Evidence map›Paper›PMID 32909211›Full record

ArticleSurgical endoscopy2020

Multiquadrant surgery in the robotic era: a technical description and outcomes for da Vinci Xi robotic subtotal colectomy and total proctocolectomy.

Hannah M Hollandsworth, Sarah Stringfield, Kristin Klepper, Beiqun Zhao, Benjamin Abbadessa, Nicole E Lopez, Lisa Parry, Sonia Ramamoorthy, Samuel Eisenstein

Open access · greenAbstract read
PubMed Full text at PMC Publisher
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. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
0.7field-weighted citation impact, top 28% 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, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Learning Curve in Robotic Colorectal Surgery.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Pooled it
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  11. State-of-the-art surgery for ulcerative colitis.Langenbeck's archives of surgery · 2021
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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

9 authors at 1 institution in 1 country.

Hannah M HollandsworthDepartment of Surgery, Division of Colon and Rectal Surgery, John and Rebecca Moores Cancer Center, University of California San Diego, 3855 Health Sciences Dr. #0987, La Jolla, CA, 92037, USA.ORCID 0000-0002-8867-6835
Sarah StringfieldDepartment of Surgery, Division of Colon and Rectal Surgery, John and Rebecca Moores Cancer Center, University of California San Diego, 3855 Health Sciences Dr. #0987, La Jolla, CA, 92037, USA.
Kristin KlepperUniversity of California School of Medicine, San Diego, CA, USA.
Beiqun ZhaoDepartment of Surgery, Division of Colon and Rectal Surgery, John and Rebecca Moores Cancer Center, University of California San Diego, 3855 Health Sciences Dr. #0987, La Jolla, CA, 92037, USA.
Benjamin AbbadessaDepartment of Surgery, Division of Colon and Rectal Surgery, John and Rebecca Moores Cancer Center, University of California San Diego, 3855 Health Sciences Dr. #0987, La Jolla, CA, 92037, USA.
Nicole E LopezDepartment of Surgery, Division of Colon and Rectal Surgery, John and Rebecca Moores Cancer Center, University of California San Diego, 3855 Health Sciences Dr. #0987, La Jolla, CA, 92037, USA.
Lisa ParryDepartment of Surgery, Division of Colon and Rectal Surgery, John and Rebecca Moores Cancer Center, University of California San Diego, 3855 Health Sciences Dr. #0987, La Jolla, CA, 92037, USA.
Sonia RamamoorthyDepartment of Surgery, Division of Colon and Rectal Surgery, John and Rebecca Moores Cancer Center, University of California San Diego, 3855 Health Sciences Dr. #0987, La Jolla, CA, 92037, USA.
Samuel EisensteinDepartment of Surgery, Division of Colon and Rectal Surgery, John and Rebecca Moores Cancer Center, University of California San Diego, 3855 Health Sciences Dr. #0987, La Jolla, CA, 92037, USA. seisenstein@ucsd.edu.
University of California San Diego · US

Funding

UCSD Cancer Center Training Program in Drug DevelopmentT32CA121938 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Michael Bouvet, Dwayne G. Stupack · 2006 to 2026
$10.3M
NCI NIH HHS T32 CA121938
6 · The paper itself

Abstract

backgroundCommon colorectal procedures that require access to all quadrants of the abdomen are subtotal colectomy (STC) and total proctocolectomy (TPC). These are frequently performed with a surgical robot, but multiquadrant operations have unique challenges during robot-assisted surgery.

methodsPatients who underwent robotic STC or TPC with the da Vinci Xi surgical robot at our institution from July 1, 2016 through June 30, 2019 were identified by diagnosis and procedure codes. A technical description is provided for the techniques utilized at our institution. Outcomes included operative times (OT), supply cost and length of stay. Associated morbidity and mortality was also analyzed.

resultsFrom a review of our institution's robotic surgery data, 37 cases were identified that utilized the described technique. Of these cases, 21 were robotic STC and 16 were TPC. Total mean OT was 276.86 min (SD ± 119.49). Mean OT was further analyzed by year, which demonstrated an overall decrease in OT from 350.91 min (SD ± 46.38) in 2016 to 221.43 min (SD ± 16.46) in 2018 (p = 0.008). A total of 21 cases were performed prior to 2018. Overall OT for STC was 222.81 min (SD ± 14.54) compared to overall TPC OT 347.81 min (SD ± 34.35). Median length of stay was 5 days [25th and 75th percentiles 4, 6, respectively]. There was no 30-day mortality and only one return to operating room for mesenteric bleeding. There was a low risk of mortality associated with this technique.

conclusionsThe current study provides the largest cohort of patients assessed who have undergone multiquadrant robotic STC or TPC. The study provides a detailed description of the technique utilized at our institution. There was no associated 30-day mortality and a low risk of morbidity. The data suggest that the learning curve for improved operative time is between 15 and 20 cases.

Indexed as

ColectomyFemaleHumansLearning CurveMaleMiddle AgedOperative TimeProctocolectomy, RestorativeRoboticsRobotic Surgical ProceduresTreatment OutcomeMultiquadrant surgeryRobotic surgerySubtotal colectomySurgical techniquesTotal proctocolectomy

Identifiers

PMID32909211
PMCPMC10201451
OpenAlexW3083920921

What OpenQuestion holds

Textmetadata
LicenceTDM
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.