ArticleBioMed research international2019
Improving Outcomes Defending Patient Safety: The Learning Journey in Robotic Liver Resections.
Article in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis 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
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Laparoscopic versus robotic major hepatectomy: a systematic review and meta-analysis.Surgical endoscopy · 2021Pooled it
- Transition from laparoscopic to robotic hepatectomy within a minimally invasive liver surgery program: risk-adjusted learning curve assessment by multiple continuous outcomes.Journal of robotic surgery · 2026Article
- Better outcomes of robotic liver resection in segment VII/VIII compared to open and laparoscopic approach.Journal of robotic surgery · 2026Article
- Learning curve analysis of 100 consecutive robotic liver resections.Surgical endoscopy · 2025Article
- Towards a Standardization of Learning Curve Assessment in Minimally Invasive Liver Surgery.Annals of surgery · 2024Article
- The Role of Robotics in Meeting Institutional Goals: A Unified Strategy to Facilitate Program Excellence.International neurourology journal · 2024Article
- RoboticHeliyon · 2024Article
- Concomitant training in robotic and laparoscopic liver resections of low-to-intermediate difficulty score: a retrospective analysis of the learning curve.Scientific reports · 2024Article
- 10 years, 100 robotic major hepatectomies: a single-center experience.Surgical endoscopy · 2024Article
- Robotic versus laparoscopic liver resection in posterosuperior region: a retrospective study of consecutive cases.Surgical endoscopy · 2023Article
- Article
- Implementing a robotic liver resection program does not always require prior laparoscopic experience.Surgical endoscopy · 2022Article
- Understanding the surgeon's behaviour during robot-assisted surgery: protocol for the qualitative Behav'Robot study.BMJ open · 2022Article
- Robotic-Assisted Surgery for Primary Hepatobiliary Tumors-Possibilities and Limitations.Cancers · 2022Review
- National Trends and Perioperative Outcomes of Robotic-assisted Hepatectomy in the USA: A Propensity-score Matched Analysis from the National Cancer Database.World journal of surgery · 2022Article
- Major robotic hepatectomies: technical considerations.Updates in surgery · 2021Article
- Robotic hepatic resection in postero-superior region of liver.Updates in surgery · 2021Article
- Robotic Liver Resection Versus Percutaneous Ablation for Early HCC: Short- and Long-Term Results.Cancers · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile laparoscopy is currently adopted for hepatic resections, robotic approaches to the liver have not gained wide acceptance. We decided to analyze the learning curve in the field of robotic liver surgery comparing short-term outcomes between the first and the second half of our series.
methodsWe retrospectively reviewed demographics and clinical data of patients who underwent robotic liver resection at our institution from July 2014 through September 2017. 60 patients diagnosed with primary or secondary liver neoplasms or hydatid disease were included in this study. ASA PS >3, heart failure, respiratory insufficiency, and general contraindication to pneumoperitoneum were exclusion criteria.
results60 patients were included. We observed a statistically significant decrease in operative time (p<0.001), intraoperative blood loss (p=0.01), and postoperative complications (p<0.001) after 30 cases. From the interpretation of the CUSUM curve, the time of operation appears to be significantly reduced after the first 30 operations. DISCUSSION: This is the first European analysis of the learning curve for robotic liver resection in an HPB and liver transplant referral center. However, more studies are needed to confirm such results outside a HPB referral center. This is crucial to develop formal credentialing protocols for both junior and senior surgeons.
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.