Evidence map›Paper›PMID 42557481›Full record

ReviewJournal of robotic surgery2026

The evolution of robotic-assisted thoracic surgery: current platforms, emerging technologies, and future perspectives - a narrative review.

Khrystyna Kuzmych, Filippo Lococo, Dania Nachira, Alessia Senatore, Giuseppe Calabrese, Maria Letizia Vita, Leonardo Petracca-Ciavarella, Maria Teresa Congedo, Elisa Meacci, Stefano Margaritora

Abstract readReview
In one paragraph

Review in Journal of robotic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Khrystyna KuzmychDepartment of General Thoracic Surgery, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, 00168, Italy.
Filippo LococoDepartment of General Thoracic Surgery, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, 00168, Italy. filippo.lococo@policlinicogemelli.it.
Dania NachiraDepartment of General Thoracic Surgery, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, 00168, Italy.
Alessia SenatoreDepartment of General Thoracic Surgery, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, 00168, Italy.
Giuseppe CalabreseDepartment of General Thoracic Surgery, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, 00168, Italy.
Maria Letizia VitaDepartment of General Thoracic Surgery, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, 00168, Italy.
Leonardo Petracca-CiavarellaDepartment of General Thoracic Surgery, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, 00168, Italy.
Maria Teresa CongedoDepartment of General Thoracic Surgery, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, 00168, Italy.
Elisa MeacciDepartment of General Thoracic Surgery, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, 00168, Italy.
Stefano MargaritoraDepartment of General Thoracic Surgery, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, 00168, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted thoracic surgery (RATS) has undergone rapid technological evolution over the past two decades, progressively expanding from early minimally invasive applications to increasingly complex thoracic procedures. This narrative review examines the historical development of robotic platforms in thoracic surgery, the emergence of new approaches and alternative robotic systems, and future technological perspectives. A literature search was conducted using PubMed/MEDLINE, Embase, Scopus, Web of Science Core Collection, and the Cochrane Library to identify relevant English-language publications through May 2026. Early robotic systems established the feasibility of robotic thoracic procedures, particularly mediastinal surgery and selected pulmonary resections, while also defining the technical limitations that shaped early practice, including demanding docking, arm-collision issues, dependence on bedside assistance, and lack of console-controlled stapling. The da Vinci Xi refined multiport robotic surgery through improved arm design, overhead boom architecture, simplified docking, and integrated stapling, supporting greater standardization and broader adoption of robotic thoracic surgery. In parallel, reduced-port approaches, including biportal and uniportal RATS, emerged through technical adaptation of existing platforms. The da Vinci SP introduced a dedicated single-port architecture, whereas the da Vinci 5 represents a further step toward haptic feedback and data-driven robotic surgery. Emerging systems such as Versius, Hugo RAS, Toumai, and Shurui SP reflect a diversifying robotic landscape, with modular, portable, and lower-cost design, that may influence future access and adoption. Future developments include artificial intelligence, augmented reality, digital twins, autonomous assistance, and remote surgery. Overall, robotic thoracic surgery is evolving from a purely mechanical platform toward a more integrated digital surgical environment, although the clinical impact, accessibility, training requirements, and long-term benefits of many emerging technologies remain to be fully established.

Indexed as

Robotic Surgical ProceduresThoracic Surgical ProceduresHumansMinimally Invasive Surgical ProceduresArtificial intelligenceMinimally invasive surgeryRATSRobotic-assisted thoracic surgeryRobotic platformsThoracic surgery

Identifiers

PMID42557481
PMCPMC13442474

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.