Department of Dermatology, Xiangya Hospital, Central South University, Hunan, China.
Xiangya School of Medicine, Central South University, Hunan, China.
J Robot Surg. 2024 May 2;18(1):193. doi: 10.1007/s11701-024-01940-8.
Conducting clinical trials can evaluate the effectiveness and safety of surgical robots. To promote the advancement of academic robotic programs in surgery, this study captures the development trend and research hotspots of clinical trials related to surgical robots by bibliometric analysis. Bibliometrix package in R software was used to analyze the publication year, authors, countries, institutes, and journals. The visualization maps of keywords were formed using VOSviewer. The keywords with the strongest citation bursts and the institutional collaboration map were created by CiteSpace. Urology dominates with 31.3% of publications and the controlled clinical trials in urology and orthopedic accounted for the highest proportion, reaching 73%. North America, the USA, and Seoul National University lead in productivity. The most productive country, region and institution are North America, USA and Seoul National University, respectively. The trend of collaboration is regional instead of international. Keyword and burst keyword analysis revealed a primary focus in clinical research on robotic surgery: evaluating process improvements, comparing robotic and traditional surgery, and assessing feasibility. Long-term clinical trials assess surgical robots not only intraoperative performance but also postoperative complications and overall surgical outcomes. The development in the field is unbalanced between regions and countries. To promote multi-center clinical trials, governments can streamline review procedures and establish international consensus review standards, while academic institutions can form academic alliances. Also, the study offers recommendations for the development of academic robotic programs and regional collaboration units in robotic surgery, which may provide researchers with a strong reference for future research.
开展临床试验可以评估手术机器人的有效性和安全性。为了促进手术学术机器人计划的进步，本研究通过文献计量分析捕捉与手术机器人相关的临床试验的发展趋势和研究热点。使用 R 软件中的 Bibliometrix 包分析了出版物的年份、作者、国家、机构和期刊。使用 Vosviewer 形成了关键词可视化图谱。使用 CiteSpace 创建了具有最强引文爆发的关键词和机构合作图谱。泌尿科以 31.3%的出版物占据主导地位，泌尿科和骨科的对照临床试验占比最高，达到 73%。北美、美国和首尔国立大学在生产力方面处于领先地位。最具生产力的国家、地区和机构分别是北美、美国和首尔国立大学。合作趋势是区域性的，而不是国际性的。关键词和突发关键词分析揭示了机器人手术临床研究的主要关注点：评估流程改进、比较机器人手术和传统手术、以及评估可行性。长期临床试验不仅评估机器人手术的术中性能，还评估术后并发症和整体手术结果。该领域的发展在地区和国家之间不平衡。为了促进多中心临床试验，政府可以简化审查程序并建立国际共识审查标准，而学术机构可以形成学术联盟。此外，该研究为机器人手术学术机器人计划和区域合作单位的发展提供了建议，这可能为研究人员提供未来研究的有力参考。
