Evidence map›Paper›PMID 26541728›Full record

ArticleSurgical endoscopy2016

A multicenter study of initial experience with single-incision robotic cholecystectomies (SIRC) demonstrating a high success rate in 465 cases.

Anthony Gonzalez, Christian Hernandez Murcia, Rey Romero, Ernesto Escobar, Pedro Garcia, Gail Walker, Michelle Gallas, Eugene Dickens, Bruce McIntosh, William Norwood and 3 more

Abstract readMulticenter Study
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 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
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  10. Robotic approach to hepatobiliary surgery.Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017
    Review
  11. [Robotic approach to hepatobiliary surgery. German version].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016
    Review
  12. 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

13 authors.

Anthony GonzalezDepartment of General and Bariatric Surgery, Baptist Health South Florida, 7800 SW 87th Av., Suite B210, Miami, FL, 33173, USA. anthonyg@baptisthealth.net.
Christian Hernandez MurciaDepartment of General and Bariatric Surgery, Baptist Health South Florida, 7800 SW 87th Av., Suite B210, Miami, FL, 33173, USA.
Rey RomeroDepartment of General and Bariatric Surgery, Baptist Health South Florida, 7800 SW 87th Av., Suite B210, Miami, FL, 33173, USA.
Ernesto EscobarDepartment of General and Bariatric Surgery, Baptist Health South Florida, 7800 SW 87th Av., Suite B210, Miami, FL, 33173, USA.
Pedro GarciaDepartment of General and Bariatric Surgery, Baptist Health South Florida, 7800 SW 87th Av., Suite B210, Miami, FL, 33173, USA.
Gail WalkerPopulation Health and Outcomes Research, Center for Research & Grants, Baptist Health South Florida, Miami, FL, USA.
Michelle GallasPopulation Health and Outcomes Research, Center for Research & Grants, Baptist Health South Florida, Miami, FL, USA.
Eugene DickensUtica Park Clinic, Tulsa, OK, USA.
Bruce McIntoshPremier Surgical Specialists and William Beaumont Hospital, Troy, MI, USA.
William NorwoodNorwood Surgical Specialists, Shreveport, LA, USA.
Keith KimFlorida Hospitals, Celebration Health, Celebration, FL, USA.
Jorge RabazaDepartment of General and Bariatric Surgery, Baptist Health South Florida, 7800 SW 87th Av., Suite B210, Miami, FL, 33173, USA.
Don ParrisPopulation Health and Outcomes Research, Center for Research & Grants, Baptist Health South Florida, Miami, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, the robotic single-site platform has been used to ameliorate the difficulties seen in single-incision laparoscopic surgery (SILC) while preserving the benefits of standard laparoscopic cholecystectomy. The purpose of this study is to describe the clinical outcomes of a large series of single-incision robotic cholecystectomy (SIRC).

methodsMedical records of consecutive patients who underwent SIRC were retrospectively reviewed. All procedures were performed by six surgeons at five different North American centers involved in the study. All patients included in the study underwent a cholecystectomy attempted through single site at the umbilicus, using the da Vinci(®) Surgical System (Intuitive Surgical Inc. Sunnyvale, CA).

resultsA total of 465 patients met study criteria. Median age was 48 years (range 18-89); 351 (75.5 %) were female and 304 (66.4 %) were overweight or obese. Except for gender, case characteristics differed significantly by surgeon/site. Previous abdominal surgery was reported for 226 (48.6 %) cases. SIRC was successfully completed in 455 (97.8 %) cases, and there were no conversions to open surgery. Median surgical time was 52 min with a decreasing trend after 55-85 cases. Male gender, obesity and diagnoses other than biliary dyskinesia were independent predictors of longer surgical times. The complication rate was 2.6 %.

conclusionsOur large, multicenter study demonstrates that robotic single-site cholecystectomy is safe and feasible in a wide range of patients.

Indexed as

Practice Patterns, Physicians'AdolescentAdultAgedAged, 80 and overCholecystectomy, LaparoscopicFemaleHumansMaleMiddle AgedOperative TimeOutcome Assessment, Health CarePostoperative ComplicationsRetrospective StudiesRobotic Surgical ProceduresUnited StatesLaparoscopic cholecystectomyRobotic platformSingle incision

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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.