ArticleJournal of robotic surgery2026
Patient positioning in robot-assisted pelvic urologic surgery: bibliometric mapping of physiologic changes, positioning-related complications, and preventive strategies.
Article 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.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Patient positioning is essential for surgical exposure during robot-assisted pelvic urologic surgery, but evidence spans physiologic effects, complications, and preventive strategies. We combined bibliometric and knowledge-mapping analyses with a publication-level clinical evidence map to examine field development and the clinical questions studied. English-language articles and reviews indexed in the Web of Science Core Collection (WoSCC; Science Citation Index Expanded) through 5 August 2026 were screened, yielding 175 publications. R (bibliometrix), VOSviewer, and CiteSpace assessed publication trends, collaboration, intellectual structure, and thematic evolution; publications were the unit of analysis for clinical coding of procedure, positioning exposure, physiologic and safety domains, preventive strategy, strategy status, research purpose, and study design. Publication output rose to a peak of 18 publications in 2021 and was lower but variable during 2022-2025 (6-15 publications/year); 2026 was a partial year. Themes broadened to include respiratory management, perioperative complications, monitoring, and prevention. Robot-assisted prostatectomy accounted for 85-88% of publications across the three study periods. Steep Trendelenburg was the primary exposure in 126 publications, most often involving respiratory, cerebral/intracranial pressure-related, and ocular domains. No targeted preventive strategy was identified in 77 publications (44%); 67 (38%) empirically evaluated or implemented a preventive strategy, most commonly ventilation/positive end-expiratory pressure (PEEP) or anesthetic, hemodynamic, or fluid management. Respiratory studies were predominantly randomized, whereas cerebral and ocular studies more often used prospective observational designs. Within this WoSCC-indexed corpus, research increasingly addressed perioperative risk management but remained concentrated on prostatectomy and steep Trendelenburg; as a publication-level mapping study, these findings do not establish comparative effectiveness.
Indexed as
Identifiers
42753023What OpenQuestion holds
Registered trials
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.