• The robotic navigation system significantly improved puncture accuracy: one-time success rate of 98.31% versus 15.00% in the control group.
• Complication rates were lower with the robotic system (6.78%) compared to conventional CT-guided puncture (13.33%).
• The system achieved 100% usability satisfaction, indicating high clinical acceptance.
• The robotic system integrates optical navigation, surgical planning, and robotic arm puncture to enable real-time monitoring and precise targeting.