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…

Context: Robotic-assistance is increasingly used in French hospitals and funded through standard Diagnosis-Related Group (DRG) tariffs. We evaluated the actual costs of robotic-assisted surgical procedures (RASP) and compared these with hos…

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 is the gold standard for the surgical treatment of endometriosis. However, controversy remains in the literature regarding the perioperative benefits of robotic-assisted surgery compared to laparoscopic surgery, p…

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…

To evaluate decision-relevant content completeness, patient-oriented communication, and source transparency of YouTube videos on robotic surgery for endometriosis. Cross-sectional content analysis. Publicly accessible YouTube content identi…

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 OBJECTIVE: To 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. …

The integration of robotic systems into minimally invasive surgery offers significant advantages, including enhanced precision, reduced invasiveness, and improved patient outcomes. However, sustaining these benefits requires optimization of…

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…

BACKGROUND: Optimized 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 inf…

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…

To evaluate the learning curve and perioperative outcomes of four-port assistant-independent robot-assisted total laparoscopic hysterectomy (RA-TLH) according to surgeon experience and retrieved tissue weight. Between July 2020 and October …

The prognostic relevance of surgical staging in patients with high-intermediate-risk and high-risk endometrial cancer remains uncertain. In this cohort study, we investigated the prognostic role of robot-assisted laparoscopic staging surger…

Robotic-assisted surgery has become increasingly relevant in colorectal procedures, particularly with the emergence of new modular platforms. Multicenter real-world data on the Hugo™ Robotic-Assisted Surgery (RAS) system remains limited. Th…

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 …

Robot-assisted surgery (RAS) has increasingly been adopted for hysterectomy in France, but its impact on hospital performance according to institutional expertise remains incompletely understood. We evaluated clinical outcomes and hospital …

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…