ArticleSurgical endoscopy2019
Robotic surgery trends in general surgical oncology from the National Inpatient Sample.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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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.
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.
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Who cites it
37 citing papers in PubMed.
- Robotic-assisted versus laparoscopic bowel anastomoses: randomized crossover in vivo experimental study.Surgical endoscopy · 2023Trial
- Laparoscopic versus robotic surgery in the setting of combined resection of colorectal cancer and liver metastases: an experience from the I Go MILS registry.Updates in surgery · 2026Article
- Disparities in robot utilization in colorectal surgery: the widening gap.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
- Robot-assisted cholecystectomies take less time to perform than laparoscopy in the urgent setting: a single-centered study evaluating elective and urgent cases.Journal of robotic surgery · 2026Article
- Scientific growth and research impact in robotic hepatobiliary and pancreatic surgery: evidence from almost 1,000 publications and top- 100 most cited literature.Journal of robotic surgery · 2026Article
- Practice Patterns of Graduates from a Surgical Oncology Fellowship Program.Annals of surgical oncology · 2026Article
- Robotic surgery in healthcare: current challenges, technological advances, and global implementation prospects.Journal of robotic surgery · 2025Review
- Risk of Open Conversion During Robotic Gastrectomy for Gastric Cancer: Optimizing Patient Selection.Journal of surgical oncology · 2025Article
- Institutional learning curve and factors of prolonged operation time of robotic distal pancreatectomy: An analysis of an initial 117 cases.Annals of gastroenterological surgery · 2025Article
- Bridging the gap: The role of technological advances in shaping gastrointestinal oncological outcomes.World journal of gastrointestinal oncology · 2025Article
- What defines the "value" of robotic surgery for patients with gastrointestinal cancers? Perspectives from a U.S. Cancer Center.Annals of gastroenterological surgery · 2024Review
- Is open pancreatic surgery still relevant now in the era of minimally invasive pancreatic surgery?Gland surgery · 2024Article
- Cost Analysis for Robotic and Open Gastrectomy.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Robot-Guided Ultrasonography in Surgical Interventions.Diagnostics (Basel, Switzerland) · 2023Review
- Short-Term and Textbook Surgical Outcomes During the Implementation of a Robotic Gastrectomy Program.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Robotic Hiatal Hernia Repair Associated with Higher Morbidity and Readmission Rates Compared to Laparoscopic Repair: 10-Year Analysis from the National Readmissions Database (NRD).Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Implementation of robotic rectal cancer surgery: a cross-sectional nationwide study.Surgical endoscopy · 2023Article
- Embracing robotic surgery in low- and middle-income countries: Potential benefits, challenges, and scope in the future.Annals of medicine and surgery (2012) · 2022Review
- The evolution of the general surgery resident operative case experience in the era of robotic surgery.Surgical endoscopy · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundRobotic surgery is offered at most major medical institutions. The extent of its use within general surgical oncology, however, is poorly understood. We hypothesized that robotic surgery adoption in surgical oncology is increasing annually, that is occurring in all surgical sites, and all regions of the US. STUDY
designWe identified patients with site-specific malignancies treated with surgical resection from the National Inpatient Sample 2010-2014 databases. Operations were considered robotic if any ICD-9-CM robotic procedure code was used.
resultsWe identified 147,259 patients representing the following sites: esophageal (3%), stomach (5%), small bowel (5%), pancreas (7%), liver (5%), and colorectal (75%). Most operations were open (71%), followed by laparoscopic (26%), and robotic (3%). In 2010, only 1.1% of operations were robotic; over the 5-year study period, there was a 5.0-fold increase in robotic surgery, compared to 1.1-fold increase in laparoscopy and 1.2-fold decrease in open surgery (< 0.001). These trends were observed for all surgical sites and in all regions of the US, they were strongest for esophageal and colorectal operations, and in the Northeast. Adjusting for age and comorbidities, odds of having a robotic operation increased annually (5.6 times more likely by 2014), with similar length of stay (6.9 ± 6.5 vs 7.0 ± 6.5, p = 0.52) and rate of complications (OR 0.91, 95% CI 0.83-1.01, p = 0.08) compared to laparoscopy.
conclusionsRobotic surgery as a platform for minimally invasive surgery is increasing over time for oncologic operations. The growing use of robotic surgery will affect surgical oncology practice in the future, warranting further study of its impact on cost, outcomes, and surgical training.
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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.