ArticleLangenbeck's archives of surgery2018
Implementation of robotic rectal surgery training programme: importance of standardisation and structured training.
Article in Langenbeck's archives of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 8 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
31 citing papers in PubMed, 8 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Is robotic surgery ready for emergency cholecystectomy? A systematic review and meta-analysis of robotic versus laparoscopic approach in acute cholecystitis.Journal of robotic surgery · 2026Pooled it
- A systematic review of comprehensive Robotic-assisted surgical (RAS) curricula.Journal of robotic surgery · 2025Pooled it
- European Society of Coloproctology guideline on training in robotic colorectal surgery (2024).Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Guideline
- Evaluation of objective tools and artificial intelligence in robotic surgery technical skills assessment: a systematic review.The British journal of surgery · 2024Pooled it
- A systematic review of robotic surgery curricula using a contemporary educational framework.Surgical endoscopy · 2023Pooled it
- The current status of robotic colorectal surgery training programmes.Journal of robotic surgery · 2023Pooled it
- Robotic surgery in emergency setting: 2021 WSES position paper.World journal of emergency surgery : WJES · 2022Pooled it
- Learning Curve in Robotic Colorectal Surgery.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Laparoscopic Colorectal Surgery in Resident Training: Is It Safe and Feasible?Healthcare (Basel, Switzerland) · 2026Article
- Pre-Procedural Robotic Surgery Curricula: A Systematic Review and Thematic Meta-Synthesis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Review
- Safety, technical transferability, and oncological outcomes of multi-institutional robotic distal gastrectomy for gastric cancer: impact of surgeons qualified under the endoscopic surgical skill qualification system of the Japan Society for Endoscopic Surgery.Journal of robotic surgery · 2026Article
- Adoption and implementation of robotic colorectal surgery using structured training approach: an experience from tertiary referral center.Updates in surgery · 2025Article
- Robotic surgery in emergency general surgery: an overview of UK practice.World journal of emergency surgery : WJES · 2025Article
- Immersive robotic colorectal training in the United Kingdom is safe and efficient.Annals of the Royal College of Surgeons of England · 2025Article
- Concurrent robotic colorectal surgical oncology training within a structured mentored international fellowship program.Journal of robotic surgery · 2025Article
- Safe implementation of minimally invasive surgery in a specialized colorectal cancer unit.Techniques in coloproctology · 2024Article
- Emergency robotic surgery: the experience of a single center and review of the literature.World journal of emergency surgery : WJES · 2024Review
- Robotic colorectal surgery training: Portsmouth perspective.Annals of coloproctology · 2024Review
- Article
- Short learning curve in transition from laparoscopic to robotic-assisted rectal cancer surgery: a prospective study from a Finnish Tertiary Referral Centre.Journal of robotic surgery · 2023Article
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 at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA structured training programme is essential for the safe adoption of robotic rectal cancer surgery. The aim of this study is to describe the training pathway and short-term surgical outcomes of three surgeons in two centres (UK and Portugal) undertaking single-docking robotic rectal surgery with the da Vinci Xi and integrated table motion (ITM).
methodsProspectively, collected data for consecutive patients who underwent robotic rectal cancer resections with the da Vinci Xi and ITM between November 2015 and September 2017 was analysed. The short-term surgical outcomes of the first ten cases of each surgeon (supervised) were compared with the subsequent cases (independent). In addition, the Global Assessment Score (GAS) forms from the supervised cases were analysed and the GAS cumulative sum (CUSUM) charts constructed to investigate the training pathway of the participating surgeons.
resultsData from 82 patients was analysed. There were no conversions to open, no anastomotic leaks and no 30-day mortality. Mean operation time was 288 min (SD 63), median estimated blood loss 20 (IQR 20-20) ml and median length of stay 5 (IQR 4-8) days. Thirty-day readmission and reoperation rates were 4% (n = 3) and 6% (n = 5) respectively. When comparing the supervised cases with the subsequent solo cases, there were no statistically significant changes in any of the short-term outcomes with the exception of mean operative time, which was significantly shorter in the independent cases (311 vs 275 min, p = 0.038). GAS form analysis and GAS CUSUM charting revealed that ten proctoring cases were enough for trainee surgeons to independently perform robotic rectal resections with the da Vinci Xi.
conclusionsOur results show that by applying a structured training pathway and standardising the surgical technique, the single-docking procedure with the da Vinci Xi is a valid, reproducible technique that offers good short-term outcomes in our study population.
Indexed as
Identifiers
What 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.