{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:52:08Z","timestamp":1790607128948,"version":"4.1.0"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Robotic Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Lung transplantation is conventionally performed through clamshell thoracosternotomy or sternotomy, approaches associated with pain, impaired wound healing, and chronic neuralgia. Robotic assistance has reached transplantation only recently. We systematically reviewed the clinical experience with robotic-assisted lung transplantation. Following PRISMA 2020 and PRISMA-S, we searched MEDLINE, Embase, Scopus, Web of Science, and Cochrane CENTRAL from inception to 15 August 2026, with trial registries, conference abstracts, and Chinese-language sources, without language restriction. Human robotic lung transplant reports with at least one clinical outcome were eligible. Because only one comparative cohort existed, synthesis was narrative; no meta-analysis was performed. Certainty was graded by outcome. PROSPERO: CRD420261479535. Out of 393 database records and 7 from other methods, six reports from five reporting centers (27 unique recipients) were included. No randomized trial or prior full-length systematic review was identified. In the only comparative cohort (robotic\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200921 vs. direct-vision minimally invasive\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200990), one-year survival was 95.0% versus 95.5% (log-rank\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.84) and grade-3 primary graft dysfunction at 72\u00a0h 4.8% versus 8.9% (odds ratio 0.51, 95% CI 0.06\u20134.34), despite longer ischemic times (486 vs. 408\u00a0min;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.02). Every robotic versus direct-vision confidence interval included unity. Certainty was very low for all outcomes. Robotic lung transplantation is technically feasible across five reporting centers. Comparative evidence rests on one clinically selected, non-randomized cohort in which no difference was statistically detectable; this establishes neither equivalence nor absence of harm. Multicenter prospective evaluation with standardized outcomes is required.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Registration:<\/jats:bold>\n                    The protocol was registered with PROSPERO (CRD420261479535).\n                  <\/jats:p>","DOI":"10.1007\/s11701-026-03965-7","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T08:36:11Z","timestamp":1789806971000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Robotic-assisted lung transplantation: a systematic review of early outcomes in minimally invasive transplant surgery"],"prefix":"10.1007","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1069-300X","authenticated-orcid":false,"given":"Bilal Khan","family":"Mohammed","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aqsa","family":"Muskaan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yahiya Pasha Quadri","family":"Syed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Prasad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahin","family":"Sheikh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teja","family":"Devarakonda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshay","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,19]]},"reference":[{"key":"3965_CR1","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1097\/CM9.0000000000002462","volume":"136","author":"W Jiao","year":"2023","unstructured":"Jiao W, Yang R, Zhao Y et al (2023) Robot-assisted single lung transplantation. 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This systematic review synthesizes previously published data and did not involve human participants directly.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"An abstract based on this work has been accepted for presentation at the 2026 ISMICS Annual Meeting.","order":2,"name":"Ethics","label":"Prior presentation","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no relevant financial or non-financial interests to disclose.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"1004"}}