JOCS
Journal of Comprehensive Surgery

The aim of the Comprehensive Surgery is to publish original research articles of the highest scientific and clinical value at the international level in all surgical fields.

eISSN: 2980-0862
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Original Article
Perioperative anaesthetic management in robotic-assisted surgery: a bibliometric and visual analysis of two decades of research
Abstract
Aims: Robotic-assisted surgery imposes a distinctive combination of physiological conditions that define a specific anaesthetic problem: prolonged carbon dioxide pneumoperitoneum, fixed steep head-down positioning, and restricted access to the patient after docking. Bibliometric analyses of robotic surgery have been organised by surgical specialty, and none has mapped its anaesthetic and perioperative dimension. This study describes the structure, growth and thematic evolution of that literature.
Methods: The Web of Science Core Collection was searched for articles and reviews published in English between 2000 and 2025 combining robotic surgery terms with anaesthetic and perioperative terms. Retracted and duplicate records were removed and both authors independently reviewed all flagged records. Analyses were performed in R with the bibliometrix package and VOSviewer, after harmonising country names, affiliations and author keywords with purpose-built thesauri.
Results: The final corpus comprised 1,528 documents from 422 journals and 8,626 authors, attracting 20,985 citations (h-index 58). Output grew at 14.6% annually between 2010 and 2025, with 55.8% of the literature published in the last five years. The United States led output (567 documents), followed by the Republic of Korea (178). Yonsei University was the most productive institution (50 documents). International collaboration was limited (11.78%). The proportion of this literature appearing in anaesthesiology journals fell from 48.5% in 2001-2008 to 21.9% in 2021-2025. Five thematic clusters emerged; telesurgery and Artificial Intelligence were present only as low-frequency emerging topics.
Conclusion: This literature is expanding rapidly but is increasingly published outside anaesthesiology journals, with limited international collaboration.

Keywords : Anesthesiology, patient positioning, head-down tilt, pneumoperitoneum, publishing

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Ethical Statement

As the study is based solely on previously published and publicly available bibliographic records, ethics committee approval was not required.

Informed Consent

Since this research is a bibliometric study, it did not require informed consent.

Author Contributions

Concept: MNK, MTD; Design: MNK, MTD; Control: MNK, MTD; Resources: MNK, MTD; Materials: MNK, MTD; Data Collection and/or Processing: MNK, MTD; Analysis and/or Interpretation: MNK, MTD; Literature Review: MNK, MTD; Writing the Article: MNK, MTD; Critical Review: MNK, MTD.

Conflict of Interest

The authors declare no conflicts of interest related to this study.

Financial Disclosure

The authors received no financial support for the conduct or publication of this research.


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Article available in :
Volume 4, Issue 4, 2026
Page : 79-87
https://doi.org/10.51271/JOCS-0082
Article Information
Received : 05 Ağu 2026
Accepted : 18 Eyl 2026
Published : 28 Eki 2026
Corresponding Author :

Muhammed Nezih Koç: Department of Anaesthesiology and Reanimation, Konya City Hospital, Konya, Turkiye

[email protected]
Citation : Koç MN, Daşgın MT. Perioperative anaesthetic management in robotic-assisted surgery: a bibliometric and visual analysis of two decades of research. J Compr Surg. 2026;4(4):79-87. doi:10.51271/JOCS-0082

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