ArticleSurgical endoscopy2013
Comparison of robotic and laparoendoscopic single-site surgery systems in a suturing and knot tying task.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- The evidence behind robot-assisted abdominopelvic surgery: a meta-analysis of randomized controlled trials.Surgical endoscopy · 2024Pooled it
- Magnetic Surgery: Results From First Prospective Clinical Trial in 50 Patients.Annals of surgery · 2018Trial
- Comparative analysis of disruptive events in robotic and laparoscopic radical prostatectomy.Journal of robotic surgery · 2025Article
- Learning Curve Analysis of Single-Incision Ovarian Cystectomy: Comparative Study of Robotic and Conventional Laparoscopic Techniques.Journal of personalized medicine · 2024Article
- Early Single-Center Experience of DaVinciJournal of clinical medicine · 2024Article
- Basic performance of domestic surgical robot and the safety and effectiveness of integrated energy equipment.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023Article
- Coaxial-Robotic Single-Site Myomectomy: Surgical Outcomes Compared with Robotic Single-Site Myomectomy by Propensity Score Matching Analysis.Journal of personalized medicine · 2022Article
- Single-Incision vs. Multiport Robotic Sacrocolpopexy: 126 Consecutive Cases at a Single Institution.Journal of clinical medicine · 2021Article
- A Comparative Analysis of Robotic Single-Site Surgery and Laparoendoscopic Single-Site Surgery as Therapeutic Options for Stage IB1 Cervical Squamous Carcinoma.Cancer management and research · 2021Article
- Comparison between single-site and multiport robot-assisted myomectomy.Journal of robotic surgery · 2019Article
- Robotic-assisted laparoscopic myomectomy: the feasibility in single-site system.Obstetrics & gynecology science · 2019Article
- Knot integrity using different suture types and different knot-tying techniques for reconstructive pelvic floor procedures.International urogynecology journal · 2018Article
- Robotic sleeve resection for pulmonary disease.World journal of surgical oncology · 2018Article
- Randomized controlled trial of EndoWrist-enabled robotic versus human laparoendoscopic single-site access surgery (LESS) in the porcine model.Surgical endoscopy · 2018Article
- Magnetic surgery: first U.S. experience with a novel device.Surgical endoscopy · 2018Article
- Coaxial robot-assisted laparoendoscopic single-site myomectomy.Journal of robotic surgery · 2017Article
- Robotic Single-Site® Sacrocolpopexy: First Report and Technique Using the Single-Site® Wristed Needle Driver.Yonsei medical journal · 2016Article
- Robotic single-site excision of ovarian endometrioma.Fertility research and practice · 2015Article
- Laparoendoscopic single-site surgery in kidney surgery: clinical experience and future perspectives.Current urology reports · 2013Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoendoscopic single-site (LESS) surgery has been established for various procedures. Shortcomings of LESS surgery include loss of triangulation, instrument collisions, and poor ergonomics, making advanced laparoscopic tasks especially challenging. We compared a LESS system with a robotic single-site surgery platform in performance of a suturing and knot-tying task under clinically simulated conditions.
methodsEach of five volunteer minimally invasive surgeons was tasked with suturing a 5 cm longitudinal enterotomy in porcine small intestine with square knots at either end, using a laparoendoscopic or da Vinci robotic single-site surgery platform, within a 20 min time limit. A saline leak test was then performed. Each surgeon performed the task twice using each system. The time to completion of the task and presence of a leak were noted. Fisher's exact test was used to compare the overall completion rate within the defined time limit, and a Wilcoxon rank test was used to compare the specific times to complete the task. A p value of <0.05 was considered significant.
resultsAll surgeons were able to complete the task on the first try within 20 min using the robot system; 60% of surgeons were able to complete it after two attempts using the LESS surgery system. Time to completion using the robot system was significantly shorter than the time using the standard LESS system (p < 0.0001). There were no leaks after closure with the robot system; the leak rate following the standard LESS system was 90%.
conclusionsSurgeons demonstrated significantly better suturing and knot-tying capabilities using the robot single-site system compared to a standard LESS system. The robotic system has the potential to expand single-site surgery to more complex tasks.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.