform spillage-free retrieval in minimally invasive surgery. RoboRetrieve enables a surgeon to deploy a forceps and a specimen-retrieval bag through a single port into the abdomen and perform spillage-free retrieval of an excised specimen.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Experimental results revealed that RoboRetrieve can manipulate porcine meat samples up to a mass of 100 g and perform spillage-free retrieval of phantom blood up to a volume of 1500 μL. Further, RoboRetrieve is tested for single-tissue retrieval, multi-tissue retrieval, and retrieval in a realistic scenario using a laparoscopic simulator.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>RoboRetrieve has great potential in performing spillage-free retrieval tasks. Future work involves design improvements and more rigorous robot testing in realistic scenarios.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159451","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":"First Total Robotic Living Donor Liver Transplantation in North America","authors":"Yuzuru Sambommatsu,&nbsp;Kush Savsani,&nbsp;Vinay Kumaran,&nbsp;Andrew Park,&nbsp;Shilpa Jasti,&nbsp;Eric Qian,&nbsp;Daisuke Imai,&nbsp;Aamir A. Khan,&nbsp;Amit Sharma,&nbsp;Muhammad Saeed,&nbsp;Adrian H. Cotterell,&nbsp;Seung Duk Lee,&nbsp;David A. Bruno","doi":"10.1002/rcs.70138","DOIUrl":"https://doi.org/10.1002/rcs.70138","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The application of robotic technology to liver transplantation is challenging due to the procedure's complexity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We present the first robotic living donor liver transplantation performed in North America, detailing our stepwise implementation and key technical aspects. Our programme's gradual adoption of robotic techniques culminated in this procedure for a 50-year-old woman with autoimmune hepatitis (MELD 18), who received a graft from a 53-year-old male donor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Total operative time was 683 min, with a warm ischaemia time of 51 min and estimated blood loss of 50 mL. The hepatic vein, portal vein, hepatic artery, and bile duct anastomoses took 17, 13, 42, and 23 min, respectively. The postoperative course was uneventful, with discharge on postoperative day 17. The patient remained well at 4 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This case demonstrates the feasibility of robotic living donor liver transplantation, though prolonged warm ischaemia time remains a limitation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/rcs.70138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146216947","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":"MCPNet: Morphological Constraint-Based Copy-Paste Network for Semi-Supervised Foetal Head Segmentation","authors":"Baoping Zhu,&nbsp;Linjie Qu,&nbsp;Linkuan Zhou,&nbsp;Zhenyu Luo,&nbsp;Yan Chen","doi":"10.1002/rcs.70140","DOIUrl":"10.1002/rcs.70140","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The foetal head's automatic segmentation from ultrasound imagery is considered a key step in prenatal examination. However, achieving high-quality semi-supervised foetal head image segmentation remains challenging due to low image resolution, unclear boundaries, and inconsistencies between labelled and unlabelled data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To overcome these obstacles, we propose MCPNet, a morphological constraint-based copy-paste network for semi-supervised foetal head segmentation, incorporating score-guided morphological refinement (SMR) and copy-paste mixing augmentation (CPMA). SMR employs weighted scores derived from Sobel operators and Euclidean transform to ensure boundary consistency. Additionally, to mitigate the distribution gap between labelled and unlabelled data, we introduce CPMA. This method uses random cropping to swap foreground and background between labelled and unlabelled data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>On the HC18 and PSFH benchmarks, our method achieves Dice scores of 93.72% and 92.31% respectively with 20% labelled data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results demonstrate our superior performance and clinical potential.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115021","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":"Impact of Body Mass Index on Outcomes in Robotic Gastric Cancer Surgery","authors":"Yujian Xia,&nbsp;Chaoran Yu,&nbsp;Zhaoqiang Chen,&nbsp;Shenjia Wang,&nbsp;Chenglei Yuan,&nbsp;Xiaojun Zhou,&nbsp;Xin Zhao","doi":"10.1002/rcs.70141","DOIUrl":"10.1002/rcs.70141","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study aimed to explore the effect of BMI on intraoperative conditions and postoperative complications (POCs) in robotic GC surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a retrospective analysis conducted on 60 patients who have GC and received robotic radical gastrectomy (RG) in our hospital. The patients were allocated into normal (18.5 kg/m² ≤ BMI &lt; 25 kg/m²) and high-BMI groups (BMI ≥ 25 kg/m²). The effect of BMI on intraoperative conditions and POCs was examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results revealed no statistical differences between both groups in terms of surgical procedure (<i>p</i> = 0.669), time of first postoperative flatus (<i>p</i> = 0.172), in-hospital stay (<i>p</i> = 0.454), Retrieved LNs (Lymph nodes) number (<i>p</i> = 1.000) and POCs (<i>p</i> &lt; 0.05). However, the high BMI group had greater intraoperative bleeding (<i>p</i> = 0.018) and longer operating time (<i>p</i> = 0.016).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>To conclude, BMI may not affect the safety of RG for GC. Nevertheless, high BMI was associated with increased blood loss and prolonged operative time.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108958","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":"Stereo Vision-Based Control of Continuum Robots and Hyper-Redundant Robots for Endoscopy","authors":"Sven Fritsch,&nbsp;Dirk Oberschmidt","doi":"10.1002/rcs.70136","DOIUrl":"10.1002/rcs.70136","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Traditional control of continuum robots (CRs) and hyper-redundant robots (HRRs) typically relies on large, costly consoles to capture physician input. This raises the question of whether such systems can be simplified without losing functionality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A low-cost, real-time control system was developed for a 7-DoF CR/HRR using a handheld, pencil-like wireless handle equipped with only two passive optical markers. The handle directly controls 5 DoF, while the remaining 2 DoF are resolved through null-space projection for length minimisation and a roll-compensation method that maintains horizontal endoscopic image alignment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The system enabled effective real-time control of a redundant 7-DoF CR/HRR using only two tracked markers. The supplementary constraints successfully managed redundancy, minimised robot length, and preserved horizontal imaging.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This work presents a compact two-marker input device, a null-space-based length-minimisation strategy, and a roll-compensation method for endoscopic imaging.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999936","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":"IDEAL Stage 0 Evaluation of the Use of Epson MOVERIO Augmented Reality Headset in Neuroendoscopic Procedural Training","authors":"William S. Bolton,&nbsp;Salman Shaikh,&nbsp;Ryan K. Mathew,&nbsp;Asim Sheikh","doi":"10.1002/rcs.70137","DOIUrl":"10.1002/rcs.70137","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Augmented reality (AR) glasses may enhance neuroendoscopic training by improving visualisation and ergonomics, offering an innovative alternative to traditional fixed screen viewing systems used in neuroendoscopy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This prospective, single-group, observational study at a UK neurosurgical centre involved participants from neurosurgery and Ear Nose and Throat (ENT) disciplines. Participants performed neuroendoscopic simulation exercises using Epson MOVERIO AR glasses and subsequently assessed the system using a modified usability scale questionnaire, focusing on learnability, confidence in use, visual quality, and impact on hand-eye coordination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nine participants reported that the AR glasses allowed quick adaptability and provided sufficient visual quality. Feedback suggested a potential enhancement in surgical performance and a reduction in operative times.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The feasibility and usability of AR glasses in neuroendoscopic training were highlighted, supporting their potential integration into surgical education. Positive initial responses warrant further investigation in live surgeries to comprehensively validate the technology’s usability and safety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145968019","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":"Stiffness Optimisation and Kinematics Modelling of a Cable-Stayed Flexible Manipulator for Endoscopic Surgery","authors":"Yanqiang Lei,&nbsp;Fuxin Du,&nbsp;Wenbo Zheng,&nbsp;Liping Zhang","doi":"10.1002/rcs.70134","DOIUrl":"10.1002/rcs.70134","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cable-driven continuum robots face an inherent trade-off between stiffness and flexibility, with stiffness enhancement representing a critical challenge in the field.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study presents a stiffness-optimised cable-stayed notched manipulator (CSNM). The Bernoulli–Euler beam theory models elastic beam (EB) deformation for stiffness optimisation, while a simplified piecewise constant-curvature assumption based on tendon lengths is used for kinematics. An evolution-based EB optimisation algorithm achieves uniform stress distribution and enhanced load capacity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Experiments show that the maximum variance of the EB bending angle after optimisation is 0.5°. The maximum motion error of the manipulator on the <i>x</i>-axis and <i>y</i>-axis is 0.21 and 0.32 mm, respectively. Benefitting from the uniform distribution of stress, the load capacity of the manipulator increases by 100% after optimisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These results validate the structural optimisation and kinematic modelling, highlighting the CSNM's potential for endoscopic applications needing flexibility and high load capacity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954059","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":"Novel Application of an Imageless Robotic System in Revision Total Knee Arthroplasty: Unicompartmental Knee Arthroplasty Conversion, 1-Stage Revision, and 2nd-Stage Revision","authors":"Joshua Yeuk Shun Tran,&nbsp;Rex Wang-Fung Mak,&nbsp;Kevin Ki-Wai Ho,&nbsp;Jonathan Patrick Ng,&nbsp;Cham Kit Wong,&nbsp;Gloria Yan-Ting Lam,&nbsp;Tsz Lung Choi,&nbsp;Michael Tim-Yun Ong,&nbsp;Patrick Shu-Hang Yung","doi":"10.1002/rcs.70135","DOIUrl":"10.1002/rcs.70135","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Revision total knee arthroplasty (TKA) presents significant challenges due to factors such as infection, component failure, and bone loss. The application of the CORI imageless robotic systems in revision TKA remains underexplored. This study evaluates the utility of the imageless robotic system in three complex revision scenarios: unicompartmental knee arthroplasty conversion, one-stage revision, and second-stage revision.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective case series of patients undergoing revision of TKA was conducted. Intraoperative surface mapping and soft tissue tension guided surgical planning. Standardised perioperative protocols and rehabilitation were applied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All patients demonstrated improved outcomes, with Knee Society Scores ranging from 90 to 95 and functional scores from 50 to 80 within two to six months postoperatively. Enhanced alignment and gap balancing were consistently achieved.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The imageless system facilitated precise intraoperative assessment and standardised techniques in revision TKA, supporting its potential to improve clinical outcomes. Further studies are warranted to establish long-term benefits.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12784240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936164","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":"Influence of Robotic and Thoracoscopic Surgery on Early Postoperative Systemic Inflammatory Response in Patients With Surgically Treated Lung Cancer—Preliminary Results","authors":"Anna Ureña,&nbsp;Nestor I. Quiroga,&nbsp;Marc Boada,&nbsp;Xavier Michavila,&nbsp;Irene Botias,&nbsp;Angela Guirao,&nbsp;Rudith Guzman,&nbsp;Andrea Calderon,&nbsp;Laureano Molins,&nbsp;Maria Jose Arguis,&nbsp;Ricard Navarro-Ripoll,&nbsp;Ricard Ramos","doi":"10.1002/rcs.70132","DOIUrl":"10.1002/rcs.70132","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Minimally invasive approaches such as video-assisted (VATS) and robotic-assisted thoracoscopic surgery (RATS) offer less traumatic alternatives for the treatment of lung cancer. This study compares the early postoperative inflammatory response and complication rates between both techniques in patients undergoing lung resection for non-small cell lung cancer (NSCLC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective review was conducted on patients between 2022 and 2023. Inflammatory markers, including lymphocytes, monocytes, neutrophils, platelets, and derived ratios (PLR, NLR), were analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>RATS was associated with significantly higher postoperative inflammatory markers (PLR, <i>p</i> = 0.007; NLR, <i>p</i> = 0.019) and greater perioperative variation (ΔPLR and ΔNLR, <i>p</i> = 0.028). However, no significant association was found between surgical technique or inflammation and the incidence of postoperative complications or persistent air leak (PAL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>RATS induces a stronger early inflammatory response than VATS, but this does not associate with a higher rate of complications or PAL.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919389","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}