Evidence map›Paper›PMID 32232680›Full record

ArticleJournal of robotic surgery2020

A review of clinical and oncological outcomes following the introduction of the first robotic colorectal surgery programme to a university teaching hospital in Ireland using a dual console training platform.

Christina A Fleming, Daniel Westby, Mohammad Fahad Ullah, Helen M Mohan, Rishabh Sehgal, Jarlath C Bolger, Donal P O'Leary, Emma McNamara, Grzegorz Korpanty, Mazen El Bassiouni and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article 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 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pre-Procedural Robotic Surgery Curricula: A Systematic Review and Thematic Meta-Synthesis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Robotic colorectal surgery in elderly patients: A single-centre experience.The international journal of medical robotics + computer assisted surgery : MRCAS · 2022
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Teaching and Training Surgeons in Robotic Colorectal Surgery.Clinics in colon and rectal surgery · 2021
    Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Christina A FlemingDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland. christina.fleming49@gmail.com.ORCID http://orcid.org/0000-0003-2326-2655
Daniel WestbyDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Mohammad Fahad UllahDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Helen M MohanDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Rishabh SehgalDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Jarlath C BolgerDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Donal P O'LearyDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Emma McNamaraDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Grzegorz KorpantyDepartment of Medical Oncology, University Hospital Limerick, Limerick, Ireland.
Mazen El BassiouniDepartment of Radiation Oncology, University Hospital Limerick, Limerick, Ireland.
Eoghan CondonDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
John Calvin CoffeyDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Colin PeirceDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
University Hospital Limerick · IEUniversity of Limerick · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted surgery is evolving, with improving clinical and cancer outcomes. The aim of this study was to present the clinical and cancer outcomes of patients undergoing robotic-assisted colorectal surgery (RAS-CR) at University Hospital Limerick (UHL) since its introduction to the 100th case, using the daVinci Xi dual-console surgical system. The RAS-CR programme at UHL commenced in June 2016 and the 100th case was performed in July 2019. All patient-related data were recorded prospectively during the perioperative period by the RAS-CR team. Statistical analysis was performed using SPSS, version 22. One hundred patients were operated on, comprising of 47 males and 53 females. The median age was 65 years (IQR 13.0; range 25-84) with 69% of cases performed for cancer [N = 39 rectal cancer, N = 30 colon cancer], 20% for benign disease and 11% for dysplasia. Median length of stay for cancer operations was 6.5 days for colon cancer cases (5.0 days when cases with complications were excluded) and 7.0 days for rectal cancer cases. Median operative time was 255 mins (IQR 130 min; all cases), median docking time was 33 mins (IQR 20 mins) and median intra-operative blood loss was 80 ml (IQR 70 ml). Thirty-one patients developed a post-operative complication (5% anastomotic leak; 13% SSI). In cancer cases, median nodal harvest was 14 nodes (IQR10) and an R0 resection was achieved in 98.6% (n = 68) of cancer cases. Three patients (4.3%) developed metastatic disease at a median interval of 16.5 months. Clinical and operative outcomes remained stable over time from case 1 to 100. Structured introduction of a RAS-CR programme with appropriate governance and continuous audit results in favourable clinical and cancer outcomes and provides an excellent training opportunity for surgical residents.

Indexed as

Hospitals, TeachingAdultAgedAged, 80 and overColorectal NeoplasmsEducation, Medical, GraduateFemaleGeneral SurgeryHumansInternship and ResidencyIrelandMaleMiddle AgedRobotic Surgical ProceduresTreatment OutcomeColorectal surgerydaVinci surgical systemDual consoleRobotic surgerySurgical outcomes

Identifiers

PMID32232680
OpenAlexW3013504382

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.