Evidence map›Paper›PMID 32557096›Full record

ArticleJournal of robotic surgery2021

Safety and feasibility of the three-port robot-assisted hysterectomy across uterine weights.

Paul Tyan, Jordan S Klebanoff, Michael Frangieh, Alexandra North, Savannah Smith, Richard Amdur, Jamil Kazma, Gaby N Moawad

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Article in Journal of robotic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

8 authors.

Paul TyanDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Jordan S KlebanoffDepartment of Obstetrics and Gynecology, George Washington University, 900 23rd St NW, Washington, DC, 20037, USA.
Michael FrangiehDepartment of Obstetrics and Gynecology, University of Massachusetts Medical School, Worcester, MA, USA.
Alexandra NorthUniversity of South Carolina School of Medicine Greenville Campus, Greenville, SC, USA.
Savannah SmithSchool of Medicine and Health Sciences, George Washington University, Washington, DC, USA.
Richard AmdurDepartment of Surgery, George Washington University, Washington, DC, USA.
Jamil KazmaDepartment of Obstetrics and Gynecology, George Washington University, 900 23rd St NW, Washington, DC, 20037, USA.
Gaby N MoawadDepartment of Obstetrics and Gynecology, George Washington University, 900 23rd St NW, Washington, DC, 20037, USA. GNMoawad@gmail.com.ORCID http://orcid.org/0000-0002-3240-1496

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One strategy thought to reduce direct costs associated with robotic surgery is minimizing the number of robotic arms used for a surgery. We aim to demonstrate the safety and feasibility of the three-port robot-assisted hysterectomy across uterine weights. Retrospective cohort study in a tertiary care university hospital of consecutive patients undergoing a three-port robot-assisted hysterectomy for benign indications. All surgeries were performed between 2012 and 2018 by fellowship-trained minimally invasive gynecologic surgeons. Data from 232 patients were collected. Eighty-eight (37.9%) patients had a uterine weight < 250 g, 63 (27.2%) had a uterine weight between 250 and 500 g, 51 (22.0%) had a uterine weight between 500 and 1000 g, and 30 (12.9%) had a uterine weight ≥ 1000 g. Multivariable regression analysis revealed no statistically significant differences between uterine weight groups and time spent in PACU, the total length of hospital stay, or direct cost. When setting the < 250 g as referent, patients with uterine weights between 500 and 1000 g, and more than 1000 g had an operative time that was on average 23.4% and 91.6% longer than patients with uterine weight < 250 g, respectively (p < 0.01). Patients with uterine weights between 500 and 1000 g and more than 1000 g had an EBL that was on average 35% and 156% higher than patients with uterine weight < 250 g, respectively (p < 0.01). Our data support the safety and feasibility of the three-port robot-assisted hysterectomy technique across uterine weights.

Indexed as

Organ SizeSafetyFeasibility StudiesFemaleHumansHysterectomyLength of StayOperative TimeRegression AnalysisRetrospective StudiesRobotic Surgical ProceduresTime FactorsTreatment OutcomeUterusMinimally invasive surgeryPort reductionRobot-assisted hysterectomySurgical technique

Identifiers

PMID32557096

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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.