ArticleSurgical endoscopy2018
Diffusion of robotic-assisted laparoscopic technology across specialties: a national study from 2008 to 2013.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Does laparoscopic experience affect the acquisition of initial robotic skills? A systematic review.Journal of robotic surgery · 2026Pooled it
- The development of tissue handling skills is sufficient and comparable after training in virtual reality or on a surgical robotic system: a prospective randomized trial.Surgical endoscopy · 2024Trial
- Unveiling the Chasm in Japanese robot-assisted surgery diffusion: the interplay of surgical volume and intra-specialty spillover.Journal of robotic surgery · 2026Article
- Ruling the robot: a phase-based analysis of resident autonomy across core robotic general surgery procedures.Surgical endoscopy · 2026Article
- Circumferential resection margin status and longterm survival outcomes following robotic-assisted versus laparoscopic surgical resection for locally-advanced rectal cancer: a National Cancer Database (NCDB) study.Surgical endoscopy · 2026Article
- Article
- Integrating robotic surgery training and the educational value of body donation: insights from an Italian pilot project on perceived training value.Frontiers in medicine · 2026Article
- Representation in robotic surgery randomised controlled trials: a systematic review.BMJ connections surgery · 2026Article
- Blurred vision, clear concern: linking poor visualization with adverse events in minimally invasive surgery.Surgical endoscopy · 2025Review
- Transfusion Risk in Open, Laparoscopic, and Robotic-Assisted Surgery: A Propensity Score Matched Case-Control Study across Surgical Disciplines.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025Article
- Perioperative outcomes of robotic versus laparoscopic paraesophageal hernia repair: a NSQIP analysis.Surgical endoscopy · 2024Article
- The role of robotic surgery in neurological cases: A systematic review on brain and spine applications.Heliyon · 2023Review
- Active control time: an objective performance metric for trainee participation in robotic surgery.Journal of robotic surgery · 2023Article
- Surgical outcomes and cost analysis of a multi-specialty robotic-assisted surgery caseload in the Australian public health system.Journal of robotic surgery · 2023Article
- Robot-assisted laparoscopic orchiopexy: A comparative analysis with laparoscopic orchiopexy.Frontiers in urology · 2023Article
- Investigating the Association of Quantitative Gait Stability Metrics With User Perception of Gait Interruption Due to Control Faults During Human-Prosthesis Interaction.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2023Article
- Uptake and outcomes of robotic gynaecological surgery in England (2006-2018): an account of Hospital Episodes Statistics (HES).Journal of robotic surgery · 2022Article
- Trends in the diffusion of robotic surgery in prostate, uterus, and colorectal procedures: a retrospective population-based study.Journal of robotic surgery · 2021Article
- Clinical effect of robot-assisted radical cystectomy in bladder cancer.American journal of translational research · 2021Article
- Trends and outcomes of robotic surgery for gastrointestinal (GI) cancers in the USA: maintaining perioperative and oncologic safety.Surgical endoscopy · 2020Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRobotic-assisted procedures were frequently found to have similar outcomes and indications to their laparoscopic counterparts, yet significant variation existed in the acceptance of robotic-assisted technology between surgical specialties and procedures. We performed a retrospective cohort study investigating factors associated with the adoption of robotic assistance across the United States from 2008 to 2013.
methodsUsing the Nationwide Inpatient Sample database, patient- and hospital-level variables were examined for differential distribution between robotic-assisted and conventional laparoscopic procedures. Multilevel logistic regression models were constructed to identify independent factors associated with robotic adoption. Furthermore, cases were stratified by procedure and specialty before being ranked according to proportion of robotic-assistance adoption. Correlation was examined between robotic-assistance adoption and relative outcome in comparison with conventional laparoscopic procedures.
resultsThe national robotic case volume doubled over the five-year period while a gradual decline in laparoscopic case volume was observed, resulting in an increase in the proportion of procedures performed with robotic assistance from 6.8 to 17%. Patients receiving robotic procedures were more likely to be younger, males, white, privately insured, more affluent, and with less comorbidities. These differences have been decreasing over the study period. The three specialties with the highest proportion of robotic-assisted laparoscopic procedures were urology (34.1%), gynecology (11.0%), and endocrine surgery (9.4%). However, no significant association existed between the frequency of robotic-assistance usage and relative outcome statistics such as mortality, charge, or length of stay.
conclusionThe variation in robotic-assistance adoption between specialties and procedures could not be attributable to clinical outcomes alone. Cultural readiness toward adopting new technology within specialty and target anatomic areas appear to be major determining factors influencing its adoption.
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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.