Evidence map›Paper›PMID 29667042›Full record

ArticleSurgical endoscopy2018

A new robotic-assisted flexible endoscope with single-hand control: endoscopic submucosal dissection in the ex vivo porcine stomach.

Tsutomu Iwasa, Ryu Nakadate, Shinya Onogi, Yasuharu Okamoto, Jumpei Arata, Susumu Oguri, Haruei Ogino, Eikichi Ihara, Kenoki Ohuchida, Tomohiko Akahoshi and 3 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05347446 (Hybrid Versus Non-Hybrid Endoscopic Submucosal Dissection for Colorectal Polyps), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.5field-weighted citation impact, top 5% 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.

NCT05347446 nacompletednot on this mapstarted 2022, after this paper: background citation

Hybrid Versus Non-Hybrid Endoscopic Submucosal Dissection for Colorectal Polyps: A Randomized Trial (SHORT-ESD)

TypeinterventionalSponsorAdventHealthRan2022 to 2024Enrolled247ConditionsColorectal LesionsArmsHybrid ESD, Non-hybrid ESD
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
  2. Article
  3. Development and Evaluation of an Ergonomically Optimized Scope-Holder for Flexible Endoscopy (With Video).Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Article
  4. Review
  5. Evaluation of User Interfaces for Actuated Control of Endoscopes During Flexible Endoscopy.IEEE journal of translational engineering in health and medicine · 2026
    Article
  6. Article
  7. Article
  8. Development of therapeutic digestive endoscopy robots: a narrative review.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024
    Review
  9. Article
  10. A robotic system for solo surgery in flexible ureteroscopy: development and evaluation with clinical users.International journal of computer assisted radiology and surgery · 2023
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Surgical Robot for Intraluminal Access: AnCyborg and bionic systems (Washington, D.C.) · 2020
    Article
  16. Robotic Surgery in Gastrointestinal Surgery.Cyborg and bionic systems (Washington, D.C.) · 2020
    Review
  17. Article
  18. 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 at 1 institution in 1 country.

Tsutomu IwasaDivision of Minimally Invasive Advanced Medical Science, Center for Advanced Medical Innovation, Kyushu University, Fukuoka, Japan. tiwasa@intmed3.med.kyushu-u.ac.jp.ORCID 0000-0001-5996-0602
Ryu NakadateDivision of Research Project, Center for Advanced Medical Innovation, Kyushu University, Fukuoka, Japan.
Shinya OnogiDivision of Minimally Invasive Advanced Medical Science, Center for Advanced Medical Innovation, Kyushu University, Fukuoka, Japan.
Yasuharu OkamotoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Jumpei ArataDepartment of Mechanical Engineering, Faculty of Engineering, Kyushu University, Fukuoka, Japan.
Susumu OguriDepartment of Advanced Medical Initiatives, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Haruei OginoDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Eikichi IharaDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Kenoki OhuchidaDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tomohiko AkahoshiDepartment of Advanced Medical Initiatives, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Tetsuo IkedaDepartment of Advanced Medical Initiatives, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Yoshihiro OgawaDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Makoto HashizumeDivision of Minimally Invasive Advanced Medical Science, Center for Advanced Medical Innovation, Kyushu University, Fukuoka, Japan.
Kyushu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifficulties in endoscopic operations and therapeutic procedures seem to occur due to the complexity of operating the endoscope dial as well as difficulty in performing synchronized movements with both hands. We developed a prototype robotic-assisted flexible endoscope that can be controlled with a single hand in order to simplify the operation of the endoscope. The aim of this study was to confirm the operability of the robotic-assisted flexible endoscope (RAFE) by performing endoscopic submucosal dissection (ESD).

methodsStudy 1: ESD was performed manually or with RAFE by an expert endoscopist in ex vivo porcine stomachs; six operations manually and six were performed with RAFE. The procedure time per unit circumferential length/area was calculated, and the results were statistically analyzed. Study 2: We evaluated how smoothly a non-endoscopist can move a RAFE compared to a manual endoscope by assessing the designated movement of the endoscope.

resultsStudy 1: En bloc resection was achieved by ESD using the RAFE. The procedure time was gradually shortened with increasing experience, and the procedure time of ESD performed with the RAFE was not significantly different from that of ESD performed with a manual endoscope. Study 2: The time for the designated movement of the endoscope was significantly shorter with a RAFE than that with a manual endoscope as for a non-endoscopist.

conclusionsThe RAFE that we developed enabled an expert endoscopist to perform the ESD procedure without any problems and allowed a non-endoscopist to control the endoscope more easily and quickly than a manual endoscope. The RAFE is expected to undergo further development.

Indexed as

EndoscopesAnimalsEndoscopic Mucosal ResectionRobotic Surgical ProceduresStomach NeoplasmsSwineEndoscopic submucosal dissectionFlexible endoscopyLaparoscopic surgeryNatural orifice transluminal endoscopic surgeryRobotic-assisted flexible endoscope

Identifiers

PMID29667042
OpenAlexW2800478000

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.