Evidence map›Paper›PMID 32394173›Full record

ArticleSurgical endoscopy2020

Da Vinci Single-Port robot-assisted transanal mesorectal excision: a promising preclinical experience.

Werner Kneist, Hubert Stein, Markus Rheinwald

Registry-linked trialOpen access · hybridAbstract readEvaluation Study
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05457244 (A Prospective, Single-Center Investigation of the Safety and Performance of the da Vinci SP® Surgical System in Colorectal Procedures), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% 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.

NCT05457244 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

A Prospective, Single-Center Investigation of the Safety and Performance of the da Vinci SP® Surgical System in Colorectal Procedures

TypeinterventionalSponsorChang Gung Memorial HospitalRan2023 to 2025Enrolled30ConditionsColorectal NeoplasmsArmssingle-port robotic surgery
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Application of the Da Vinci Single-Port (SP) Robot in General Surgery: A First Systematic Review.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Single-portAnnals of surgical treatment and research · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Robotic transanal total mesorectal excision: Is the future now?World journal of gastrointestinal surgery · 2021
    Review
  15. Article
  16. Review
  17. Article
  18. Robotic surgery for colorectal cancer.Annals of gastroenterological surgery · 2020
    Review
  19. Review
  20. Robotic Surgery in Gastrointestinal Surgery.Cyborg and bionic systems (Washington, D.C.) · 2020
    Review
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

3 authors at 2 institutions in 3 countries.

Werner KneistDepartment of General, Visceral and Transplant Surgery, University Medicine of the Johannes Gutenberg-University, Mainz, Germany. w.kneist@t-online.de.ORCID http://orcid.org/0000-0002-7219-0523
Hubert SteinDepartment of Global Clinical Development, Intuitive Surgical, Sunnyvale, CA, USA.
Markus RheinwaldDepartment of Global Clinical Development, Intuitive Surgical, Sunnyvale, CA, USA.
Intuitive Surgical (United States) · USJohannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRobotic single-port platforms represent a viable option for advanced surgical procedures. This preclinical study investigated the dual-field, single-port, robot-assisted transanal total mesorectal excision (taTME). TECHNIQUE: In a male human cadaver, we employed the novel da Vinci® SP™ Surgical System, sequentially, to realize the transanal and abdominal parts of the taTME procedure. We evaluated the feasibility of the one-team approach.

resultsWe showed that single-port access for the taTME was technically feasible with the current da Vinci® SP™ Surgical System in both surgical fields. The total console times were 189 min for the juxta-anal purse-string suture placement, partial intersphincteric resection, and bottom-up mesorectal dissection to where it meets the peritoneal reflection and 43 min for the abdominal procedure. A good quality specimen was achieved. The surgeon comfort was high during simulated surgery. The task load was highly acceptable (NASA-TLX global score: 35), even though it was the surgeon's first use of this platform.

conclusionThis preclinical study demonstrated that the robotic, single-port taTME was feasible and could be performed with the da Vinci® SP™ Surgical System, beginning at the level of the dentate line. Further simulations are necessary to confirm this promising approach.

Indexed as

Anal CanalCadaverDissectionFeasibility StudiesHumansMaleProctectomyRectumRobotic Surgical ProceduresTransanal Endoscopic SurgeryDa vinci SPRectal cancerRoboticsRobotic transanal surgerySingle-port surgeryTransanal total mesorectal excision (taTME)

Identifiers

PMID32394173
PMCPMC7271049
OpenAlexW3020838552

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.