Evidence map›Paper›PMID 32661707›Full record

Trial reportSurgical endoscopy2021

Added value of 3D-vision during robotic pancreatoduodenectomy anastomoses in biotissue (LAEBOT 3D2D): a randomized controlled cross-over trial.

Maurice J W Zwart, Leia R Jones, Alberto Balduzzi, Kosei Takagi, Aude Vanlander, Peter B van den Boezem, Freek Daams, Camiel Rosman, Daan J Lips, Arthur J Moser and 5 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.5field-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.

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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Robotic Versus Laparoscopic Pancreaticoduodenectomy: A Review of Contemporary Evidence on Surgical Outcomes and Learning Curve.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026
    Review
  4. Article
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  7. Review
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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

15 authors at 8 institutions in 3 countries.

Maurice J W ZwartDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-9982-6969
Leia R JonesDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Alberto BalduzziGeneral and Pancreatic Surgery Department, Pancreas Institute, University and Hospital Trust of Verona, Verona, Italy.
Kosei TakagiDepartment of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
Aude VanlanderDepartment of Surgery, University Hospital Ghent, University of Ghent, Ghent, Belgium.
Peter B van den BoezemDepartment of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Freek DaamsDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, VU University, Amsterdam, The Netherlands.
Camiel RosmanDepartment of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Daan J LipsDepartment of Surgery, Medisch Spectrum Twente, Enschede, The Netherlands.
Arthur J MoserThe Pancreas and Liver Institute, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.
Melissa E HoggDepartment of Surgery, Northshore University Health System, Chicago, IL, USA.
Olivier R C BuschDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Martijn W J Stommel *Department of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Marc G Besselink *Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. m.g.besselink@amsterdamumc.nl.
Dutch Pancreatic Cancer Group
Amsterdam University Medical Centers · NLRadboud University Nijmegen · NLAmsterdam Neuroscience · NLBeth Israel Deaconess Medical Center · USErasmus MC · NLGhent University Hospital · BEMedisch Spectrum Twente · NLNorthShore University HealthSystem · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe tested the added value of 3D-vision on procedure time and surgical performance during robotic pancreatoduodenectomy anastomoses in biotissue. Robotic surgery has the advantage of articulating instruments and 3D-vision. Consensus is lacking on the added value of 3D-vision during laparoscopic surgery. Given the improved dexterity with robotic surgery, the added value of 3D-vision may be even less with robotic surgery.

methodsIn this experimental randomized controlled cross-over trial, 20 surgeons and surgical residents from 5 countries performed robotic pancreaticojejunostomy and hepaticojejunostomy anastomoses in a biotissue organ model using the da Vinci® system and were randomized to start with either 3D- or 2D-vision. Primary endpoint was the time required to complete both anastomoses. Secondary endpoint was the objective structured assessment of technical skill (OSATS; range 12-60) rating; scored by two observers blinded to 3D/2D.

resultsRobotic 3D-vision reduced the combined operative time from 78.1 to 57.3 min (24.6% reduction, p < 0.001; 20.8 min reduction, 95% confidence intervals 12.8-28.8 min). This reduction was consistent for both anastomoses and between surgeons and residents, p < 0.001. Robotic 3D-vision improved OSATS performance by 6.1 points (20.8% improvement, p = 0.003) compared to 2D (39.4 to 45.1 points, ± 5.5).

conclusion3D-vision has a considerable added value during robotic pancreatoduodenectomy anastomoses in biotissue in both time reduction and improved surgical performance as compared to 2D-vision.

Indexed as

LaparoscopyPancreaticoduodenectomyRoboticsRobotic Surgical ProceduresAdultCross-Over StudiesFemaleHumansMale3DArtificial organsLaparoscopyOSATSRobot-assisted surgery

Identifiers

PMID32661707
PMCPMC8116254
OpenAlexW3041937765

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.