ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2016
Comparison of Risk Factors for Unplanned Conversion from Laparoscopic and Robotic to Open Colorectal Surgery Using the Michigan Surgical Quality Collaborative (MSQC) Database.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic review of robotic low anterior resection for rectal cancer.Surgical endoscopy · 2018Pooled it
- Simultaneous Robot Assisted Colon and Liver Resection for Metastatic Colon Cancer.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- The preparedness of urologists to manage cardiopulmonary arrest during robot-assisted surgery.Journal of robotic surgery · 2026Article
- Comparison of outcomes after unplanned conversion for patients undergoing robotic when compared with laparoscopic colectomy.Journal of robotic surgery · 2024Article
- Less Invasive Primary Treatment for Colorectal Cancer After Implementation of National Screening: A Nationwide Cohort Study.World journal of surgery · 2023Article
- Health-care expenditures are less for minimally invasive than open colectomy for colon cancer: A US commercial claims database analysis.Surgical endoscopy · 2023Article
- Safe implementation of robotic right colectomy with intracorporeal anastomosis.Journal of robotic surgery · 2023Article
- Robotic-assisted versus laparoscopic rectal surgery in obese and morbidly obese patients: ACS-NSQIP analysis.Journal of robotic surgery · 2023Article
- Assessing the role of robotic proctectomy in obese patients: a contemporary NSQIP analysis.Journal of robotic surgery · 2022Article
- Is newer always better?: comparing cost and short-term outcomes between laparoscopic and robotic right hemicolectomy.Surgical endoscopy · 2022Article
- The Role of Robotic Visceral Surgery in Patients with Adhesions: A Systematic Review and Meta-Analysis.Journal of personalized medicine · 2022Review
- Robotic Prostatectomy and Prostate Cancer-Related Medicaid Spending: Evidence from New York State.Journal of general internal medicine · 2021Article
- Predictors and Consequences of Unplanned Conversion to Open During Robotic Colectomy: An ACS-NSQIP Database Analysis.Hawai'i journal of health & social welfare · 2021Article
- Surgical resection of T4 colon cancers: an NCDB propensity score-matched analysis of open, laparoscopic, and robotic approaches.Journal of robotic surgery · 2021Article
- A Cost-Effectiveness Evaluation of Surgical Approaches to Proctectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Trends in utilization, conversion rates, and outcomes for minimally invasive approaches to non-metastatic rectal cancer: a national cancer database analysis.Surgical endoscopy · 2021Article
- Review
- The MicroHand S robotic-assisted versus Da Vinci robotic-assisted radical resection for patients with sigmoid colon cancer: a single-center retrospective study.Surgical endoscopy · 2020Article
- Laparoscopic Versus Open Emergent Sigmoid Resection for Perforated Diverticulitis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Robotic colectomy with intracorporeal anastomosis is feasible with no operative conversions during the learning curve for an experienced laparoscopic surgeon developing a robotics program.Journal of robotic surgery · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Robotic colorectal surgery has been shown to have lower rates of unplanned conversion to open surgery when compared to laparoscopic surgery. Risk factors associated with conversion from robotic to open colectomy and comparisons of the risk factors between robotic and laparoscopic approaches have not been previously reported. Patients who underwent elective laparoscopic and robotic colorectal surgeries between July 1, 2012 and April 28, 2015, were identified in the Michigan Surgical Quality Collaborative registry. Candidate covariates were identified, and hierarchical logistic regression models were used to identify risk factors for conversion. There were 4796 cases that met study inclusion criteria. Conversion was required in 18.2 % of laparoscopic and 7.7 % of robotic cases (p < 0.0001). Risk factors for conversion in the laparoscopic group included the following: moderate/severe adhesions, obesity, colorectal cancer, hypertension, rectal operations, urgent priority, and tobacco use. Risk factors for conversion in the robotic group included the following: severe adhesions, bleeding disorder, presence of cancer, cirrhosis, and use of statins. Higher surgeon volume was protective in both groups. Conversion rates are lower for robotic than for laparoscopic colorectal surgery with fewer predictors of conversion. Recognition of factors predicting conversion may allow surgeons to choose an operative approach that optimizes the benefits of the available technologies.
Indexed as
Identifiers
26847352What OpenQuestion holds
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.