ArticleSurgical endoscopy2020
Robot assisted versus laparoscopic suturing learning curve in a simulated setting.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.
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Who cites it
41 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Robotic surgery in abdominal aortoiliac aneurysm and occlusive disease: a systematic review and single-arm meta-analysis.Journal of robotic surgery · 2025Pooled it
- Suture versus tacks in minimally invasive transabdominal preperitoneal inguinal repair: a meta-analysis of randomized controlled trials.Surgical endoscopy · 2024Pooled it
- Transfer of skills between laparoscopic and robot-assisted surgery: a systematic review.Surgical endoscopy · 2023Pooled it
- Laparoscopic versus robotic abdominal and pelvic surgery: a systematic review of randomised controlled trials.Surgical endoscopy · 2023Pooled it
- Transferability of the robot assisted and laparoscopic suturing learning curves.Journal of robotic surgery · 2024Trial
- Endoscopic surgery suturing techniques: a randomized study on learning.BMC surgery · 2022Trial
- The effect of verbal feedback, video feedback, and self-assessment on laparoscopic intracorporeal suturing skills in novices: a randomized trial.Surgical endoscopy · 2021Trial
- Comparative learning curves of robotic and laparoscopic skills in a simulated task-based model.Journal of robotic surgery · 2026Observational
- Conversion in Minimally Invasive Liver Surgery: The Impact of Conversion Urgency and Surgical Approach.Annals of surgical oncology · 2026Article
- Association Between Surgical Robotic Availability and Open Operation Rate: A Geographic Analysis.Journal of the American College of Surgeons · 2026Article
- Evaluation of robotic exposure among gynecological surgeons: results of survey from the young European advocates of robotic surgery (YEARS).Journal of robotic surgery · 2026Article
- Robotic versus pure laparoscopic approach to subtotal fenestrating cholecystectomy: does the robot improve postoperative outcomes?Surgical endoscopy · 2026Article
- Bowel incision closure with a semi-mutomated Robot-assisted laser tissue soldering system.Scientific reports · 2026Article
- Current practices in robotic surgery for distal ureter in children: results from an EAU robotic urology section (ERUS) survey.Frontiers in pediatrics · 2026Article
- Learning curve of Robotic Assisted Minimally Invasive Ivor Lewis Esophagectomy (RAMIE): initial experience.Surgical endoscopy · 2025Article
- Review
- Rise of the robots: implementing robotic surgery into the acute care surgery practice.Surgical endoscopy · 2025Article
- Robotic Duodenojejunostomy for a Rare Case of Acute Idiopathic Superior Mesenteric Artery Syndrome in a Teenage Girl.European journal of pediatric surgery reports · 2025Article
- Learning curve comparison of robot-assisted and laparoscopic hepaticojejunostomy: a focus on critical suturing.Frontiers in pediatrics · 2025Article
- Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCompared to conventional laparoscopy, robot assisted surgery is expected to have most potential in difficult areas and demanding technical skills like minimally invasive suturing. This study was performed to identify the differences in the learning curves of laparoscopic versus robot assisted suturing.
methodNovice participants performed three suturing tasks on the EoSim laparoscopic augmented reality simulator or the RobotiX robot assisted virtual reality simulator. Each participant performed an intracorporeal suturing task, a tilted plane needle transfer task and an anastomosis needle transfer task. To complete the learning curve, all tasks were repeated up to twenty repetitions or until a time plateau was reached. Clinically relevant and comparable parameters regarding time, movements and safety were recorded. Intracorporeal suturing time and cumulative sum analysis was used to compare the learning curves and phases.
resultsSeventeen participants completed the learning curve laparoscopically and 30 robot assisted. Median first knot suturing time was 611 s (s) for laparoscopic versus 251 s for robot assisted (p < 0.001), and this was 324 s versus 165 (sixth knot, p < 0.001) and 257 s and 149 s (eleventh knot, p < 0.001) respectively on base of the found learning phases. The percentage of 'adequate surgical knots' was higher in the laparoscopic than in the robot assisted group. First knot: 71% versus 60%, sixth knot: 100% versus 83%, and eleventh knot: 100% versus 73%. When assessing the 'instrument out of view' parameter, the robot assisted group scored a median of 0% after repetition four. In the laparoscopic group, the instrument out of view increased from 3.1 to 3.9% (left) and from 3.0 to 4.1% (right) between the first and eleventh knot (p > 0.05).
conclusionThe learning curve of minimally invasive suturing shows a shorter task time curve using robotic assistance compared to the laparoscopic curve. However, laparoscopic outcomes show good end results with rapid outcome improvement.
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