Global trends in robotic-assisted laparoscopic surgery (RALS): a bibliometric analysis (2000-2024)

The growing use of robotic systems in minimally invasive surgery has enhanced precision, reduced pain, and sped up recovery. This study aims to: (1) analyze publication trends in RALS; (2) identify leading countries, institutions, and authors; (3) highlight research hotspots and influential literature; (4) explain current trends; and (5) explore future directions to guide researchers. A bibliometric analysis was conducted using publication data from January 2000 to September 2024, analyzing metrics such as publications, citations, and collaborations. Key institutions, authors, and articles in RALS research were identified, along with trends in international collaborations. Data from the Web of Science was used, with modularity Q and silhouette S metrics to assess network structures. The analysis of global RALS research from 2000 to 2024 revealed substantial growth, with annual publications rising from fewer than 10 in the early 2000s to over 300 by 2022. The U.S. led in output and collaboration, with key institutions like Johns Hopkins and Mayo Clinic, and authors such as Scambia G and Yang GZ being highly cited. Keyword analysis identified themes like "robotic surgery" and "laparoscopy," with a growing focus on advanced robotic techniques. Despite overall growth, a slight decline in publications and citations in 2023 suggests a shift toward emerging technologies. The bibliometric analysis of RALS from 2000 to 2024 showed significant growth but highlighted challenges in global access. It emphasized the need for international collaboration and AI integration while calling for further research on cost-effectiveness, outcomes, and training for equitable global access.