ArticleSurgical endoscopy2015
Learning curve for robotic-assisted surgery for rectal cancer: use of the cumulative sum method.
Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 5 of them syntheses that pooled it.
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The trial behind it
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Who cites it
83 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Comparative perioperative and oncological outcomes of the da Vinci Xi versus Si robotic surgical systems in rectal cancer surgery: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Learning curve for lateral lymph node dissection in rectal cancer - a systematic review of literature.Techniques in coloproctology · 2025Pooled it
- The learning curve of laparoscopic, robot-assisted and transanal total mesorectal excisions: a systematic review.Surgical endoscopy · 2022Pooled it
- Robotic versus laparoscopic intersphincteric resection for low rectal cancer: a systematic review and meta-analysis.International journal of colorectal disease · 2018Pooled it
- Learning curve in robotic rectal cancer surgery: current state of affairs.International journal of colorectal disease · 2016Pooled it
- Feasibility of robotic-assisted surgery in advanced rectal cancer: a multicentre prospective phase II study (VITRUVIANO trial).BJS open · 2024Trial
- Robot-assisted colectomy is associated with improved perioperative outcomes and favorable survival in stage I-III colon cancer: a nationwide overlap-weighted analysis.Surgical endoscopy · 2026Article
- Robotic surgery for rectal cancer in 2026: a hierarchical appraisal of the evidence.Journal of robotic surgery · 2026Review
- Colorectal Cancer Surgery: Laparoscopic vs. Robotic Approaches-A Review of the Literature.Journal of clinical medicine · 2026Review
- Initial adaptation to robotic rectal cancer surgery using the hinotori surgical robot system: a CUSUM analysis of certified proctor surgeons.Journal of robotic surgery · 2026Article
- Article
- Risk-adjusted learning curve for robotic colorectal surgery in an educational setting: a single-center consecutive series.Journal of robotic surgery · 2026Article
- Comprehensive evaluation of the learning curve for submucosal tunneling endoscopic resection.Surgical endoscopy · 2026Article
- Learning curve for robot-assisted rectal resection using the hinotori™ surgical robot system: a risk-adjusted cumulative sum analysis in a surgical team without prior robotic surgery experience.Journal of robotic surgery · 2026Article
- Impact of the learning curve on the outcomes of robotic surgery in obese patients with rectal cancer.Surgery today · 2026Article
- Development of a predictive score for prolonged pelvic operation time in robot-assisted low anterior resection: a single-center, retrospective study in Japan.Surgical endoscopy · 2025Article
- Learning curve in robotic rectal cancer surgery: A national two-centre study.Journal of minimal access surgery · 2025Article
- Comparison of short-term outcomes for robotic rectal surgery between the hinotori™ surgical robot system and da Vinci surgical system: a single-center retrospective study using propensity score matching analysis.Surgical endoscopy · 2025Article
- A prospective study on the enhancement of surgical safety in robotic surgery: The BirdView camera system.Surgery today · 2025Article
- Review
23 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew data are available to assess the learning curve for robotic-assisted surgery for rectal cancer. The aim of the present study was to evaluate the learning curve for robotic-assisted surgery for rectal cancer by a surgeon at a single institute.
methodsFrom December 2011 to August 2013, a total of 80 consecutive patients who underwent robotic-assisted surgery for rectal cancer performed by the same surgeon were included in this study. The learning curve was analyzed using the cumulative sum method. This method was used for all 80 cases, taking into account operative time.
resultsOperative procedures included anterior resections in 6 patients, low anterior resections in 46 patients, intersphincteric resections in 22 patients, and abdominoperineal resections in 6 patients. Lateral lymph node dissection was performed in 28 patients. Median operative time was 280 min (range 135-683 min), and median blood loss was 17 mL (range 0-690 mL). No postoperative complications of Clavien-Dindo classification Grade III or IV were encountered. We arranged operative times and calculated cumulative sum values, allowing differentiation of three phases: phase I, Cases 1-25; phase II, Cases 26-50; and phase III, Cases 51-80.
conclusionsOur data suggested three phases of the learning curve in robotic-assisted surgery for rectal cancer. The first 25 cases formed the learning phase.
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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.