Journal of robotic surgery

BACKGROUND: Robot-assisted hysterectomy (RAH) has been progressively introduced in gynecologic surgery, yet nationwide data describing its uptake and early efficiency outcomes remain limited. We described trends in surgical route for hyster…

Artificial intelligence has emerged as a promising approach for improving the detection and management of intraoperative bleeding during conventional and robotic-assisted laparoscopic surgery, where delayed recognition of hemorrhage can lea…

Vesicovaginal fistulas occur in approximately one out of 1800 hysterectomy cases in Western world countries. Various surgical techniques for fistula repair are described in the literature. This research seeks to introduce our uniform operat…

This study compared surgical approaches and perioperative outcomes of nerve-sparing modified radical hysterectomy (NSmRH) for deep endometriosis (DE) using the da Vinci SP and Xi systems. This retrospective cohort study included consecutive…

Minimally invasive surgery, especially laparoscopic surgery, remains the standard treatment for endometriosis; however, robotic-assisted surgery (RAS) is also gaining adoption. Several meta-analyses have reported comparable perioperative ou…

Robotic innovation in gynecologic surgery has expanded beyond established multiport ecosystems toward single-port, modular multi-arm, transvaginal, AI-enabled, and teleoperated platforms. However, available evidence remains fragmented and u…

Study objectiveTo identify factors associated with higher self-perceived confidence in performing robotic surgery among early-career gynecologic surgeons, and to assess satisfaction with current surgical activity among young consultants. A …

OBJECTIVE: To evaluate whether the use of intraoperative indocyanine green (ICG) fluorescence impacts anastomotic safety and surgical outcomes in patients undergoing bowel endometriosis resection. METHODS: Retrospective, multicenter observ…

BackgroundOptimized perioperative analgesia is a critical component of Enhanced Recovery After Surgery (ERAS) pathways in robotic-assisted laparoscopic hysterectomy (RALH). In high-volume robotic programs, predictable pain control may influ…

We are looking back on over 10 years of successful work and numerous milestones in the interdisciplinary center of minimally invasive surgery, robotic surgery in particular. The success is largely owing to the spirit of sharing and collabor…

Dual-console robotic systems represent a paradigm shift in surgical education, allowing real-time shared control and instructor intervention. Although increasingly adopted, their impact across specialties, educational effectiveness, and imp…

Identification and preservation of pelvic autonomic nerves is essential for preventing postoperative functional disorders during surgery for deep endometriosis (DE); however, nerve-sparing surgery in patients with severe fibrosis and cul-de…

The objective of this work was to compare the perioperative safety and operative efficacy of robotic-assisted surgery (RAS) versus conventional laparoscopy surgery (CLS) in women with symptomatic colorectal endometriosis, with particular fo…

This study aims to introduce and evaluate a novel suturing technique for treating ovarian endometriomas (OMA) using robot-assisted laparoscopy (RAL), termed the Reapproximation of Ovarian Stroma (ROS) method. The primary focus is to assess …

Deep infiltrative endometriosis involving the bowel is a complex disease in which the optimal minimally invasive surgical approach remains uncertain, particularly regarding long-term fertility, recurrence, and healthcare utilization. We con…

Ovarian endometrioma cystectomy may compromise ovarian reserve through inadvertent excision of ovarian cortex. We compared inadvertent cortical removal between robotic-assisted and conventional laparoscopic cystectomy using digital patholog…

The Dexter robotic surgery system is a novel approach combining conventional laparoscopic and robotic surgery through an on-demand hybrid concept. Following its clinical approval in 2022, it has been used in a variety of surgical fields, bu…

BACKGROUND: To analyze trends in surgical approach stratified by Body Mass Index (BMI) among women undergoing hysterectomy for benign indications in the United States and to compare clinical outcomes in morbidly obese patients (BMI > 40 kg/…

The Deep Pelvic Endometriosis Index (dPEI) is a preoperative MRI-based score initially validated to predict surgical outcomes in patients undergoing laparoscopic treatment for deep pelvic endometriosis (DPE). Its applicability in robotic-as…

We aim to evaluate the current role of robot-assisted surgery in urogynecology by comparing its outcomes and applications to those of laparoscopic surgery. We ran a computed search on PubMed, Cochrane Library, Scopus, Web of Science, and Ov…

The objective is to compare the feasibility, safety, and complications of the novel robot-assisted system Hugo™ RAS to the established Intuitive da Vinci Xi system in different gynecologic surgeries. This is a retrospective and propensity s…

To compare the surgical outcomes of robot-assisted hysterectomy (RAH) for benign diseases using da Vinci SP (SP) and da Vinci Xi (Xi). A retrospective study with propensity score matching (PSM) analysis. An urban general hospital in Japan. …

We compare the success of sentinel lymph node (SLN) biopsy between standard laparoscopy and robotic-assisted laparoscopy (RAL) in patients with endometrial cancer. Patients with uterine epithelial tumour types undergoing staging surgery wer…

Robotic-assisted surgery (RAS) offers a broader surgical field, enhanced visualization, and greater instrument maneuverability, suggesting potential advantages over traditional laparoscopic surgery (LPS), which is currently the gold standar…