Global trends and outcomes in robotic vs. laparoscopic Roux-en-Y gastric bypass: a 25-year meta-analysis of 38,647 patients across 27 countries.

The ongoing debate regarding comparative outcomes between robotic (RRYGB) and laparoscopic (LRYGB) Roux-en-Y gastric bypass necessitates large-scale, longitudinal analysis. This PRISMA-compliant meta-analysis represents the most comprehensive evaluation to date, synthesizing data from 42 high-quality comparative studies (2000-2025) encompassing an initial screening population of 482,915 procedures. After rigorous selection, our final analysis included 38,647 patients from 27 countries, offering unprecedented geographical and temporal granularity.

Robotic-assisted surgery for acute abdominal emergencies: a systematic review of 1142 cases.

This comprehensive systematic review assesses the clinical outcomes of robotic-assisted procedures for acute abdominal emergencies, analyzing data from 27 studies comprising 1142 cases. The investigation specifically examines five critical emergency conditions: complicated appendicitis (representing 32.5% of cases), acute cholecystitis (28.

Early Experience with Robotic Pancreatic Resections: a Retrospective Cohort Study of 20 Consecutive Cases.

Background: Robotic pancreatic surgery has emerged as a minimally invasive alternative to open procedures, offering potential benefits in precision and recovery. This study evaluates the feasibility, safety and learning curve of robotic duodenopancreatectomy (RDP) and robotic distal splenopancreatectomy (RDSP) during the initial phase of implementation at a single institution.

Methods: A retrospective analysis of 20 consecutive patients, who underwent RDP (n=12) or RDSP (n=8) between January 2020 and December 2022, was performed.

Learning curve of robotic colectomy: a systematic review and meta-analysis of surgical proficiency, outcomes, and training protocols.

Unlabelled: This investigation systematically evaluates the skill acquisition process in robotic colectomy procedures, determining the case volume required for surgical competency and assessing the effectiveness of various training methodologies. A comprehensive evidence synthesis was performed according to PRISMA standards. Multiple medical databases (PubMed, Embase, Cochrane Library) were systematically interrogated for relevant publications from January 2000 to January 2024.

Robotic versus laparoscopic left-sided colectomy: a propensity-matched analysis of surgical outcomes, oncologic efficacy, and cost-effectiveness.

Anastomotic leakage (AL) remains a critical complication following left-sided colectomy, with severe leaks (Grade C) significantly increasing mortality and healthcare costs. Robotic surgery offers technical advantages, but large-scale comparative data on AL severity, survival, and cost-effectiveness are limited. Using a national registry (2014-2025), 2916 robotic and laparoscopic left colectomy cases were 1:1 propensity-matched for age, sex, BMI, ASA class, tumor location, and operative year.

Robotic-assisted primary ventral and incisional hernia repair: a comprehensive comparative analysis of rv-TAPP, r-Rives, and r-TARUP techniques.

Robotic-assisted surgery has transformed hernia repair by improving precision, minimizing postoperative complications, and accelerating recovery. This study evaluates three robotic techniques-robotic transabdominal preperitoneal (rTAPP), robotic Rives (rRives), and robotic transabdominal retromuscular umbilical prosthetic (rTARUP)-for treating primary ventral and incisional hernias. Following PRISMA guidelines, a systematic review and meta-analysis were conducted.

Esophageal Perforation and Pneumothorax Complicating Nasogastric Tube Insertion in an Elderly Female with Senile Dementia and Hiatal Hernia: A Case Report.

This case report describes a unique and rare complication of nasogastric tube insertion in an 80-year-old female patient with a history of senile dementia and hiatal hernia. The patient presented to the emergency department with symptoms of fever, dyspnea and vomiting. Upon arrival, the nursing staff performed a nasogastric tube insertion, which inadvertently led to esophageal perforation and subsequent pneumothorax.

Systematic Review of Robotic Nephrectomy for Kidney Cancer.

Robotic nephrectomy has become an increasingly preferred surgical technique for managing renal cell carcinoma (RCC). This review aims to systematically evaluate existing literature on the safety, efficacy, clinical outcomes, and associated costs of robotic nephrectomy, especially in relation to tumor dimensions and other pertinent patient factors. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we performed an extensive literature search across major databases (PubMed, Scopus, and Cochrane Library) from inception to October 2023.

Narrative Review on the Use of Indocyanine Green Fluorescence in Surgical Oncology.

Indocyanine green (ICG) has emerged as a transformative tool for intraoperative imaging in the field of oncology, significantly improving the identification and localization of tumors, lymphatic structures and metastatic lesions. This narrative review aims to synthesize findings from a comprehensive range of studies that evaluate the efficacy, applications and limitations of ICG fluorescence-guided surgery across various surgical specialties, including colorectal, gynecologic and hepatobiliary oncology. We meticulously analyzed studies published from 2010 to the present, highlighting the technical aspects of ICG administration and imaging techniques as well as the quantitative metrics of success, such as detection rates and negative surgical margins.

Single-surgeon training of 14 novice surgeons in robotic cholecystectomy: a study of 300 consecutive cases, assessing training outcomes and surgical performance.

Robotic-assisted surgery (RAS) is a rapidly evolving field, requiring comprehensive training for widespread adoption. The aim of this study was to analyze the effectiveness of RAS cholecystectomy training in improving the technical skills and confidence of novice surgeons. Furthermore, the study examined the transferability of RAS skills to laparoscopic skills, the role of RAS cholecystectomies in reducing errors and improving patient outcomes, and identified factors that predict a successful transition from traditional laparoscopic surgery to RAS surgery.

A Comprehensive Review of Laparoscopic Left Colectomy for Acute Diverticulitis: Techniques, Outcomes and Complications.

Background: Laparoscopic left colectomy has emerged as a potential alternative to open surgery for the treatment of acute diverticulitis. However, the evidence on the safety and efficacy of this approach is still subject to debate.

Aim: This review aims to provide a comprehensive overview of the techniques, outcomes and complications associated with laparoscopic left colectomy for acute diverticulitis.

Systematic review of robotic video-assisted thoracoscopic surgery total pneumonectomy for lung cancer.

Introduction: This systematic review aims to provide a comprehensive evaluation of the literature on robotic video-assisted thoracoscopic surgery (VATS) pneumonectomy.

Aim: To evaluate its effectiveness and safety in treating various lung diseases.

Methods: A thorough search of electronic databases was conducted, and 25 studies encompassing 1,650 patients were included in the review.

Sleeve Gastrectomy: Literature Results.

Sleeve gastrectomy (SG) is the most frequently performed bariatric procedure globally. However, data regarding short- and long-term results remain insufficient. This study aimed to evaluate the short- and longterm effects of SG.

Outcomes and Complications of Duodenopancreatectomy in Octogenarian Patients: a Review.

Duodenopancreatectomy is a surgical procedure that involves the removal of part of the pancreas, duodenum, and bile ducts. This procedure is commonly performed in patients with pancreatic cancer or other gastrointestinal disorders. However, the safety and efficacy of duodenopancreatectomy in older adults (octogenarians) remain unclear.

A Narrative Review of Pheochromocytoma in VHL.

This systematic review aims to investigate the clinical presentation, diagnostic methods, and management strategies for pheochromocytoma in patients with von Hippel-Lindau (VHL) disease, an autosomal dominant disorder that predisposes individuals to the development of various tumors, including pheochromocytomas. Pheochromocytoma is a rare neuroendocrine tumor of the adrenal medulla that occurs sporadically or as part of an inherited syndrome. The incidence of pheochromocytoma in VHL patients is estimated to be between 10-20%, making it the second most common tumor associated with VHL.

Image-guided techniques for localization of pulmonary nodules during video-assisted thoracoscopic surgery lobectomy.

In the modern era when screening and early surveillance of pulmonary nodules are increasing in importance, the management of the pulmonary nodule represents a different challenge to thoracic surgeons. The difficulty lies in the merging of sound surgical and oncological principles with more minimally invasive and appropriate lung-sparing surgery. The success rates of video-assisted thoracoscopic surgery (VATS) resection for smaller as well as subsolid nodules have increased as a result of radiologists' preoperative localization tools.

Robotic Radical Nephrectomy with Vena Cava Thrombus Extraction (RRN-VCTE) for Renal Cell Carcinoma: A Meta-Analysis of Surgical Technique and Outcomes.

Renal cell carcinoma (RCC) with vena cava tumor thrombus is a challenging condition, which requires complex surgical management. Robotic radical nephrectomy with vena cava thrombus extraction (RRN-VCTE) has emerged as a promising and minimally invasive technique. This meta-analysis aims to review the surgical technique and outcomes of RRN-VCTE in patients with RCC and vena cava tumor thrombus.

Polycystic Kidney Disease and Polycystic Liver Disease Associated to Advanced Gastric Cancer: an External Complication of Potter III Disease.

Autosomal dominant polycystic kidney disease (ADPKD) is the most frequent of the hereditary diseases affecting the kidney but it can also be associated with cysts in the pancreas, liver, arachnoid, seminal vesicles. In particular, ADPKD plus adult polycystic liver disease (APLD) is defined as Potter type III. In the literature, the association of malignant neoplasm with APLD and ADPKD is extremely rare.

Von Hippel-Lindau is Associated to Pancreatic Neuroendocrine Tumors: A Comprehensive Review.

Multiorgan tumors are a hallmark of the autosomal dominant genetic disorder known as Von Hippel-Lindau syndrome (VHL), which is typically the result of inherited aberrations of the VHL tumor suppressor gene. The most frequent cancer is retinoblastoma, which can also occur in the brain and spinal cord, renal clear cell carcinoma (RCCC), paraganglioma, and neuroendocrine tumors. There may also be lymphangiomas, epididymal cysts, and pancreatic cysts or pancreatic neuroendocrine tumors (pNETs).

Robotic thymectomy: a review of techniques and results.

Thymectomy is a well-established therapeutic option in the multidisciplinary treatment of nonthymomatous myasthenia gravis (MG) and in thymoma treatment. Although many surgical procedures for thymectomy have been identified, the transsternal method is still regarded as the gold standard. Minimally invasive procedures, on the other hand, have achieved popularity in the last decades and are now extensively used in this field of surgery.

A Review on Treatment of Perforated Peptic Ulcer by Minimally Invasive Techniques.

Peptic ulcers are caused by acid peptic damage to the mucosal layer in the gastro-duodenal area of the gut, which results in mucosal erosion that exposes the underlying tissues to the digestive action of gastro-duodenal secretions. This pathology was traditionally related to a hypersecretory acid environment, dietary factors and stress. There are other causes of ulcers such as infection, excessive use of NSAIDs, and smoke and alcohol abuse.

Current perspective on uniportal and multiportal video-assisted thoracic surgery during lobectomy for lung cancer.

Non-small cell lung cancer (NSCLC) is the most typical type of lung cancer, and it is the leading cancer-related mortality globally. Lobectomy for early-stage NSCLC has been characterized in the previous decade using a wide range of methodologies. The development of video-assisted thoracoscopic surgery (VATS) allowed surgeons first to reduce the thoracotomy size, which is generally anterior, limiting it to trocar incisions or a single portal approach.

Small bowel obstruction: a prognostic score index for surgery - a review.

Bowel obstruction is an important cause of morbidity and mortality, accounting for nearly 30,000 deaths and more than $3 billion per year in direct medical costs. Small bowel obstruction (SBO) is caused mainly by postoperative adhesions. Adhesive small bowel obstruction (ASBO) is one of the leading causes of surgical emergencies and in particular of surgical emergencies that require an emergent operation.

Use of the Desarda Technique in Emergency Settings: a Comprehensive Review.

One of the most frequent surgeries performed across the world is an inguinal hernia repair, with at least twenty million people undergoing this procedure each year. The prevalence of groin hernia, defined as projections of adipose tissue or viscera through the femoral or inguinal canal, is 3-6% for women and 27-43% for men. Obstruction of the small bowel is one of the most frequent reasons for a strangulated hernia.