ArticleWorld journal of surgery2016
The Learning Curve of Robotic-Assisted Low Rectal Resection of a Novice Rectal Surgeon.
Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 9 of them syntheses that pooled it.
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Who cites it
53 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- The Multi-Dimensional Learning Curve in Robotic-Assisted vs. Laparoscopic Rectal Cancer Resection: A Systematic Review of Procedural Efficiency, Pathological Integrity, and Ergonomic Impact.Journal of robotic surgery · 2026Pooled it
- Robotic-assisted surgery for acute abdominal emergencies: a systematic review of 1142 cases.Journal of robotic surgery · 2025Pooled it
- The learning curve of laparoscopic, robot-assisted and transanal total mesorectal excisions: a systematic review.Surgical endoscopy · 2022Pooled it
- Robotic versus laparoscopic ileal pouch-anal anastomosis (IPAA): a systematic review and meta-analysis.International journal of colorectal disease · 2021Pooled it
- A systematic review of the learning curve in robotic surgery: range and heterogeneity.Surgical endoscopy · 2019Pooled it
- What to consider when designing a laparoscopic colorectal training curriculum: a review of the literature.Techniques in coloproctology · 2018Pooled it
- Learning curve in robotic rectal cancer surgery: current state of affairs.International journal of colorectal disease · 2016Pooled it
- Simultaneous Robot Assisted Colon and Liver Resection for Metastatic Colon Cancer.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Learning Curve in Robotic Colorectal Surgery.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Surgeon workload in supervised robotic colorectal surgery: a surgical task load index study.Surgical endoscopy · 2026Article
- Robotic vs. laparoscopic resection for rectal cancer with neoadjuvant chemoradiotherapy: perioperative outcomes and survival.BMC surgery · 2026Article
- Impact of surgeon qualifications on the safety of Robot-Assisted surgery.Surgery today · 2026Article
- Article
- Learning Curve of Da Vinci Xi Robotic Low Anterior Resection: A Cumulative Sum Analysis of a Single High-Volume Surgeon.Journal of clinical medicine · 2026Article
- Learning curve in robotic rectal cancer surgery: A national two-centre study.Journal of minimal access surgery · 2025Article
- Learning Curve for Robotic Colorectal Surgery.Cancers · 2024Review
- Comparison of short-term outcomes of laparoscopic surgery, robot-assisted laparoscopic surgery, and open surgery for lateral lymph-node dissection for rectal cancer: a network meta-analysis.Updates in surgery · 2024Article
- Transition from laparoscopic to robotic approach in rectal cancer: a single-center short-term analysis based on the learning curve.Updates in surgery · 2023Article
- Learning curve for robotic rectal cancer resection at a community-based teaching institution.Journal of robotic surgery · 2023Article
- Robotic versus laparoscopic approach for minimally invasive lateral pelvic lymph node dissection of advanced lower rectal cancer: a retrospective study comparing short-term outcomes.Techniques in coloproctology · 2023Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the increasing availability of the surgical robotic system, the young generation colorectal surgeons may learn robotic-assisted rectal surgery upfront. There are currently very limited studies evaluating the learning curve of novice rectal surgeons.
objectiveThis study aimed to evaluate the learning curve of a surgeon who had limited experience in open and laparoscopic rectal surgery.
methodsThirty-nine consecutive robotic-assisted total mesorectal excisions were performed from March 2013 to October 2014. All cases were performed by a single surgeon whose prior experience in open or laparoscopic low rectal cancer resections was <5 cases. The learning curve was analyzed using the cumulative sum method.
resultsThirty-four low anterior resections, four abdomino-perineal resections, and one Hartmann's operation were performed. The mean total operating time was 397.2 ± 184.3 min. There was no conversion. The major complication rate was 10.3 %. When total operating time was analyzed with the CUSUM method, three phases could be identified. They are the initial eight cases, middle 17 cases, and the final 14 cases. The first phase consisted of more proximal tumors (86.3 ± 20.7 vs. 58.0 ± 34.9 mm from anal verge, p = 0.04) and was associated with a shorter total operating time (243.5 ± 38.0 vs. 540.9 ± 133.4 min, p = 0.000) and less estimated blood loss (81.3 ± 25.9 vs. 168.8 ± 99.5 ml, p = 0.02) compared to the second phase. When the third phase is compared with the first and second phase, it has shorter total operating time (310.6 ± 164.5 vs. 44 5.7 ± 179.8 min, p = 0.03). Complications rate were 12.5, 17.6, and 0 % for phase one, two, and three respectively.
conclusionsIn this study, the learning curve for a novice rectal surgeon was 25 cases. This is comparable to those who have already mastered the technique with laparoscopic or open approach. Surgical robotic system may have a role in shortening the learning curve for low rectal resection.
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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.