SynthesisJournal of robotic surgery2020
Learning curve for robotic surgery in children: a systematic review of outcomes and fellowship programs.
Synthesis in Journal of robotic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Robot-assisted surgery versus laparoscopic surgery of ureteropelvic junction obstruction in children: a systematic review and meta-analysis.Journal of robotic surgery · 2023Pooled it
- Port-site metastasis and atypical recurrences after robotic-assisted radical cystectomy (RARC): an updated comprehensive and systematic review of current evidences.Journal of robotic surgery · 2020Pooled it
- Skill transference and learning curves in novice learners: a randomized comparison of robotic and laparoscopic platforms.Surgical endoscopy · 2023Trial
- Medical liability in paediatric robotic surgery - a current concept and a literature review.Journal of robotic surgery · 2026Review
- Surgeon Volume and Clinical Outcomes After Robotic Elective and Emergency General Surgery.JAMA network open · 2026Article
- Robotic-assisted cholecystectomy in children is associated with faster gastrointestinal recovery: a comparative study.Frontiers in pediatrics · 2026Article
- Single-port robotic pyeloplasty in young patients: cosmetic satisfaction and faster recovery matter.Journal of robotic surgery · 2025Article
- Learning curve in robotic surgery for ureteropelvic junction obstruction in children: how to best define a reliable learning process through CUSUM analysis.Frontiers in surgery · 2025Article
- Exploring the frontier in robotic pediatric cancer surgery: when to move forward and when to stop.Pediatric surgery international · 2024Article
- Pediatric Robot-Assisted Laparoscopic Pyeloplasty: Where Are We Now?Current urology reports · 2024Review
- Narrative review in learning curve and pediatric robotic training program.Translational pediatrics · 2024Review
- The learning curve of robot-assisted laparoscopic pyeloplasty in children.Journal of robotic surgery · 2024Article
- Enhanced Recovery after Surgery Applied to Pediatric Laparoscopic Cholecystectomy for Simple Cholelithiasis: Feasibility and Teaching Insights.Children (Basel, Switzerland) · 2023Article
- Evaluation of the learning curve for laparoscopic pyloromyotomy.Surgical endoscopy · 2023Article
- The Use of Cavitron Ultrasonic Surgical Aspirator for High-Risk Neuroblastoma with Image-Defined Risk Factors in Children.Children (Basel, Switzerland) · 2023Article
- Application and prospects of robotic surgery in children: a scoping review.World journal of pediatric surgery · 2022Article
- Innovative Techniques Associated with Traditional Abdominal Surgery in Complex Pediatric Cases: A Tertiary Center Experience.Children (Basel, Switzerland) · 2021Article
- Comparison between Gasless and Gas-Inflated Robot-Assisted Nipple-Sparing Mastectomy.Journal of breast cancer · 2021Article
- Robotics-Assisted Pediatric Oncology Surgery-A Preliminary Single-Center Report and a Systematic Review of Published Studies.Frontiers in pediatrics · 2021Article
- Management of Vesicoureteral Reflux: What Have We Learned Over the Last 20 Years?Frontiers in pediatrics · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The learning curve (LC) of a new technique is fundamental for its application and assessment, and for the training. Literature was analysed to define the LCs of different surgical procedures and the impact of fellowship programs. MEDLINE, EMBASE and paediatric surgical journals' databases from January 1995 to December 2018 were systematically analysed. Two independent residents sought for articles providing description of robotic-assisted procedures' LCs in paediatric age/population. Seventeen articles were selected, describing LC of robotic-assisted pyeloplasty (n = 9), fundoplication (n = 4), cholecystectomy (n = 2), choledochal cyst resection (n = 1) and lingual tonsillectomy (n = 1), with 721 procedures. Ten studies refer to one single surgeon; six to more than one; one does not specify the number of operators. Eleven studies are unicentric retrospective, two multicentric retrospective, three prospective and one is a comparative analysis between a retrospective case series and a prospective cohort. The most recruited parameter is operative time alone in 3 articles, associated with complications in 12, length of hospital stay in 6, blood loss in 3, resolution in 4 and narcotic use in 2. The LC is described as impacting procedural planning (n = 17), training (n = 9) and economic costs (n = 2). To date, operative time is the most reported outcome to measure LC and proficiency. Efforts are needed to consider measures of surgical expertise and patient status. Robotic training should be standardized on targeted programs planned upon well-defined LCs.
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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.