Evidence map›Paper›PMID 29101564›Full record

Trial reportSurgical endoscopy2018

First experience with THE AUTOLAP™ SYSTEM: an image-based robotic camera steering device.

Paul J M Wijsman, Ivo A M J Broeders, Hylke J Brenkman, Amir Szold, Antonello Forgione, Henk W R Schreuder, Esther C J Consten, Werner A Draaisma, Paul M Verheijen, Jelle P Ruurda and 1 more

Open access · greenAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
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

16 citing papers in PubMed, 36 citations in OpenAlex.

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  4. Autonomous Robotic Systems in Otolaryngology-Head and Neck Surgery.Otolaryngologic clinics of North America · 2024
    Review
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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

11 authors at 5 institutions in 3 countries.

Paul J M WijsmanDeparment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands. pjm.wijsman@meandermc.nl.
Ivo A M J BroedersDeparment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands.
Hylke J BrenkmanDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Amir SzoldAssia Medical Group, Assuta Medical Center, Tel Aviv, Israel.
Antonello ForgioneDepartment of Surgery, Niguarda Cà Granda Hospital, Milan, Italy.
Henk W R SchreuderDepartment of Gynecologic Oncology, UMC Utrecht Cancer Center, Utrecht, The Netherlands.
Esther C J ConstenDeparment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands.
Werner A DraaismaDeparment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands.
Paul M VerheijenDeparment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands.
Jelle P RuurdaDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Yuval KaufmanDepartment of Surgery, Assuta Medical Center, Haifa, Israel.
Meander Medisch Centrum · NLAssuta Medical Center · ILUniversity Medical Center Utrecht · NLAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCancer Genomics Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic camera holders for endoscopic surgery have been available for 20 years but market penetration is low. The current camera holders are controlled by voice, joystick, eyeball tracking, or head movements, and this type of steering has proven to be successful but excessive disturbance of surgical workflow has blocked widespread introduction. The Autolap™ system (MST, Israel) uses a radically different steering concept based on image analysis. This may improve acceptance by smooth, interactive, and fast steering. These two studies were conducted to prove safe and efficient performance of the core technology.

methodsA total of 66 various laparoscopic procedures were performed with the AutoLap™ by nine experienced surgeons, in two multi-center studies; 41 cholecystectomies, 13 fundoplications including hiatal hernia repair, 4 endometriosis surgeries, 2 inguinal hernia repairs, and 6 (bilateral) salpingo-oophorectomies. The use of the AutoLap™ system was evaluated in terms of safety, image stability, setup and procedural time, accuracy of imaged-based movements, and user satisfaction.

resultsSurgical procedures were completed with the AutoLap™ system in 64 cases (97%). The mean overall setup time of the AutoLap™ system was 4 min (04:08 ± 0.10). Procedure times were not prolonged due to the use of the system when compared to literature average. The reported user satisfaction was 3.85 and 3.96 on a scale of 1 to 5 in two studies. More than 90% of the image-based movements were accurate. No system-related adverse events were recorded while using the system.

conclusionSafe and efficient use of the core technology of the AutoLap™ system was demonstrated with high image stability and good surgeon satisfaction. The results support further clinical studies that will focus on usability, improved ergonomics and additional image-based features.

Indexed as

Robotic Surgical ProceduresAdultAgedAttitude of Health PersonnelFemaleHumansLaparoscopyMiddle AgedOperative TimeSurgery, Computer-AssistedYoung AdultActive camera control systemsAutolap™Camera holderLaparoscopyRoboticSteering

Identifiers

PMID29101564
OpenAlexW2765428186

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.