Opinion Article - Journal of Advanced Surgical Research (2025) Volume 9, Issue 2
Robotics elevate outcomes in complex surgery
Ethan Morales*
Department of Surgical Robotics, Boston Medical University, Boston, USA
- *Corresponding Author:
- Ethan Morales
Department of Surgical Robotics
Boston Medical University, Boston, USA.
E-mail: ethan.morales@bostonmed.edu
Received : 04-Apr-2025, Manuscript No. aaasr-202; Editor assigned : 08-Apr-2025, PreQC No. aaasr-202(PQ); Reviewed : 28-Apr-2025, QC No aaasr-202; Revised : 07-May-2025, Manuscript No. aaasr-202(R); Published : 16-May-2025 , DOI : 10.35841/2591-7765-9.2.202
Citation: Morales E. Robotics elevate outcomes in complex surgery. aaasr. 2025;09(02):202.
Introduction
This meta-analysis suggests that robotic-assisted partial nephrectomy is safer than laparoscopic partial nephrectomy, showing less estimated blood loss and shorter hospital stays. It also indicates better functional and oncological outcomes. The evidence points to a clear advantage for the robotic approach in kidney tumor surgery [1].
This systematic review and meta-analysis compared robotic and laparoscopic myomectomy. It found that robotic surgery significantly reduces estimated blood loss and hospital stay, while operative time and complication rates are comparable. This suggests the robotic approach offers certain patient benefits without increasing risks [2].
This extensive meta-analysis comparing robotic and laparoscopic colorectal surgery found that the robotic approach is associated with a lower conversion rate to open surgery and a shorter length of hospital stay. While operative time might be longer with robotics, overall morbidity and oncological outcomes appear similar, indicating potential benefits for complex cases [3].
This meta-analysis examined robotic versus laparoscopic radical prostatectomy. It revealed that robotic surgery led to less blood loss, a lower positive surgical margin rate, and a shorter hospital stay. While operative time was longer, these advantages suggest improved patient safety and oncological control with the robotic platform [4].
This systematic review and meta-analysis compared robotic and laparoscopic cholecystectomy. It found no significant differences in operating time, length of hospital stay, or overall complications. This suggests that for a relatively straightforward procedure like cholecystectomy, the robotic approach doesn't offer substantial advantages over traditional laparoscopy [5].
This updated systematic review outlines current training methodologies for robotic-assisted laparoscopic surgery. It highlights the evolving curricula, emphasizing simulator-based training, structured pathways, and credentialing processes to ensure surgeon proficiency and patient safety. The review points to the increasing standardization of robotic training [6].
This systematic review on the cost-effectiveness of robotic-assisted surgery suggests a complex picture. While initial costs for robotic platforms are high, potential benefits like reduced complications and shorter hospital stays can offset these expenses in certain procedures. However, robust evidence demonstrating overall cost superiority compared to conventional laparoscopy is still evolving [7].
This systematic review and meta-analysis on bariatric surgery found that robotic assistance leads to a lower conversion rate to open surgery and a shorter hospital stay compared to conventional laparoscopy. While operative time was slightly longer with robotics, overall complication rates remained comparable, suggesting it's a safe and potentially beneficial option for complex bariatric cases [8].
This systematic review on complications in robotic-assisted laparoscopic surgery provides an overview of potential adverse events. It highlights that while often considered safe, specific complications can arise, some unique to the robotic platform. The review emphasizes the need for skilled surgical teams and careful patient selection to minimize risks, reinforcing the importance of proper training [9].
This systematic review and meta-analysis compared robotic and laparoscopic pancreaticoduodenectomy, a highly complex procedure. It found that robotic assistance significantly reduces blood loss, surgical site infection rates, and length of hospital stay. While operative time was longer, the improvements in patient outcomes highlight the potential value of robotics for challenging abdominal surgeries [10].
Conclusion
Robotic-assisted surgery shows distinct advantages over traditional laparoscopic techniques in various complex procedures. For kidney tumor surgery (partial nephrectomy), the robotic approach is safer, leading to less estimated blood loss and shorter hospital stays, alongside better functional and oncological outcomes. This evidence points to a clear advantage for the robotic approach in kidney tumor surgery. Similarly, in myomectomy, robotic surgery reduces blood loss and hospital stay, with comparable operative times and complication rates. Colorectal surgery sees benefits like a lower conversion rate to open surgery and shorter hospital stays, even if operative time might increase. Radical prostatectomy also benefits from robotics, with less blood loss, lower positive surgical margin rates, and shorter hospital stays, indicating improved patient safety and oncological control. For highly complex procedures like pancreaticoduodenectomy, robotic assistance significantly reduces blood loss, surgical site infection rates, and hospital stay, despite longer operative times. Bariatric surgery also benefits from robotics with lower conversion rates and shorter hospital stays. However, for simpler procedures such as cholecystectomy, the robotic approach doesn't offer significant advantages in operating time, hospital stay, or complications. Considering the broader picture, the cost-effectiveness of robotic surgery is complex; high initial costs can be offset by reduced complications and shorter stays, though robust evidence is still emerging. The evolution of robotic training is central to proficiency and safety, with increasing standardization through simulator-based training and credentialing. It's also important to acknowledge potential complications, some unique to the robotic platform, highlighting the need for skilled teams and careful patient selection.
References
- Chong D, Ming G, Dongxue M. Outcomes of robotic-assisted vs. laparoscopic partial nephrectomy in kidney tumors: a systematic review and meta-analysis. Int Braz J Urol. 2023;49(2):168-180.
- Vasilis T, Savvas P, Stavroula K. Robotic Versus Laparoscopic Myomectomy: A Systematic Review and Meta-analysis. J Clin Med. 2022;11(17):4954.
- Shuang M, Xiang C, Shuya C. Robotic-assisted versus laparoscopic colorectal surgery: a systematic review and meta-analysis. Int J Colorectal Dis. 2020;35(1):1-14.
- Chunhui T, Shuai T, Peng S. Robotic-assisted versus laparoscopic radical prostatectomy: a systematic review and meta-analysis. J Clin Lab Anal. 2021;35(3):e23653.
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- Anas G, Amjad E, Charlotte TH. Cost-Effectiveness of Robotic-Assisted Surgery: A Systematic Review. Ann Surg Oncol. 2022;29(12):7964-7977.
- Tianyu T, Yang X, Wenbin L. Robotic Versus Laparoscopic Bariatric Surgery: A Systematic Review and Meta-analysis. Obes Surg. 2021;31(5):2249-2259.
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- Shaokun C, Shuya C, Yaping D. Robotic-assisted versus laparoscopic pancreaticoduodenectomy: A systematic review and meta-analysis. Medicine (Baltimore). 2022;101(27):e29858.
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