Evidence map›Paper›PMID 26205559›Full record

ArticleSurgical endoscopy2015

SAGES TAVAC safety and effectiveness analysis: da Vinci ® Surgical System (Intuitive Surgical, Sunnyvale, CA).

Shawn Tsuda, Dmitry Oleynikov, Jon Gould, Dan Azagury, Bryan Sandler, Matthew Hutter, Sharona Ross, Eric Haas, Fred Brody, Richard Satava

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

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 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. European Society of Coloproctology guideline on training in robotic colorectal surgery (2024).Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Guideline
  2. Current surgical practices of robotic-assisted tissue repair and reconstruction.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2019
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Robotising vitreoretinal surgeries.Eye (London, England) · 2025
    Review
  9. ARTIS Pheno®: a potential tool for cochlear implant surgery.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  10. Review
  11. [Application and research progress of artificial intelligence technology in trauma treatment].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Safety with Innovation in Colon and Rectal Robotic Surgery.Clinics in colon and rectal surgery · 2021
    Review
  17. Article
  18. Comparing the accuracy of the da Vinci Xi and da Vinci Si for image guidance and automation.The international journal of medical robotics + computer assisted surgery : MRCAS · 2020
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Shawn TsudaDepartment of Surgery, University of Nevada School of Medicine, 1701 W. Charleston Blvd. Suite 400, Las Vegas, NV, 89102, USA. stsuda@medicine.nevada.edu.
Dmitry OleynikovDepartment of Surgery, University of Nebraska Medical Center, Omaha, NE, USA.
Jon GouldDepartment of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Dan AzaguryDepartment of Surgery, Stanford School of Medicine, Stanford, CA, USA.
Bryan SandlerDepartment of Surgery, University of California San Diego School of Medicine, La Jolla, CA, USA.
Matthew HutterDepartment of Surgery, Harvard Medical School, Boston, MA, USA.
Sharona RossDepartment of Surgery, Florida Hospital, Orlando, FL, USA.
Eric HaasDepartment of Surgery, University of Texas Medical School at Houston, Houston, TX, USA.
Fred BrodyDepartment of Surgery, George Washington University, Washington, DC, USA.
Richard SatavaDepartment of Surgery, University of Washington, Seattle, WA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe da Vinci(®) Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) is a computer-assisted (robotic) surgical system designed to enable and enhance minimally invasive surgery. The Food and Drug Administration (FDA) has cleared computer-assisted surgical systems for use by trained physicians in an operating room environment for laparoscopic surgical procedures in general, cardiac, colorectal, gynecologic, head and neck, thoracic and urologic surgical procedures. There are substantial numbers of peer-reviewed papers regarding the da Vinci(®) Surgical System, and a thoughtful assessment of evidence framed by clinical opinion is warranted.

methodsThe SAGES da Vinci(®) TAVAC sub-committee performed a literature review of the da Vinci(®) Surgical System regarding gastrointestinal surgery. Conclusions by the sub-committee were vetted by the SAGES TAVAC Committee and SAGES Executive Board. Following revisions, the document was evaluated by the TAVAC Committee and Executive Board again for final approval.

resultsSeveral conclusions were drawn based on expert opinion organized by safety, efficacy, and cost for robotic foregut, bariatric, hepatobiliary/pancreatic, colorectal surgery, and single-incision cholecystectomy.

conclusionsGastrointestinal surgery with the da Vinci(®) Surgical System is safe and comparable, but not superior to standard laparoscopic approaches. Although clinically acceptable, its use may be costly for select gastrointestinal procedures. Current data are limited to the da Vinci(®) Surgical System; further analyses are needed.

Indexed as

Clinical Trials as TopicCost-Benefit AnalysisDigestive System Surgical ProceduresHumansLaparoscopyPatient SafetyRobotic Surgical ProceduresAbdominal surgeryCostDa Vinci® Surgical SystemEffectivenessGastrointestinal surgerySafety

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.