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<p>Robotic surgery has revolutionized minimally invasive procedures through enhanced precision and improved clinical outcomes. However, as healthcare contributes 4–5% of global carbon emissions, the environmental sustainability of robotic surgical systems—characterized by high energy consumption and single-use instrumentation—has emerged as a critical concern. Despite growing interest at the intersection of surgical robotics and environmental sustainability, comprehensive bibliometric mapping of this interdisciplinary field remains absent. This study provides the first comprehensive bibliometric analysis examining global research trends, knowledge structures, and thematic evolution in sustainability-focused robotic surgery scholarship from 1983 to 2025. A systematic search of the Scopus database yielded 2,125 English-language articles. Bibliometric analysis employed Bibliometrix (R package), VOSviewer, and manual categorization to examine publication dynamics, geographic distribution, author productivity, source concentration, keyword co-occurrence, collaboration networks, and thematic evolution. Annual publication growth exhibited exponential acceleration (15.15% growth rate), with 61% of output concentrated in 2020–2025. The United States (1,384 publications), China (822), and Italy (473) dominated scholarly output, though citation impact varied substantially. Bradford’s Law analysis identified 57 core sources contributing 33.1% of publications. Author productivity conformed to Lotka’s Law (86.5% single-publication authors). Network analysis revealed 52-country collaboration across nine clusters. Thematic mapping identified ten conceptual clusters spanning clinical applications, engineering innovations, and sustainability domains. Temporal analysis demonstrated paradigmatic shifts from foundational robotics toward contemporary sustainability integration, energy efficiency, and soft robotics. Research at the sustainability-robotic surgery nexus demonstrates rapid expansion with geographic concentration in technologically advanced nations. Emerging themes emphasize environmental accountability, renewable materials, and life-cycle assessment. Future research should address geographic inequities, standardize sustainability metrics, and integrate circular economy principles into surgical robotics development.</p>

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Environmental sustainability in robotic surgery: a data-driven bibliometric mapping of global research trends, thematic evolution, and knowledge structures (1983–2025)

  • 期刊论文

  • 发表日期：

    2025年12月17日

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  • Manal Mohamed Elhassan Taha,
  • Siddig Ibrahim Abdelwahab,
  • Khaled A. Sahli,
  • Ahmad Assiri,
  • Abdullah Farasani,
  • Marwa Qadri,
  • Abdulaziz Alarifi,
  • Amani Khardali,
  • Jobran M. Moshi,
  • Saeed Alshahrani,
  • Hussam M. Shubaily

摘要

Robotic surgery has revolutionized minimally invasive procedures through enhanced precision and improved clinical outcomes. However, as healthcare contributes 4–5% of global carbon emissions, the environmental sustainability of robotic surgical systems—characterized by high energy consumption and single-use instrumentation—has emerged as a critical concern. Despite growing interest at the intersection of surgical robotics and environmental sustainability, comprehensive bibliometric mapping of this interdisciplinary field remains absent. This study provides the first comprehensive bibliometric analysis examining global research trends, knowledge structures, and thematic evolution in sustainability-focused robotic surgery scholarship from 1983 to 2025. A systematic search of the Scopus database yielded 2,125 English-language articles. Bibliometric analysis employed Bibliometrix (R package), VOSviewer, and manual categorization to examine publication dynamics, geographic distribution, author productivity, source concentration, keyword co-occurrence, collaboration networks, and thematic evolution. Annual publication growth exhibited exponential acceleration (15.15% growth rate), with 61% of output concentrated in 2020–2025. The United States (1,384 publications), China (822), and Italy (473) dominated scholarly output, though citation impact varied substantially. Bradford’s Law analysis identified 57 core sources contributing 33.1% of publications. Author productivity conformed to Lotka’s Law (86.5% single-publication authors). Network analysis revealed 52-country collaboration across nine clusters. Thematic mapping identified ten conceptual clusters spanning clinical applications, engineering innovations, and sustainability domains. Temporal analysis demonstrated paradigmatic shifts from foundational robotics toward contemporary sustainability integration, energy efficiency, and soft robotics. Research at the sustainability-robotic surgery nexus demonstrates rapid expansion with geographic concentration in technologically advanced nations. Emerging themes emphasize environmental accountability, renewable materials, and life-cycle assessment. Future research should address geographic inequities, standardize sustainability metrics, and integrate circular economy principles into surgical robotics development.