Evidence map›Paper›PMID 25561994›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2014

Beginning robotic assisted colorectal surgery - it's harder than it looks!

Marek Zawadzki, Marek Rząca, Roman Czarnecki, Zbigniew Obuszko, Krzysztof Jacyna, Luke Stewart, Wojciech Witkiewicz

Abstract read
In one paragraph

Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Marek ZawadzkiDepartment of Surgical Oncology, Regional Specialized Hospital, Wroclaw, Poland.
Marek RzącaDepartment of Surgical Oncology, Regional Specialized Hospital, Wroclaw, Poland.
Roman CzarneckiDepartment of Surgical Oncology, Regional Specialized Hospital, Wroclaw, Poland.
Zbigniew ObuszkoDepartment of Surgical Oncology, Regional Specialized Hospital, Wroclaw, Poland.
Krzysztof JacynaDepartment of Surgical Oncology, Regional Specialized Hospital, Wroclaw, Poland.
Luke StewartDepartment of Surgical Oncology, Regional Specialized Hospital, Wroclaw, Poland.
Wojciech WitkiewiczDepartment of Surgical Oncology, Regional Specialized Hospital, Wroclaw, Poland ; Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopy has been introduced into the field of colorectal surgery with the aim of reducing morbidity. One of the major barriers to overcome is the steep learning curve. Robotic surgery offers substantial advantages over traditional laparoscopy, which make the whole procedure more user friendly.

aimTo present our initial experiences with robotic assisted colorectal surgery. MATERIAL AND

methodsThirty-five patients with colorectal cancer underwent robotic assisted procedures between 2011 and 2013.

resultsIn total we performed 16 low anterior resections, 14 right colectomies, 3 abdominosacral resections and 2 left colectomies. There were 22 males and 13 females. The mean operative time was 315 ±65 min for a low anterior resection. The mean length of hospital stay was 6.4 ±1 days. There were 4 conversions to open procedures, 2 anastomotic leaks, and 1 colovaginal fistula. The mean lymph node yield was 12.7 ±4.3. The resection margin was negative in all but 1 patient.

conclusionsWe agree with the opinion that robotic surgery brings many advantages in pelvic dissections. In order to facilitate safe acquisition of robotic total mesorectal excision skills, surgeons should begin with female patients, and less advanced rectal cancer. In some instances robotic assistance can be helpful in right colectomies.

Indexed as

colorectal cancerlaparoscopyrobotic surgery

Identifiers

PMID25561994
PMCPMC4280420

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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.