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Journal of Robotic Surgery最新文献

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Preoperative Iron Isomaltoside administration enhances postoperative anemia recovery in robotic pancreatic surgery. 术前给药异麦芽糖铁提高机器人胰腺手术后贫血恢复。
IF 3 3区 医学 Q2 SURGERY Pub Date : 2026-02-07 DOI: 10.1007/s11701-026-03176-0
Tianyu Li, Yutong Zhao, Liangbo Dong, Jiashu Han, Bangbo Zhao, Chen Lin, Weibin Wang
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引用次数: 0
Enhanced recovery after surgery in robot-assisted renal surgery: a systematic review and meta-analysis. 机器人辅助肾脏手术增强术后恢复:系统回顾和荟萃分析。
IF 3 3区 医学 Q2 SURGERY Pub Date : 2026-02-07 DOI: 10.1007/s11701-026-03223-w
Yalin Yu, Ziying Li, Yao Zhang, Qin Qin
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引用次数: 0
Low pressure pneumoperitoneum in robotic surgery: a systematic review and meta-analysis. 机器人手术中的低压气腹:系统回顾和荟萃分析。
IF 3 3区 医学 Q2 SURGERY Pub Date : 2026-02-06 DOI: 10.1007/s11701-026-03181-3
Caio Leonardo Dos Santos Saggin, Ana Paula Valério-Alves, Ricardo Guega Alves Bezerra, João Marcos Escorcio De Aguiar Portela, Patricia Viana, Rafaela De Melo Sprogis, José Vitor De França Xavier, Caio Pluvier Duarte Costa, Rafael Morriello
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引用次数: 0
AI-enhanced robotic hands: a breakthrough in early tumour detection and removal. 人工智能增强的机械手:早期肿瘤检测和切除的突破。
IF 3 3区 医学 Q2 SURGERY Pub Date : 2026-02-05 DOI: 10.1007/s11701-026-03159-1
Jack Ng, Kok Wah

AI-enhanced robotic hands are rapidly reshaping tumour surgery by merging real-time sensing, precision mechanics, and intelligent decision support, yet current systems still struggle with early lesion detection, limited tactile sensitivity, and inconsistent accuracy across cancer types. This review addresses these gaps by examining how next-generation robotic hands, empowered by multimodal AI, augmented imaging, hybrid guidance, and minimally invasive mechatronics, can improve early tumour localization and safer resections. The study synthesizes insights from urologic, breast, colorectal, gastric, thoracic, and gynecologic oncology to highlight shared trends such as the shift toward personalized robotics, smart biopsy tools, light-mediated theranostics, flexible platforms, and real-time intraoperative analytics. A comparative reading of quantitative and qualitative evidence reveals strong gains in surgical precision and patient outcomes, yet also contradictions regarding cost-effectiveness, reproducibility of AI predictions, and disparity in adoption between high- and low-resource settings. Using a narrative review approach, key findings point to robotic hands with enhanced tactile sensors and AI-driven micro-maneuvering as promising breakthroughs for detecting microtumours, reducing positive margins, and guiding on-table diagnostics. Recommendations emphasize stronger clinical validation, interoperable imaging ecosystems, and ethical design. The implications extend to safer surgeries, shorter recovery, and more equitable cancer care. Limitations include heterogeneous study designs and early-stage prototypes. Future research should explore adaptive learning models, haptic-guided autonomy, and broader trials. Overall, AI-enhanced robotic hands signal a transformative pathway for earlier detection and more precise tumour removal.

人工智能增强的机械手通过融合实时传感、精密机械和智能决策支持,正在迅速重塑肿瘤手术,但目前的系统仍在努力实现早期病变检测、有限的触觉灵敏度以及不同癌症类型的准确性不一致。这篇综述通过研究如何通过多模式人工智能、增强成像、混合制导和微创机电一体化来增强下一代机械手的早期肿瘤定位和更安全的切除来解决这些空白。该研究综合了泌尿、乳腺、结肠、胃、胸、妇科肿瘤学的见解,强调了个性化机器人技术、智能活检工具、光介导治疗、灵活平台和实时术中分析等共同趋势。对定量和定性证据的比较分析表明,在手术精度和患者预后方面取得了巨大进展,但在成本效益、人工智能预测的可重复性以及资源丰富和资源匮乏环境之间的采用差异方面也存在矛盾。通过叙述性回顾方法,主要发现指出,具有增强触觉传感器和人工智能驱动的微操作的机器人手是检测微肿瘤、减少阳性边缘和指导手术诊断的有希望的突破。建议强调加强临床验证、可互操作的成像生态系统和伦理设计。这意味着更安全的手术,更短的恢复期和更公平的癌症治疗。局限性包括异质性研究设计和早期原型。未来的研究应该探索适应性学习模型、触觉引导的自主性和更广泛的试验。总的来说,人工智能增强的机械手标志着更早发现和更精确切除肿瘤的变革途径。
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引用次数: 0
A readiness framework for tele-robotic surgery deployment in rural hospitals. 农村医院远程机器人手术部署准备框架。
IF 3 3区 医学 Q2 SURGERY Pub Date : 2026-02-05 DOI: 10.1007/s11701-026-03163-5
Binita S Ashar, Mohamad Omar Al Kalaa, Mischa Dohler, Vipul Patel
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引用次数: 0
Early outcomes and the learning curve of two domestically produced surgical robot systems with different operational philosophies for total knee arthroplasty. 两种不同操作理念的国产手术机器人系统在全膝关节置换术中的早期疗效和学习曲线。
IF 3 3区 医学 Q2 SURGERY Pub Date : 2026-02-05 DOI: 10.1007/s11701-026-03177-z
Mingyou Wang, Zhu Mei, Yuping Lan, Xiaoqin Yang, Xunzhou Song, Zhuodong Tang, Zaihai Yang, Hongping Wang
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引用次数: 0
Retzius-sparing robot-assisted radical prostatectomy after previous trans-urethral resection of the prostate: an analysis of perioperative, oncological and functional outcomes. 先前经尿道前列腺切除术后,保留retzius机器人辅助根治性前列腺切除术:围手术期、肿瘤和功能结果分析
IF 3 3区 医学 Q2 SURGERY Pub Date : 2026-02-05 DOI: 10.1007/s11701-026-03179-x
Karen Fransis, Quinten Bogaerts, Gunter De Win, Stefan De Wachter, Piet Dirix
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引用次数: 0
Open vs. robot-assisted laparoscopic ureteral reimplantation in a contemporary pediatric cohort: a retrospective single-institution analysis. 开放与机器人辅助的腹腔镜输尿管再植在当代儿科队列:回顾性单机构分析。
IF 3 3区 医学 Q2 SURGERY Pub Date : 2026-02-05 DOI: 10.1007/s11701-026-03169-z
Suhaib Abdulfattah, Nicole J Kye, Sanjay Aiyar, Emily Ai, Marina Quairoli, Meghan F Davis, Karl Godlewski, Katherine Fischer, Christopher J Long, Dana A Weiss, Aseem R Shukla, Arun K Srinivasan, Sameer Mittal
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引用次数: 0
Bibliometric mapping of transoral robotic surgery literature (2005-2025): disciplinary maturation, global research architecture, and emerging knowledge domains. 经口机器人外科文献的文献计量测绘(2005-2025):学科成熟、全球研究架构和新兴知识领域。
IF 3 3区 医学 Q2 SURGERY Pub Date : 2026-02-05 DOI: 10.1007/s11701-026-03180-4
Abdullah Farasani, Manal Mohamed Elhassan Taha, Siddig Ibrahim Abdelwahab

Transoral robotic surgery (TORS) has rapidly expanded across oncologic and sleep surgery, yet its global evidence base remains fragmented. Prior bibliometric studies examined generic robotic surgery or TORS subsets without search-optimized, domain-specific mapping. Therefore, this study was designed to construct a comprehensive, data-driven bibliometric map of TORS research. A Scopus-based, multi-step search identified 938 English-language TORS articles. R-Based Bibliometrix and VOSviewer were used to analyze publication and citation trends, countries, institutions, sources, collaboration networks, co-citation structures, keyword co-occurrence, thematic evolution, Bradford's law, and emerging research fronts. From 2005 to 2025, TORS discourse across 197 sources showed 21.2% annual growth, with lower per-article citations recently. The United States dominated volume and citations, followed by Italy, the United Kingdom, South Korea, and Canada. Leading institutions included the University of Pennsylvania, Yonsei University, and North American cancer centers. Collaboration networks showed clustered, US-centered international partnerships and tightly connected author communities. Core journals (Laryngoscope, Head and Neck, European Archives of Oto-Rhino-Laryngology, Journal of Robotic Surgery) concentrated output, consistent with Bradford's Law. Keyword and trend analyses indicated transition from technique-focused terms to HPV-driven oropharyngeal cancer, functional outcomes, and de-escalation. Thematic maps and evolution analyses highlighted TORS and obstructive sleep apnea as motor themes, with niche domains such as base-of-tongue lesions and sialendoscopy. TORS research is rapidly expanding yet geographically concentrated, with evolving focus from technical feasibility toward oncologic, functional, and patient-centered themes, guiding multicenter trials, de-escalation strategies, and precision oncology integration.

经口机器人手术(TORS)已迅速扩展到肿瘤和睡眠手术领域,但其全球证据基础仍不完整。先前的文献计量学研究检查了通用机器人手术或TORS子集,没有搜索优化,特定领域的映射。因此,本研究旨在构建一个全面的、数据驱动的tor研究文献计量图。一项基于scopi的多步骤搜索确定了938篇英语TORS文章。基于r的Bibliometrix和VOSviewer分析了出版和被引趋势、国家、机构、来源、合作网络、共被引结构、关键词共现、主题演变、布拉德福德定律和新兴研究前沿。从2005年到2025年,197个来源的TORS话语年增长率为21.2%,最近的文章引用率有所下降。美国在数量和引用方面占据主导地位,其次是意大利、英国、韩国和加拿大。主要机构包括宾夕法尼亚大学、延世大学和北美癌症中心。合作网络显示出以美国为中心的集群式国际伙伴关系和紧密联系的作者社区。核心期刊(《喉镜》、《头颈》、《欧洲耳鼻喉科档案》、《机器人外科杂志》)集中输出,符合布拉德福德定律。关键词和趋势分析表明,从以技术为重点的术语到hpv驱动的口咽癌、功能结局和降级的转变。专题地图和进化分析突出了tor和阻塞性睡眠呼吸暂停作为运动主题,以及诸如舌基病变和唾液内窥镜检查等利基领域。TORS研究正在迅速扩展,但地域集中,其重点从技术可行性转向肿瘤学、功能和以患者为中心的主题,指导多中心试验、降级策略和精确肿瘤学整合。
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引用次数: 0
Outcomes of robotic-assisted soave pull-through procedure for Hirschsprung disease: a systematic review and meta-analysis. 巨结肠疾病机器人辅助手术的结果:系统回顾和荟萃分析。
IF 3 3区 医学 Q2 SURGERY Pub Date : 2026-02-05 DOI: 10.1007/s11701-026-03170-6
Syed Balaj Ali Rizvi, Laiba Khalid, Fatima Shahid, Syed Ibrahim, Tehreem Mansoor, Asad Saulat Fatimi, Humza Thobani, Asad Gul Rao, Anam N Ehsan, Faraz A Khan

Pull-through procedures remain the mainstay of treatment for Hirschsprung disease (HD). While laparoscopic-assisted procedures are widely performed, robotic-assisted Soave pull-through (RSPT) has emerged as a minimally invasive alternative with potential technical advantages. We systematically reviewed the available literature to evaluate the perioperative and functional outcomes of RSPT. PubMed, Embase, Scopus, Cochrane CENTRAL, and ClinicalTrials.gov were systematically searched through February 2025. Eligible studies included pediatric (< 18 years) patients undergoing RSPT. Data were pooled using random-effects models with two heterogeneity estimators to ensure robustness given the small number of included studies. Heterogeneity was assessed using I2 and τ² statistics. Primary outcomes included operative time, console time, intraoperative blood loss, and length of stay (LOS). Secondary outcomes included constipation, enterocolitis, and soiling. Study quality was assessed using the National Institutes of Health (NIH) Quality Assessment Tool. Six retrospective studies comprising 282 patients were included. Pooled mean operative and console times were 192.2 min (95% CI: 95.2-388.0) and 105.6 min (95% CI: 34.7-321.5), respectively. Mean intraoperative blood loss was 9.8 mL (95% CI: 1.9-49.4), and pooled postoperative LOS was 6.5 days (95% CI: 4.6-9.1). No difference in estimates was observed by estimator models. Postoperative complications were typically mild, manageable conservatively, and improved over time. RSPT appears to be a feasible minimally invasive option for HD, demonstrating low blood loss, short hospital stay, and acceptable functional outcomes, albeit with longer operative times which reflect logistical rather than technical inefficiency. Future adequately powered, higher quality, multicenter trials with standardized outcomes are needed to better define its role relative to established laparoscopic approaches.

拉通手术仍然是治疗先天性巨结肠病(HD)的主要方法。虽然腹腔镜辅助手术被广泛应用,但机器人辅助的Soave pull-through (RSPT)已经成为一种具有潜在技术优势的微创替代方法。我们系统地回顾了现有的文献来评估RSPT的围手术期和功能结果。PubMed, Embase, Scopus, Cochrane CENTRAL和ClinicalTrials.gov系统检索到2025年2月。符合条件的研究包括儿科(2)和τ²统计。主要结局包括手术时间、镇静时间、术中出血量和住院时间(LOS)。次要结局包括便秘、小肠结肠炎和污染。使用美国国立卫生研究院(NIH)质量评估工具评估研究质量。6项回顾性研究包括282例患者。合并平均手术时间和控制台时间分别为192.2 min (95% CI: 95.2-388.0)和105.6 min (95% CI: 34.7-321.5)。平均术中出血量为9.8 mL (95% CI: 1.9-49.4),术后总LOS为6.5天(95% CI: 4.6-9.1)。估计器模型在估计中没有观察到差异。术后并发症通常是轻微的,保守控制,并随着时间的推移而改善。RSPT似乎是HD的一种可行的微创选择,表现出低失血量、短住院时间和可接受的功能结果,尽管手术时间较长,这反映了后勤而不是技术上的效率低下。未来需要有足够的动力、更高质量、多中心的标准化试验来更好地确定其相对于已建立的腹腔镜入路的作用。
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Journal of Robotic Surgery
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