International Journal of Medical Robotics and Computer Assisted Surgery最新文献_第3页

Remote Telesurgery Versus Local Minimally Invasive Surgery: A Systematic Review of the Comparative Evidence Base 远程外科手术与局部微创手术：比较证据基础的系统回顾。

IF 2.4 3区医学

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-08-15 DOI: 10.1002/rcs.70224

Sara Ben Hmido, Houssam Abder Rahim, Faridi S van Etten-Jamaludin, Dirk Ubbink, Frank Bloemers

{"title":"Remote Telesurgery Versus Local Minimally Invasive Surgery: A Systematic Review of the Comparative Evidence Base","authors":"Sara Ben Hmido, Houssam Abder Rahim, Faridi S van Etten-Jamaludin, Dirk Ubbink, Frank Bloemers","doi":"10.1002/rcs.70224","DOIUrl":"10.1002/rcs.70224","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Remote telesurgery allows surgeons to operate over a distance using robotic systems and advanced networks. This review aims to compare remote telesurgery with local minimally invasive surgery (MIS) regarding patient outcomes and system-level outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A PRISMA-compliant systematic review (PROSPERO CRD42023474196) searched six databases to 1 August 2025 for studies comparing remote telesurgery with local MIS in living patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 5737 records, one retrospective cohort met the criteria. It compared 5G-enabled remote robotic pelvic fracture surgery (<i>n</i> = 80) with local robotic surgery (<i>n</i> = 80). Remote procedures had lower blood loss (20 vs. 50 mL) and shorter incisions (1.25 vs. 1.5 cm). Operative time did not significantly differ between groups (<i>p</i> = 0.177), and complications, hospital stay, and functional outcomes were similar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Comparative data on telesurgery remain limited, and healthcare system benefits are unproven. Future studies should incorporate direct comparisons and systematically evaluate system-level outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13477495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759741","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

Early Experience With Robotic Kidney Transplantation With Left-Sided Graft Implantation: Technical Considerations and Short-Term Outcomes 机器人肾移植与左侧移植物植入的早期经验：技术考虑和短期结果。

IF 2.4 3区医学

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-08-13 DOI: 10.1002/rcs.70217

Diego F. Chaparro-Zaraza, Haaris Kadri, Amen Kiani, Rossana Maffei, Paolla Hampel, Angela Hill, Neeta Vachharajani, Brendan P. Lovasik, Adeel S. Khan, Phillipe Abreu

{"title":"Early Experience With Robotic Kidney Transplantation With Left-Sided Graft Implantation: Technical Considerations and Short-Term Outcomes","authors":"Diego F. Chaparro-Zaraza, Haaris Kadri, Amen Kiani, Rossana Maffei, Paolla Hampel, Angela Hill, Neeta Vachharajani, Brendan P. Lovasik, Adeel S. Khan, Phillipe Abreu","doi":"10.1002/rcs.70217","DOIUrl":"10.1002/rcs.70217","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Most reported experience with robotic kidney transplant (RKT) has been limited to right-sided graft implantation, with left-sided implantation considered technically challenging.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrospectively reviewed consecutive left-sided RKTs at two transplant centres (01/2023-02/2026). A standardized operative technique with an accompanying surgical video is presented, and perioperative and postoperative outcomes are analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen patients underwent left-sided RKT. Fifteen were for retransplants, and two were for contraindications to right-sided implantation. Median warm ischaemia time was 37 min, operative time 229 min, and length of stay 4 days. No conversions to open surgery, intraoperative complications, or major postoperative complications occurred. Delayed graft function developed in five patients. At a median follow-up of 12.1 months, all patients were alive with functioning grafts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>RKT with left-sided graft implantation is technically feasible and safe in experienced robotic transplant centres and was associated with favourable short-term outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726943","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

Colour-Guided Surgery: A Conceptual Framework for Multimodal Intraoperative Visualisation—A Narrative Review 色彩引导手术：术中多模态可视化的概念框架。

IF 2.4 3区医学

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-08-10 DOI: 10.1002/rcs.70219

Takashi Nonaka, Shintaro Hashimoto, Tetsuro Tominaga, Mariko Yamashita, Hiroki Katayama, Yuma Takamura, Syun Yamaguchi, Toshiyuki Adachi, Yusuke Inoue, Keitaro Matsumoto

{"title":"Colour-Guided Surgery: A Conceptual Framework for Multimodal Intraoperative Visualisation—A Narrative Review","authors":"Takashi Nonaka, Shintaro Hashimoto, Tetsuro Tominaga, Mariko Yamashita, Hiroki Katayama, Yuma Takamura, Syun Yamaguchi, Toshiyuki Adachi, Yusuke Inoue, Keitaro Matsumoto","doi":"10.1002/rcs.70219","DOIUrl":"10.1002/rcs.70219","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Intraoperative imaging has evolved beyond white-light visualisation to include fluorescence imaging, colour enhancement, artificial intelligence (AI), and molecular-targeted imaging. However, these modalities are typically used independently.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This narrative review synthesises current multimodal intraoperative imaging and presents representative clinical images and conceptual illustrations to demonstrate complementary visual information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>White-light imaging provides anatomical context; colour enhancement improves tissue contrast; fluorescence imaging adds functional information; AI supports real-time recognition; and molecular imaging enables biologically specific visualisation. These modalities collectively form layered visual information that enhances intraoperative understanding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Colour-guided surgery is proposed as a conceptual framework integrating multimodal imaging into a unified intraoperative guidance system and may provide a conceptual basis for future evaluation of multimodal intraoperative guidance in robotic and minimally invasive surgery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702769","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

Short-Term Comparative Outcomes of Single-Port Robotic Surgery and Single-Incision Laparoscopic Surgery in Rectal Cancer: A Retrospective Multicentre Study 单口机器人手术和单切口腹腔镜手术治疗直肠癌的短期比较结果：一项回顾性多中心研究。

IF 2.4 3区医学

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-08-10 DOI: 10.1002/rcs.70222

Khairunnisa Che Ghazali, Yong Ki Jeong, InKyeong Kim, Jung Hoon Bae, Byung Jo Choi, InKyu Lee, Hyeon Min Cho, Yoon Suk Lee

{"title":"Short-Term Comparative Outcomes of Single-Port Robotic Surgery and Single-Incision Laparoscopic Surgery in Rectal Cancer: A Retrospective Multicentre Study","authors":"Khairunnisa Che Ghazali, Yong Ki Jeong, InKyeong Kim, Jung Hoon Bae, Byung Jo Choi, InKyu Lee, Hyeon Min Cho, Yoon Suk Lee","doi":"10.1002/rcs.70222","DOIUrl":"10.1002/rcs.70222","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Single-incision laparoscopic surgery (SILS) for rectal cancer has seen limited adoption due to its steep learning curve and technical demands. The advent of single-port robotic surgery (SPRS) may address these limitations by improving ergonomics and precision.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective multicentre study compared the perioperative and pathological outcomes of SPRS and SILS in patients undergoing low anterior or intersphincteric resection for rectal cancer from 2014 to 2024 at two hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 110 patients (56 SPRS, 54 SILS), the SPRS group showed significantly shorter operative time (179.95 vs. 318.15 minutes, <i>p</i> < 0.001) and hospital stay (6.04 vs. 9.41 days, <i>p</i> = 0.030). SPRS was also associated with fewer postoperative complications (8.9% vs. 27.8%, <i>p</i> = 0.013). Stoma formation was less frequent in the SPRS group (28.6% vs. 50.0%, <i>p</i> = 0.031). SPRS yielded more harvested lymph nodes (22.70 vs. 16.83, <i>p</i> = 0.002).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>SPRS offers clinical advantages over SILS and may be preferable in selected rectal cancer patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708855","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

Robotic Intracorporeal Single-Stapled Anastomosis (RiSSA): Indications, Technical Benefits, and Current Limitations 机器人体内单钉吻合术（RiSSA）：适应症、技术优势和当前局限性。

IF 2.4 3区医学

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-08-08 DOI: 10.1002/rcs.70213

Marco Palucci, Igor Monsellato, Fabio Giannone, Mariantonietta Alagia, Fabio Benedetti, Celeste Del Basso, Marco Lodin, Federico Sangiuolo, Gianluca Cassese, Fabrizio Panaro

{"title":"Robotic Intracorporeal Single-Stapled Anastomosis (RiSSA): Indications, Technical Benefits, and Current Limitations","authors":"Marco Palucci, Igor Monsellato, Fabio Giannone, Mariantonietta Alagia, Fabio Benedetti, Celeste Del Basso, Marco Lodin, Federico Sangiuolo, Gianluca Cassese, Fabrizio Panaro","doi":"10.1002/rcs.70213","DOIUrl":"10.1002/rcs.70213","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Robotic surgery has significantly advanced colorectal procedures, yet achieving an optimal anastomotic technique remains challenging. The Robotic Intracorporeal Single-Stapled Anastomosis (RiSSA) has been introduced to overcome the limitations of the conventional double-stapled approach, such as intersecting staple lines and ‘dog ears’, which are potential structural weak points.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search of PubMed, Embase, Scopus, and Web of Science was performed through March 2026 using the keywords ‘robotic colorectal anastomosis’, ‘robotic single-stapled anastomosis’, and ‘RiSSA’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>RiSSA was reviewed from its origin to recent applications, focussing on its technical rationale, procedural steps, and indications, including colorectal cancer, inflammatory bowel disease, and gynaecological conditions such as deep endometriosis. Advantages and limitations were critically assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Available evidence suggests that RiSSA is a feasible and promising technique; however, high-quality prospective studies are needed to better define its comparative benefits and its long-term oncological and functional outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698559","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

Design and Evaluation of a Teleoperated Robotic System for ERCP Cannulation 远程操作ERCP插管机器人系统的设计与评价。

IF 2.4 3区医学

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-08-04 DOI: 10.1002/rcs.70218

SeongHyeon Won, Chanwoo Kim, Jaeyoun Kim, Woocheol Shin, Junho Hong, Daehie Hong

{"title":"Design and Evaluation of a Teleoperated Robotic System for ERCP Cannulation","authors":"SeongHyeon Won, Chanwoo Kim, Jaeyoun Kim, Woocheol Shin, Junho Hong, Daehie Hong","doi":"10.1002/rcs.70218","DOIUrl":"10.1002/rcs.70218","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Endoscopic retrograde cholangiopancreatography (ERCP) cannulation requires precise manipulation under fluoroscopic guidance. This study proposes a teleoperated robotic system for ERCP cannulation and evaluates its simulator-based performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A teleoperated robotic system incorporating a Chebyshev-based mechanism and a ring-type master interface was developed. Manipulation performance was assessed using Fitts' law-based insertion experiments, catheter-tip trajectory analysis, and a simulator-based cannulation task.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Robotic manipulation showed a Fitts' law relationship comparable to conventional manual operation. Trajectory analysis showed higher path efficiency and lower jerk in the robotic condition, indicating improved trajectory-related motion quality. In the simulator-based cannulation task, the robotic condition showed slightly longer initial task completion times, whereas both robotic and conventional conditions showed comparable changes in task completion time across repeated trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study demonstrates the feasibility of a teleoperated robotic system for simulator-based ERCP cannulation tasks. Further validation with expert endoscopists and more realistic ERCP environments is required.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671496","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

Signal Detection and Temporal Analysis of Aromatase Inhibitor-Associated Hepatotoxicity: A Pharmacovigilance Study Integrating Bayesian Belief-Propagation Network and Frequentist Metrics 芳香酶抑制剂相关肝毒性的信号检测和时间分析：一项整合贝叶斯信念传播网络和频率度量的药物警戒研究

IF 2.4 3区医学

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-08-01 DOI: 10.1002/rcs.70216

Yuke Li, Hongmei Zheng, Yanting Wang, Jun Yang, Suying Xu, Peng Zhan, Yanna Zhu, Di Du

{"title":"Signal Detection and Temporal Analysis of Aromatase Inhibitor-Associated Hepatotoxicity: A Pharmacovigilance Study Integrating Bayesian Belief-Propagation Network and Frequentist Metrics","authors":"Yuke Li, Hongmei Zheng, Yanting Wang, Jun Yang, Suying Xu, Peng Zhan, Yanna Zhu, Di Du","doi":"10.1002/rcs.70216","DOIUrl":"https://doi.org/10.1002/rcs.70216","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study assessed the real-world hepatotoxicity of third-generation aromatase inhibitors (AIs) for breast cancer using pharmacovigilance approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>FAERS data (Q1 2004–Q1 2025) were analysed using a data-driven disproportionality analysis framework incorporating traditional frequentist metrics and an information-theoretic Bayesian network.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 24 liver-related adverse events and 7 clinical outcomes were extracted in this study. Letrozole associated with the highest number of hepatotoxicity cases and showed the highest BCPNN-supported reporting signal. Exemestane exhibited the earliest hepatotoxicity onset (median 49 days), significantly earlier (<i>p</i> = 0.047) than anastrozole (61.5 days) and letrozole (56 days).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>AIs present distinct hepatotoxic profiles. Exemestane requires early vigilance due to its rapid onset, while letrozole exhibits the highest signal. Proactive liver monitoring and individualised management are crucial. Future research should integrate artificial intelligence with multi-modal real-world data for predictive risk assessment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647768","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

Feasibility and Safety of Cross-Regional 5G-Enabled Remote Robot-Assisted Laparoscopic Surgery: A Retrospective Case Series of 21 Patients 跨区域5g远程机器人辅助腹腔镜手术的可行性和安全性：21例回顾性病例系列

IF 2.4 3区医学

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-07-29 DOI: 10.1002/rcs.70214

Di Pan, Yong Gu, Dahong Zhang

{"title":"Feasibility and Safety of Cross-Regional 5G-Enabled Remote Robot-Assisted Laparoscopic Surgery: A Retrospective Case Series of 21 Patients","authors":"Di Pan, Yong Gu, Dahong Zhang","doi":"10.1002/rcs.70214","DOIUrl":"10.1002/rcs.70214","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To address surgical resource scarcity in remote areas, we assessed the feasibility, safety, network stability, and training impact of 5G-enabled remote robot assisted laparoscopic surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective analysis of 21 consecutive patients (Oct 2023–Sep 2025) undergoing remote surgery from Zhejiang to Xinjiang (3700 km) using the Toumai robot with a redundant 5G network. Primary endpoint was technical success; secondary endpoints included operative outcomes, complications, network metrics, and OSATS scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Technical success was 100%. Procedures included partial nephrectomy (8), cholecystectomy (4), hysterectomy (3), prostatectomy (2), colorectal resection (2), and liver segmentectomy (2). Mean operative time 158.5 ± 42.0 min, console time 91.7 ± 26.6 min, blood loss 69.8 ± 40.2 mL. Two minor complications occurred. Mean round-trip latency 37.7 ± 5.6 ms, no packet loss. OSATS improved from 64.6 ± 7.1 to 87.9 ± 4.6.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>With redundant 5G and local backup, remote robotic surgery is feasible and safe and may facilitate training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610877","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

Robotic Versus Laparoscopic Pancreaticoduodenectomy: A Review of Contemporary Evidence on Surgical Outcomes and Learning Curve 机器人与腹腔镜胰十二指肠切除术：手术结果和学习曲线的当代证据综述。

IF 2.4 3区医学

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-07-29 DOI: 10.1002/rcs.70211

Mohsin Murshid, Murad AlJiffry, Abrar Nawawi

{"title":"Robotic Versus Laparoscopic Pancreaticoduodenectomy: A Review of Contemporary Evidence on Surgical Outcomes and Learning Curve","authors":"Mohsin Murshid, Murad AlJiffry, Abrar Nawawi","doi":"10.1002/rcs.70211","DOIUrl":"10.1002/rcs.70211","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Robotic pancreaticoduodenectomy (RPD) offers technical advantages over laparoscopic pancreaticoduodenectomy (LPD), including improved dexterity, visualisation, and ergonomics. However, its clinical superiority remains uncertain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A structured narrative review supported by a systematic PubMed/MEDLINE search of literature published between 2016 and 2025 was performed. Comparative studies evaluating RPD and LPD were included, comprising six meta-analyses and six cohort studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>RPD and LPD demonstrated comparable mortality, major complications, postoperative pancreatic fistula, delayed gastric emptying, and oncologic outcomes. RPD consistently showed lower conversion rates and reduced blood loss, transfusion requirements, and hospital stay. Operative time and postoperative morbidity showed heterogeneous findings. Outcomes were strongly influenced by learning curve completion and institutional volume.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>RPD provides selective technical and perioperative advantages, particularly in experienced high-volume centres. However, definitive clinical superiority over LPD remains unproven, and current conclusions remain limited by observational evidence, study overlap, and heterogeneity in learning curve stage and operative technique.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610899","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

Preoperative Decision-Oriented Decoupled Multi-Scale Feature Pyramid and Global Context Aggregation Network for Coronary Artery Segmentation in X-Ray Angiography 术前决策导向解耦多尺度特征金字塔和全局上下文聚集网络在x射线血管造影中的冠状动脉分割。

IF 2.4 3区医学

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-07-28 DOI: 10.1002/rcs.70210

Jianhua Lin, Lin Lin, Zhenzhen Li, Mi Zhou, Ying Wang, Fuqing Sun

{"title":"Preoperative Decision-Oriented Decoupled Multi-Scale Feature Pyramid and Global Context Aggregation Network for Coronary Artery Segmentation in X-Ray Angiography","authors":"Jianhua Lin, Lin Lin, Zhenzhen Li, Mi Zhou, Ying Wang, Fuqing Sun","doi":"10.1002/rcs.70210","DOIUrl":"10.1002/rcs.70210","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Accurate preoperative coronary artery delineation in X-ray angiography is critical for stenosis quantification, cardiovascular diagnosis, and treatment planning, yet class imbalance, weak bifurcation contrast, and overlapping artefacts often cause broken or distorted vessel segmentation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We propose a decoupled hybrid architecture that separates multi-scale detail recovery from global context aggregation, combining an FPN neck for distal-vessel edge preservation with a UPerHead head for multi-level contextual prior modelling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>On the ARCADE benchmark, the model achieves Dice, IoU, and Centreline Dice scores of 0.7633, 0.6290, and 0.7827, outperforming competitive baseline methods in terms of Dice, IoU, and Centreline Dice, with consistent but moderate improvements over the strongest competing model. Grad-CAM++ and feature-distribution analyses suggest improved contextual attention and enhanced interpretability of learnt representations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The framework enhances robust preoperative vessel segmentation, supporting assessment of distal continuity, bifurcation morphology, and lesion-adjacent boundaries for clinical decision-making.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"22 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610847","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}

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