ArticleSurgical endoscopy2014
The end of robot-assisted laparoscopy? A critical appraisal of scientific evidence on the use of robot-assisted laparoscopic surgery.
Article in Surgical endoscopy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
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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
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Robotic-assisted versus laparoscopic incisional hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Robotic versus laparoscopic distal pancreatectomy - The first meta-analysis.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2016Pooled it
- Cost-analysis and quality of life after laparoscopic and robotic ventral mesh rectopexy for posterior compartment prolapse: a randomized trial.Techniques in coloproctology · 2019Trial
- Artificial Intelligence and Machine Learning Based Intervention in Medical Infrastructure: A Review and Future Trends.Healthcare (Basel, Switzerland) · 2023Review
- Surgeon perception of factors affecting the efficiency of conventional and robotic laparoscopy: A Pan India study.Heliyon · 2022Article
- Identifying Hospital Cost Savings Opportunities by Optimizing Surgical Approach for Distal Pancreatectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Development of stereo endoscope system with its innovative master interface for continuous surgical operation.Biomedical engineering online · 2017Article
- Robotic surgery: current perceptions and the clinical evidence.Surgical endoscopy · 2017Article
- Adoption of Robotic Technology for Treating Colorectal Cancer.Diseases of the colon and rectum · 2016Observational
- A development of assistant surgical robot system based on surgical-operation-by-wire and hands-on-throttle-and-stick.Biomedical engineering online · 2016Article
- Laparoscopic pancreatic surgery for benign and malignant disease.Nature reviews. Gastroenterology & hepatology · 2016Review
- The learning curves of robotic and three-dimensional laparoscopic surgery in cervical cancer.Journal of Cancer · 2016Article
- Robotic surgery in children: adopt now, await, or dismiss?Pediatric surgery international · 2015Review
- A prospective non-randomised single-center study comparing laparoscopic and robotic distal pancreatectomy.Surgical endoscopy · 2015Article
- Pneumatic-type surgical robot end-effector for laparoscopic surgical-operation-by-wire.Biomedical engineering online · 2014Article
- Robotics in general surgery: A systematic cost assessment.Journal of minimal access surgeryReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobot-assisted laparoscopy has been used in a wide variety of surgical fields; however, the financial costs involved are high and convincing proof of superiority in terms of quality of life, cost effectiveness and survival is often lacking. Possibly, there might be small benefits for the patient or for the surgeon's health that might warrant the use of robotics in limited fields of surgery.
methodsWe performed a critical appraisal of the literature, searching for scientific evidence supporting the use of robotics in daily laparoscopic surgery.
resultsConvincing evidence supporting the use of robotics is lacking.
conclusionIn an era of worldwide economic crisis, it is about time to start a critical discussion as to whether we should drastically limit, or even abandon, the use of robot-assisted laparoscopic surgery and focus on more cost-effective strategies of healthcare improvement. We suggest the use of robotics should be limited to well-powered, randomized clinical trials in a limited field of research.
Indexed as
Identifiers
24232055What 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.