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Global research landscape of robotic surgery in gynecologic oncology: a bibliometric analysis (2005-2025)
Xinshu Li1, Min Li1,2, Huijie Cui1,2
1Ningxia Medical University, Yinchuan, 750004, Ningxia, China.
Abstract:
Robotic surgery has transformed gynecologic oncology by enhancing surgical precision and reducing complications, particularly for endometrial, cervical, and ovarian cancers. This study employs bibliometric analysis to systematically evaluate the scientific trajectory, research trends, and international collaboration in robotic surgery for gynecologic malignancies over nearly two decades (2005-2025). Using the Web of Science database, a total of 561 publications were identified and analyzed with Citespace, VOSviewer, and R-bibliometrix. The United States emerged as the most productive nation, with the Università Cattolica del Sacro Cuore (Italy) as the leading institution. The Journal of Gynecologic Oncology published the highest volume of research, and Giovanni Scambia was the most prolific author. Key research themes included endometrial cancer, robotic surgery, laparoscopy, lymphadenectomy, radical hysterectomy, cervical cancer, recurrence, and survival outcomes. Future progress depends on multicenter randomized-controlled trials (RCTs), global partnerships, and AI integration to advance therapeutic potential and promote equitable global access.
Insights
Robotic surgery significantly advances gynecologic oncology, improving precision for cancers like endometrial and cervical. Future research emphasizes multicenter trials and AI for better global access and outcomes.
Area of Science:
- Gynecologic Oncology
- Surgical Technology
- Bibliometrics
Background:
- Robotic surgery has revolutionized gynecologic oncology, offering enhanced precision and reduced complications for endometrial, cervical, and ovarian cancers.
- Bibliometric analysis provides a systematic approach to understanding the evolution and impact of research in this field.
Purpose of the Study:
- To systematically evaluate the scientific trajectory, research trends, and international collaboration in robotic surgery for gynecologic malignancies from 2005 to 2025.
- To identify key research themes, leading institutions, and influential authors in the field.
Main Methods:
- Bibliometric analysis of 561 publications from the Web of Science database (2005-2025).
- Utilized analysis tools including Citespace, VOSviewer, and R-bibliometrix.
- Examined publication volume, leading nations, institutions, journals, authors, and research themes.
Main Results:
- The United States was the most productive nation; Università Cattolica del Sacro Cuore (Italy) was the leading institution.
- The Journal of Gynecologic Oncology published the most research; Giovanni Scambia was the most prolific author.
- Key research themes included endometrial cancer, robotic surgery, laparoscopy, lymphadenectomy, radical hysterectomy, cervical cancer, recurrence, and survival outcomes.
Conclusions:
- Robotic surgery is a transformative modality in gynecologic oncology, with significant contributions from the US and leading institutions.
- Continued progress necessitates multicenter randomized-controlled trials (RCTs), global collaborations, and integration of artificial intelligence (AI).
- Future efforts should focus on advancing therapeutic potential and ensuring equitable global access to robotic surgical techniques.

