Evidence map›Paper›PMID 26487220›Full record

ArticleSurgical endoscopy2016

Robotic single-site adrenalectomy.

Grace S Lee, Arman Arghami, Benzon M Dy, Travis J McKenzie, Geoffrey B Thompson, Melanie L Richards

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
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  8. Review
  9. Observational
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  12. Review
  13. Robotic adrenalectomy.Gland surgery · 2019
    Review
  14. Article
  15. Article
  16. Review
  17. Robot-assisted adrenalectomy: current perspectives.Robotic surgery (Auckland) · 2017
    Review
  18. Robotic assisted adrenalectomy: Is it ready for prime time?Investigative and clinical urology · 2016
    Review
  19. Robotic-Assisted Versus Laparoscopic Colectomy Results in Increased Operative Time Without Improved Perioperative Outcomes.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Grace S LeeDepartment of Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Arman ArghamiDepartment of Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Benzon M DyDepartment of Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Travis J McKenzieDepartment of Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Geoffrey B ThompsonDepartment of Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Melanie L RichardsDepartment of Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA. Richards.Melanie@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTechnological advances have brought about robotic single-site (RSS) cholecystectomy and hysterectomy. The application of RSS to additional procedures requires careful assessment of the surgeon learning curve, the technological limitations, patient selection criteria and associated outcomes.

methodsPatient demographics, BMI, surgical indications, adrenal size, OR times, length of stay, postoperative pain and complications were assessed.

resultsThirty-three patients underwent RSS-A by a single surgeon with 53 % being male, mean age 54 ± 16 years and mean BMI of 32.7. There were 18 left, 10 right, and 5 bilateral procedures for a total of 38 adrenal glands removed (mean tumor size 3.2 cm). There were 5 conversions to a laparoscopic approach, and two to open approach. The necessity for conversion was not associated with age, BMI, tumor size, surgical side or pathology (p > 0.05). The patients who underwent successful unilateral RSS-A had a profile of mean age 55, BMI 31, tumor size 3 cm, and a mean operative time of 118 ± 25.8 min. Pain scores were <4 (10 point scale) in 67 % of patients. 74 % of patients were discharged on POD 1 and 96 % were discharged by POD 2. An assessment of the quartile learning curve for the unilateral RSS-A showed operative times decreased from a mean of 124 to 103 min after 21 cases (p = 0.05).

conclusionPatients with functioning and non-functioning tumors, along with those with obesity can safely be treated with RSS-A. The surgeon learning curve was associated with shortened operative times and not increased complication rates.

Indexed as

Robotic Surgical ProceduresAdrenalectomyFemaleHumansLaparoscopyLearning CurveMaleMiddle AgedOperative TimePain MeasurementPostoperative PainRetrospective StudiesAdrenalectomyLaparoscopicRoboticSingle portSingle site

Identifiers

PMID26487220

What OpenQuestion holds

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Registered trials

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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.