Evidence map›Paper›PMID 29855814›Full record

ArticleTechniques in coloproctology2018

Direct target NOTES: prospective applications for next generation robotic platforms.

S Atallah, A Hodges, S W Larach

Abstract read
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Article in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

  1. Robotics in interventional endoscopy-evolution and the way forward.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Robotic transanal total mesorectal excision: Is the future now?World journal of gastrointestinal surgery · 2021
    Review
  9. Transanal endoscopic surgery with a 3D printed device.Techniques in coloproctology · 2021
    Article
  10. Article
  11. Article
  12. Review
  13. Clinical adoption of robotics in endoscopy: Challenges and solutions.JGH open : an open access journal of gastroenterology and hepatology · 2020
    Review
  14. Robotic transvaginal natural orifice transluminal endoscopic surgery for bilateral salpingo oophorectomy.European journal of obstetrics & gynecology and reproductive biology: X · 2020
    Article
  15. Surgical Robot for Intraluminal Access: AnCyborg and bionic systems (Washington, D.C.) · 2020
    Article
  16. Robotic-assisted surgical endoscopy: a new era for endoluminal therapies.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2019
    Article
  17. Article
  18. Review
  19. Transanal TME: new standard or fad?Journal of the anus, rectum and colon · 2019
    Review
  20. Review
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

3 authors.

S AtallahEndo-Surgical Center of Florida, Department of Colorectal Surgery, Florida Hospital, Orlando, FL, USA. atallah@post.harvard.edu.
A HodgesNova Southeastern University, Davie, FL, USA.
S W LarachEndo-Surgical Center of Florida, Department of Colorectal Surgery, Florida Hospital, Orlando, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA new era in surgical robotics has centered on alternative access to anatomic targets and next generation designs include flexible, single-port systems which follow circuitous rather than straight pathways. Such systems maintain a small footprint and could be utilized for specialized operations based on direct organ target natural orifice transluminal endoscopic surgery (NOTES), of which transanal total mesorectal excision (taTME) is an important derivative.

methodsDuring two sessions, four direct target NOTES operations were conducted on a cadaveric model using a flexible robotic system to demonstrate proof-of-concept of the application of a next generation robotic system to specific types of NOTES operations, all of which required removal of a direct target organ through natural orifice access. These four operations were (a) robotic taTME, (b) robotic transvaginal hysterectomy in conjunction with (c) robotic transvaginal salpingo-oophorectomy, and in an ex vivo model, (d) trans-cecal appendectomy.

resultsFeasibility was demonstrated in all cases using the Flex

conclusionsA flexible robotic system has the potential to access anatomy along circuitous paths, making it a suitable platform for direct target NOTES. The conceptual operations posed could be considered suitable for next generation robotics once the technology is optimized, and after further preclinical validation.

Indexed as

AppendectomyCadaverCecumFemaleHumansHysterectomy, VaginalMaleRectumRobotic Surgical ProceduresSalpingo-oophorectomyTransanal Endoscopic SurgeryVaginaAppendectomyHysterectomy, VaginalMinimally Invasive Surgical ProceduresNatural Orifice Endoscopic SurgerySurgical Procedures, RoboticTaTME

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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.