{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:43:41Z","timestamp":1792028621211,"version":"4.4.0"},"reference-count":54,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005743","name":"Universit\u00e0 Cattolica del Sacro Cuore","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005743","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Robotic Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The Hugo\u2122 Robotic-Assisted Surgery (RAS) system is a recent development in minimally invasive gynecologic surgery. Following regulatory approval, its clinical use has expanded. However, comprehensive evidence on feasibility, safety and surgical outcomes has not been established. This systematic review synthesizes the available clinical data on the application of this robotic system across gynecologic procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>A systematic review was conducted in accordance with PRISMA guidelines and registered in PROSPERO (CRD42024519329), interrogating PubMed, Web of Science and Embase databases. Manuscripts reporting data on patients undergoing gynecologic surgical procedures with the Hugo\u2122 RAS platform were included in the analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Qualitative analysis was conducted on twelve studies including 445 patients. Hysterectomy was the main procedure (either total or supracervical;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009289, 64.9%), with primary indications including fibromatosis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009149, 33.5%) and endometriosis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200992, 20.7%). Some studies (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095, 41.7%) included patients with gynecologic malignancies, mainly endometrial cancer; one reported robotic management of a perivesical recurrence. Few conversions (laparotomy\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091, 0.22%; laparoscopy\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095, 1.12%), intraoperative complications (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094, 0.90%), and postoperative complications (Clavien-Dindo grade\u2009\u2265\u2009II, 1.57%) occurred. Weighted mean operative, console and docking times were 141.84\u2009\u00b1\u200928.73, 97.98\u2009\u00b1\u200928.13, and 5.90\u2009\u00b1\u20090.94\u00a0min, respectively. Estimated blood loss averaged 110.75\u2009\u00b1\u200984.16 mL, and mean hospital stay was 2\u2009\u00b1\u20091 days. Reported system malfunctions were generally manageable without significant clinical consequences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Current evidence indicates that the system can be safely implemented by gynecologic surgeons in routine clinical practice. Nevertheless, further high-quality research is required to determine long-term outcomes and to assess its integration within the evolving landscape of digital surgical technologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11701-025-02973-3","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T03:18:38Z","timestamp":1763349518000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The Hugo\u2122 RAS system in gynecologic robotic surgery: a systematic review of current applications"],"prefix":"10.1007","volume":"20","author":[{"given":"Chiara","family":"Innocenzi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Criscione","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Pavone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicol\u00f2","family":"Bizzarri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Rosati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Petrillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Oliva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Querleu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Fagotti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lise","family":"Lecointre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariano","family":"Gim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Seeliger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonello","family":"Forgione","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Fanfani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Marescaux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"2973_CR1","volume-title":"R.U.R. Rossum\u2019s universal robots","author":"Karel","year":"1921","unstructured":"Karel, \u010capek (1921) R.U.R. Rossum\u2019s universal robots. Aventium, Prague"},{"key":"2973_CR2","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1038\/35096636","volume":"413","author":"J Marescaux","year":"2001","unstructured":"Marescaux J, Leroy J, Gagner M, Rubino F, Mutter D, Vix M et al (2001) Transatlantic robot-assisted telesurgery. Nature 413:379\u2013380. https:\/\/doi.org\/10.1038\/35096636","journal-title":"Nature"},{"key":"2973_CR3","doi-asserted-by":"publisher","DOI":"10.1590\/0100-6991e-20202798","volume":"48","author":"ALG Morrell","year":"2021","unstructured":"Morrell ALG, Morrell-Junior AC, Morrell AG, Mendes JMF, Tustumi F, De-Oliveira-E-Silva LG et al (2021) The history of robotic surgery and its evolution: when illusion becomes reality. Rev Col Bras Cir 48:e20202798. https:\/\/doi.org\/10.1590\/0100-6991e-20202798","journal-title":"Rev Col Bras Cir"},{"key":"2973_CR4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2024.108526","author":"C Certelli","year":"2024","unstructured":"Certelli C, Palmieri L, Federico A, Oliva R, Conte C, Rosati A et al (2024) Robotic approach for the treatment of gynecological cancers recurrences: a ten-year single-institution experience. Eur J Surg Oncol. https:\/\/doi.org\/10.1016\/j.ejso.2024.108526","journal-title":"Eur J Surg Oncol"},{"key":"2973_CR5","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-024-01954-2","volume":"18","author":"M Pavone","year":"2024","unstructured":"Pavone M, Baroni A, Campolo F, Goglia M, Raimondo D, Carcagn\u00ec A et al (2024) Robotic assisted versus laparoscopic surgery for deep endometriosis: a meta-analysis of current evidence. J Robot Surg 18:212. https:\/\/doi.org\/10.1007\/s11701-024-01954-2","journal-title":"J Robot Surg"},{"key":"2973_CR6","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2023.1181824","volume":"10","author":"G Panico","year":"2023","unstructured":"Panico G, Vacca L, Campagna G, Caramazza D, Mastrovito S, Lombisani A et al (2023) The first 60 cases of robotic sacrocolpopexy with the novel HUGO RAS system: feasibility, setting and perioperative outcomes. Front Surg 10:1181824. https:\/\/doi.org\/10.3389\/fsurg.2023.1181824","journal-title":"Front Surg"},{"key":"2973_CR7","doi-asserted-by":"publisher","unstructured":"Pavone M, Marescaux J, Seeliger B (2023) Current status of robotic abdominopelvic surgery. \u79c0\u50b3\u91ab\u5b78\u96dc\u8a8c 22. https:\/\/doi.org\/10.30185\/SCMJ.202312_22(3","DOI":"10.30185\/SCMJ.202312_22(3"},{"key":"2973_CR8","doi-asserted-by":"publisher","unstructured":"Pavone M, Goglia M, Rosati A, Innocenzi C, Bizzarri N, Seeliger B, Mascagni P, Ferrari FA, Forgione A, Testa AC, Fagotti A, Fanfani F, Querleu D, Scambia G, Akladios C, Marescaux J, Lecointre L (2025) Unveiling the real benefits of robot-assisted surgery in gynaecology: from telesurgery to image-guided surgery and artificial intelligence. Facts Views Vis Obgyn. 17(1):50\u201360. https:\/\/doi.org\/10.52054\/FVVO.2024.13522.","DOI":"10.52054\/FVVO.2024.13522"},{"key":"2973_CR9","doi-asserted-by":"publisher","first-page":"91","DOI":"10.52054\/FVVO.14.1.014","volume":"14","author":"G Monterossi","year":"2022","unstructured":"Monterossi G, Pedone Anchora L, Gueli Alletti S, Fagotti A, Fanfani F, Scambia G (2022) The first European gynaecological procedure with the new surgical robot Hugo\u2122 RAS. A total hysterectomy and salpingo-oophorectomy in a woman affected by BRCA-1 mutation. Facts Views Vis ObGyn 14:91\u201394. https:\/\/doi.org\/10.52054\/FVVO.14.1.014","journal-title":"Facts Views Vis ObGyn"},{"key":"2973_CR10","doi-asserted-by":"publisher","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","volume":"6","author":"D Moher","year":"2009","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6:e1000097. https:\/\/doi.org\/10.1371\/journal.pmed.1000097","journal-title":"PLoS Med"},{"key":"2973_CR11","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","volume":"5","author":"M Ouzzani","year":"2016","unstructured":"Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A (2016) Rayyan-a web and mobile app for systematic reviews. Syst Rev 5:210. https:\/\/doi.org\/10.1186\/s13643-016-0384-4","journal-title":"Syst Rev"},{"key":"2973_CR12","doi-asserted-by":"publisher","first-page":"3561","DOI":"10.1007\/s11695-024-07409-9","volume":"34","author":"G-B Cadi\u00e8re","year":"2024","unstructured":"Cadi\u00e8re G-B, Himpens J, Poras M, Boyer N, Cadi\u00e8re B (2024) Feasibility and safety study of the use of a new robot (Maestro<Superscript>\u2122<\/Superscript>) for laparoscopic surgery. Obes Surg 34:3561\u20138. https:\/\/doi.org\/10.1007\/s11695-024-07409-9","journal-title":"Obes Surg"},{"key":"2973_CR13","unstructured":"The Clavien-Dindo classification of surgical complications: five-year experience - PubMed [Internet]. [citato 15 marzo 2025]. https:\/\/pubmed.ncbi.nlm.nih.gov\/19638912\/. Consultato 15 mar 2025"},{"key":"2973_CR14","doi-asserted-by":"publisher","first-page":"i4919","DOI":"10.1136\/bmj.i4919","volume":"355","author":"JA Sterne","year":"2016","unstructured":"Sterne JA, Hern\u00e1n MA, Reeves BC, Savovi\u0107 J, Berkman ND, Viswanathan M et al (2016) ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ 355:i4919. https:\/\/doi.org\/10.1136\/bmj.i4919","journal-title":"BMJ"},{"key":"2973_CR15","doi-asserted-by":"publisher","first-page":"2043","DOI":"10.1007\/s13304-024-01902-7","volume":"76","author":"M Afonina","year":"2024","unstructured":"Afonina M, Coll\u00e0 Ruvolo C, Gaia G, Paciotti M, Leva G, Marconi AM et al (2024) New horizons in gynecological surgery: first-year experience with HUGO<Superscript>\u2122<\/Superscript> robotic-assisted surgery system at two tertiary referral robotic centers. Updates Surg 76:2043\u20139. https:\/\/doi.org\/10.1007\/s13304-024-01902-7","journal-title":"Updates Surg"},{"key":"2973_CR16","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1002\/ijgo.15396","volume":"166","author":"A Gio\u00e8","year":"2024","unstructured":"Gio\u00e8 A, Monterossi G, Gueli Alletti S, Panico G, Campagna G, Costantini B et al (2024) The new robotic system HUGO RAS for gynecologic surgery: first European experience from Gemelli Hospital. Int J Gynaecol Obstet 166:258\u201365. https:\/\/doi.org\/10.1002\/ijgo.15396","journal-title":"Int J Gynaecol Obstet"},{"key":"2973_CR17","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1080\/13645706.2024.2417403","volume":"33","author":"MM Ianieri","year":"2024","unstructured":"Ianieri MM, Raimondo D, Pavone M, Alboni C, Alesi MV, Campolo F et al (2024) Clash of the Titans: the first multi-center retrospective comparative study between da Vinci and Hugo<Superscript>\u2122<\/Superscript> RAS surgical systems for the treatment of deep endometriosis. Minim Invasive Ther Allied Technol 33:341\u201350. https:\/\/doi.org\/10.1080\/13645706.2024.2417403","journal-title":"Minim Invasive Ther Allied Technol"},{"key":"2973_CR18","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1111\/aogs.14727","volume":"103","author":"RG Olsen","year":"2024","unstructured":"Olsen RG, Hartwell D, Dalsgaard T, Madsen ME, Bjerrum F, Konge L et al (2024) First experience with the <Emphasis Type=\u201cSmallCaps\u201d>Hugo<\/Emphasis><Superscript><Emphasis Type=\u201cSmallCaps\u201d>\u2122<\/Emphasis><\/Superscript> robot-assisted surgery system for endometriosis: a descriptive study. Acta Obstet Gynecol Scand 103:368\u201377. https:\/\/doi.org\/10.1111\/aogs.14727","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2973_CR19","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2587","volume":"20","author":"C Coll\u00e0 Ruvolo","year":"2024","unstructured":"Coll\u00e0 Ruvolo C, Afonina M, Balestrazzi E, Paciotti M, Piro A, Piramide F et al (2024) A comparative analysis of the HUGOTM robot-assisted surgery system and the Da Vinci\u00ae Xi surgical system for robot-assisted sacrocolpopexy for pelvic organ prolapse treatment. Int J Med Robot 20:e2587. https:\/\/doi.org\/10.1002\/rcs.2587","journal-title":"Int J Med Robot"},{"key":"2973_CR20","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-024-02149-5","volume":"19","author":"M\u00c1C Yap","year":"2024","unstructured":"Yap M\u00c1C, Castillo CEV, Martino M, Doubova SV, Cuevas RP, Cruz AB et al (2024) The experience with Hugo<Superscript>\u2122<\/Superscript> robot-assisted surgery on complex gynecological patients in Panama. J Robot Surg 19:3. https:\/\/doi.org\/10.1007\/s11701-024-02149-5","journal-title":"J Robot Surg"},{"issue":"1","key":"2973_CR21","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-024-02109-z","volume":"18","author":"Y Yagur","year":"2024","unstructured":"Yagur Y, Martino MA, Sarofim M, Almoqren M, Anderson H, Robertson J et al (2024) Implementation and outcomes in benign gynecological surgery with HUGO<Superscript>\u2122<\/Superscript> RAS system 12 months initial experience. J Robot Surg 18(1):350. https:\/\/doi.org\/10.1007\/s11701-024-02109-z","journal-title":"J Robot Surg"},{"key":"2973_CR22","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1089\/end.2022.0495","volume":"37","author":"A Mottaran","year":"2023","unstructured":"Mottaran A, Bravi CA, Sarchi L, Paciotti M, Nocera L, Piro A et al (2023) Robot-assisted sacropexy with the novel HUGO robot-assisted surgery system: initial experience and surgical setup at a tertiary referral robotic center. J Endourol 37:35\u201341. https:\/\/doi.org\/10.1089\/end.2022.0495","journal-title":"J Endourol"},{"key":"2973_CR23","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1007\/s13304-023-01710-5","volume":"76","author":"H Komatsu","year":"2024","unstructured":"Komatsu H, Wada I, Harada T, Taniguchi F (2024) First report of robotic-assisted total hysterectomy using the Hugo<Superscript>\u2122<\/Superscript> RAS system. Updat Surg 76:315\u20138. https:\/\/doi.org\/10.1007\/s13304-023-01710-5","journal-title":"Updat Surg"},{"key":"2973_CR24","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1007\/s00192-024-05993-z","volume":"36","author":"DK Sakthivel","year":"2025","unstructured":"Sakthivel DK, Ragavan A, Bafna S, Ragavan N, Ragavan M (2025) Robotic-assisted vesicovaginal fistula repair: a comparative analysis between Hugo RAS and Da Vinci Xi systems. Int Urogynecol J 36:173\u2013176. https:\/\/doi.org\/10.1007\/s00192-024-05993-z","journal-title":"Int Urogynecol J"},{"key":"2973_CR25","doi-asserted-by":"publisher","first-page":"2051","DOI":"10.1007\/s13304-024-01891-7","volume":"76","author":"M Matsuura","year":"2024","unstructured":"Matsuura M, Nagao S, Kurokawa S, Tamate M, Akimoto T, Saito T (2024) Early outcomes of three new robotic surgical systems in patients undergoing hysterectomy. Updat Surg 76:2051\u20132057. https:\/\/doi.org\/10.1007\/s13304-024-01891-7","journal-title":"Updat Surg"},{"key":"2973_CR26","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e23756","volume":"10","author":"K-S Law","year":"2024","unstructured":"Law K-S (2024) <article-title update=\u201cadded\u201d>Robotic staging procedure performed using medtronic hugo \u2122 RAS in an endometrial cancer patient: a case report. Heliyon 10:e23756. https:\/\/doi.org\/10.1016\/j.heliyon.2023.e23756","journal-title":"Heliyon"},{"key":"2973_CR27","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1007\/s13304-023-01724-z","volume":"76","author":"M Pavone","year":"2024","unstructured":"Pavone M, Seeliger B, Alesi MV, Goglia M, Marescaux J, Scambia G et al (2024) Initial experience of robotically assisted endometriosis surgery with a novel robotic system: first case series in a tertiary care center. Updat Surg 76:271\u20137. https:\/\/doi.org\/10.1007\/s13304-023-01724-z","journal-title":"Updat Surg"},{"key":"2973_CR28","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.898060","author":"S Gueli Alletti","year":"2022","unstructured":"Gueli Alletti S, Chiantera V, Arcuri G, Gio\u00e8 A, Oliva R, Monterossi G et al (2022) Introducing the new surgical robot HUGO<Superscript>\u2122<\/Superscript> RAS: system description and docking settings for gynecological surgery. Front Oncol. https:\/\/doi.org\/10.3389\/fonc.2022.898060","journal-title":"Front Oncol"},{"key":"2973_CR29","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/j.ajog.2016.08.040","volume":"216","author":"T Picerno","year":"2017","unstructured":"Picerno T, Sloan NL, Escobar P, Ramirez PT (2017) Bowel injury in robotic gynecologic surgery: risk factors and management options. A systematic review. Am J Obstet Gynecol 216:10\u201326. https:\/\/doi.org\/10.1016\/j.ajog.2016.08.040","journal-title":"Am J Obstet Gynecol"},{"key":"2973_CR30","doi-asserted-by":"publisher","DOI":"10.52054\/FVVO.14.5.104","author":"M Pavone","year":"2023","unstructured":"Pavone M, Pavone MG (2023) En-block butterfly excision of posterior compartment deep endometriosis: the first experience with the new surgical robot Hugo<Superscript>\u2122<\/Superscript>RAS. Facts Views Vis Obgyn. https:\/\/doi.org\/10.52054\/FVVO.14.5.104","journal-title":"Facts Views Vis Obgyn"},{"key":"2973_CR31","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59071264","volume":"59","author":"F Marchegiani","year":"2023","unstructured":"Marchegiani F, Siragusa L, Zadoroznyj A, Laterza V, Mangana O, Schena CA et al (2023) New robotic platforms in general surgery: what\u2019s the current clinical scenario? Medicina (Mex) 59:1264. https:\/\/doi.org\/10.3390\/medicina59071264","journal-title":"Medicina (Mex)"},{"key":"2973_CR32","doi-asserted-by":"publisher","first-page":"2547","DOI":"10.1007\/s11701-023-01693-w","volume":"17","author":"G Panico","year":"2023","unstructured":"Panico G, Mastrovito S, Campagna G, Monterossi G, Costantini B, Gio\u00e8 A et al (2023) Robotic docking time with the Hugo<Superscript>\u2122<\/Superscript> RAS system in gynecologic surgery: a procedure independent learning curve using the cumulative summation analysis (CUSUM). J Robot Surg 17:2547\u201354. https:\/\/doi.org\/10.1007\/s11701-023-01693-w","journal-title":"J Robot Surg"},{"key":"2973_CR33","doi-asserted-by":"publisher","first-page":"5331","DOI":"10.1200\/JCO.2009.22.3248","volume":"27","author":"JL Walker","year":"2009","unstructured":"Walker JL, Piedmonte MR, Spirtos NM, Eisenkop SM, Schlaerth JB, Mannel RS et al (2009) Laparoscopy compared with laparotomy for comprehensive surgical staging of uterine cancer: Gynecologic Oncology Group Study LAP2. J Clin Oncol 27:5331\u20136. https:\/\/doi.org\/10.1200\/JCO.2009.22.3248","journal-title":"J Clin Oncol"},{"key":"2973_CR34","doi-asserted-by":"publisher","first-page":"482","DOI":"10.3390\/cancers17030482","volume":"17","author":"M Arcieri","year":"2025","unstructured":"Arcieri M, Paparcura F, Giorgiutti C, Taliento C, Bogani G, Driul L et al (2025) Robotic surgery in severely obese frail patients for the treatment of atypical endometrial hyperplasia and endometrial cancer: a propensity-match analysis at an ESGO-accredited center. Cancers 17:482. https:\/\/doi.org\/10.3390\/cancers17030482","journal-title":"Cancers"},{"key":"2973_CR35","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2023.1219371","volume":"13","author":"KJ Eoh","year":"2023","unstructured":"Eoh KJ, Kim T-J, Park J-Y, Kim HS, Paek J, Kim YT (2023) Robot-assisted versus conventional laparoscopic surgery for endometrial cancer: long-term comparison of outcomes. Front Oncol 13:1219371. https:\/\/doi.org\/10.3389\/fonc.2023.1219371","journal-title":"Front Oncol"},{"key":"2973_CR36","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1136\/ijgc-2023-005197","volume":"34","author":"G Dinoi","year":"2024","unstructured":"Dinoi G, Tarantino V, Bizzarri N, Perrone E, Capasso I, Giannarelli D et al (2024) Robotic-assisted versus conventional laparoscopic surgery in the management of obese patients with early endometrial cancer in the sentinel lymph node era: a randomized controlled study (RObese). Int J Gynecol Cancer 34:773\u20136. https:\/\/doi.org\/10.1136\/ijgc-2023-005197","journal-title":"Int J Gynecol Cancer"},{"key":"2973_CR37","doi-asserted-by":"publisher","unstructured":"Ramirez PT, Frumovitz M, Pareja R, Lopez A, Vieira M, Ribeiro R, et al (2018) Minimally invasive versus abdominal radical hysterectomy for cervical cancer. N Engl J Med. Massachusetts Medical Society. 379:1895\u2013904. https:\/\/doi.org\/10.1056\/NEJMoa1806395","DOI":"10.1056\/NEJMoa1806395"},{"key":"2973_CR38","doi-asserted-by":"publisher","first-page":"1072","DOI":"10.1136\/ijgc-2019-000558","volume":"29","author":"H Falconer","year":"2019","unstructured":"Falconer H, Palsdottir K, Stalberg K, Dahm-K\u00e4hler P, Ottander U, Lundin ES et al (2019) Robot-assisted approach to cervical cancer (RACC): an international multi-center, open-label randomized controlled trial. Int J Gynecol Cancer 29:1072\u20136. https:\/\/doi.org\/10.1136\/ijgc-2019-000558","journal-title":"Int J Gynecol Cancer"},{"key":"2973_CR39","doi-asserted-by":"publisher","unstructured":"Bixel KL, Leitao MM, Chase DM, Quick A, Lim PC, Eskander RN, Wolters Kluwer et al (2022) ROCC\/GOG-3043: a randomized non-inferiority trial of robotic versus open radical hysterectomy for early-stage cervical cancer. J Clin Oncol 40:TPS5605\u2013TPS5605. https:\/\/doi.org\/10.1200\/JCO.2022.40.16_suppl.TPS5605","DOI":"10.1200\/JCO.2022.40.16_suppl.TPS5605"},{"key":"2973_CR40","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1007\/s00464-013-3213-z","volume":"28","author":"GI Lee","year":"2014","unstructured":"Lee GI, Lee MR, Clanton T, Sutton E, Park AE, Marohn MR (2014) Comparative assessment of physical and cognitive ergonomics associated with robotic and traditional laparoscopic surgeries. Surg Endosc 28:456\u2013465. https:\/\/doi.org\/10.1007\/s00464-013-3213-z","journal-title":"Surg Endosc"},{"key":"2973_CR41","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgc.2025.101789","author":"M Pavone","year":"2025","unstructured":"Pavone M, Baby B, Carles E, Innocenzi C, Baroni A, Arboit L et al (2025) Critical view of safety assessment in sentinel node dissection for endometrial and cervical cancer: artificial intelligence to enhance surgical safety and lymph node detection (LYSE study). Int J Gynecol Cancer. https:\/\/doi.org\/10.1016\/j.ijgc.2025.101789","journal-title":"Int J Gynecol Cancer"},{"key":"2973_CR42","doi-asserted-by":"publisher","first-page":"9224","DOI":"10.1007\/s00464-022-09409-1","volume":"36","author":"L Lecointre","year":"2022","unstructured":"Lecointre L, Verde J, Goffin L, Venkatasamy A, Seeliger B, Lodi M et al (2022) Robotically assisted augmented reality system for identification of targeted lymph nodes in laparoscopic gynecological surgery: a first step toward the identification of Sentinel node: augmented reality in gynecological surgery. Surg Endosc 36:9224\u20139233. https:\/\/doi.org\/10.1007\/s00464-022-09409-1","journal-title":"Surg Endosc"},{"key":"2973_CR43","doi-asserted-by":"publisher","first-page":"941","DOI":"10.1089\/lap.2020.0539","volume":"30","author":"M Palermo","year":"2020","unstructured":"Palermo M, Gim\u00e9nez M (2020) Image-guided surgery: a new concept in minimally invasive surgery. J Laparoendosc Adv Surg Tech A 30:941. https:\/\/doi.org\/10.1089\/lap.2020.0539","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"2973_CR44","doi-asserted-by":"publisher","first-page":"2359","DOI":"10.1007\/s00464-024-10772-4","volume":"38","author":"M Pavone","year":"2024","unstructured":"Pavone M, Seeliger B, Teodorico E, Goglia M, Taliento C, Bizzarri N et al (2024) Ultrasound-guided robotic surgical procedures: a systematic review. Surg Endosc 38:2359\u20132370. https:\/\/doi.org\/10.1007\/s00464-024-10772-4","journal-title":"Surg Endosc"},{"key":"2973_CR45","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-024-16632-8","author":"M Pavone","year":"2024","unstructured":"Pavone M, Innocenzi C, Carles E, Bizzarri N, Moro F, Ferrari FA et al (2024) Cutting edge microscopic intraoperative tissue assessment for guidance in oncologic surgery: a systematic review of the role of optical coherence tomography. Ann Surg Oncol. https:\/\/doi.org\/10.1245\/s10434-024-16632-8","journal-title":"Ann Surg Oncol"},{"issue":"12","key":"2973_CR46","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2023-005050","volume":"33","author":"M Pavone","year":"2023","unstructured":"Pavone M, Spiridon IA, Lecointre L, Seeliger B, Scambia G, Venkatasamy A et al (2023) Full-field optical coherence tomography imaging for intraoperative microscopic extemporaneous lymph node assessment. Int J Gynecol Cancer ijgc\u20132023\u2013005050. https:\/\/doi.org\/10.1136\/ijgc-2023-005050","journal-title":"Int J Gynecol Cancer"},{"key":"2973_CR47","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgc.2024.101626","volume":"35","author":"P Spessotto","year":"2025","unstructured":"Spessotto P, Clemente N, Mongiat M, Capuano A, Baldassarre G, Polesel J et al (2025) Probe-based confocal laser endomicroscopy intra-operative evaluation in ovarian cancer: definition of in vivo architectural patterns to determine resection strategies. Int J Gynecol Cancer 35:101626. https:\/\/doi.org\/10.1016\/j.ijgc.2024.101626","journal-title":"Int J Gynecol Cancer"},{"key":"2973_CR48","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-024-02141-z","volume":"18","author":"T Rogers","year":"2024","unstructured":"Rogers T, Moschovas MC, Saikali S, Reddy S, Gamal A, Li X et al (2024) Triple-console robotic telesurgery: first impressions and future impact. J Robot Surg 18:381. https:\/\/doi.org\/10.1007\/s11701-024-02141-z","journal-title":"J Robot Surg"},{"key":"2973_CR49","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-02605-w","volume":"19","author":"M Pavone","year":"2025","unstructured":"Pavone M, Innocenzi C, Marescaux J (2025) Tele-image-guided robotic surgery with multiple-console configuration: a vision towards remote precision surgical oncology. J Robot Surg 19:424. https:\/\/doi.org\/10.1007\/s11701-025-02605-w","journal-title":"J Robot Surg"},{"key":"2973_CR50","doi-asserted-by":"publisher","first-page":"5405","DOI":"10.1007\/s00464-024-11128-8","volume":"38","author":"B Seeliger","year":"2024","unstructured":"Seeliger B, Pavone M, Schr\u00f6der W, Kr\u00fcger CM, Bruns CJ, Scambia G et al (2024) Skill progress during a dedicated societal robotic surgery training curriculum including several robotic surgery platforms. Surg Endosc 38:5405\u20135412. https:\/\/doi.org\/10.1007\/s00464-024-11128-8","journal-title":"Surg Endosc"},{"key":"2973_CR51","doi-asserted-by":"publisher","first-page":"7348","DOI":"10.3390\/s23177348","volume":"23","author":"L Cacciatore","year":"2023","unstructured":"Cacciatore L, Costantini M, Tedesco F, Prata F, Machiella F, Iannuzzi A et al (2023) Robotic medtronic Hugo\u2122 RAS system is now reality: introduction to a new simulation platform for training residents. Sensors 23:7348. https:\/\/doi.org\/10.3390\/s23177348","journal-title":"Sensors"},{"key":"2973_CR52","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1038\/s41591-023-02732-7","volume":"30","author":"HJ Marcus","year":"2024","unstructured":"Marcus HJ, Ramirez PT, Khan DZ, Layard Horsfall H, Hanrahan JG, Williams SC et al (2024) The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring. Nat Med 30:61\u201375. https:\/\/doi.org\/10.1038\/s41591-023-02732-7","journal-title":"Nat Med"},{"key":"2973_CR53","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-024-01930-w","volume":"18","author":"MC Sighinolfi","year":"2024","unstructured":"Sighinolfi MC, Messina LA, Stocco M, Moscovas MC, Pelliccia P, Palma A et al (2024) Cost analysis of new robotic competitors: a comparison of direct costs for initial hospital stay between Da Vinci and Hugo RAS for radical prostatectomy. J Robot Surg 18:251. https:\/\/doi.org\/10.1007\/s11701-024-01930-w","journal-title":"J Robot Surg"},{"key":"2973_CR54","doi-asserted-by":"publisher","first-page":"1340","DOI":"10.1016\/j.surg.2023.02.016","volume":"173","author":"AP Ng","year":"2023","unstructured":"Ng AP, Sanaiha Y, Bakhtiyar SS, Ebrahimian S, Branche C, Benharash P (2023) National analysis of cost disparities in robotic-assisted versus laparoscopic abdominal operations. Surgery 173:1340\u20131345. https:\/\/doi.org\/10.1016\/j.surg.2023.02.016","journal-title":"Surgery"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-025-02973-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-025-02973-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-025-02973-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T22:04:03Z","timestamp":1763417043000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-025-02973-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,17]]},"references-count":54,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["2973"],"URL":"https:\/\/doi.org\/10.1007\/s11701-025-02973-3","relation":{},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,17]]},"assertion":[{"value":"6 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This work was supported by French state funds managed by the ANR (Agence Nationale de la Recherche) within the \u2018Programme d\u2019investissements d\u2019avenir\u2019 France 2030 (reference ANR-10-IAHU-02).\u00a0IRCAD, as an academic Institute, receives grants from several robotic companies as follows: Intuitive Surgical, Medtronic, Distalmotion, MicroPort, Beijing Surgerii Robotics, Harbin Sagebot Intelligent Medical Equipment Co., LTD., Ronovo Surgical.\u00a0Barbara Seeliger declares that she is the recipient of a grant from the French National Agency for Research (Agence Nationale de la Recherche (ANR), 86 rue Regnault, 75013 Paris, France) within the framework of the project AI-DIAL\u2014Diagnostic Imaging of Adrenal Lesions (ANR-22-CE17-0019-01 and ANR-23-IACL-0004) and has a Consulting agreement with Intuitive Surgical. All other authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"22"}}