ArticleSurgical endoscopy2021
Impact of laparoscopic surgical experience on the learning curve of robotic rectal cancer surgery.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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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.
The trial behind it
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Robotic versus laparoscopic intracorporeal anastomosis learning curve: a systematic review.Journal of robotic surgery · 2026Pooled it
- European Society of Coloproctology guideline on training in robotic colorectal surgery (2024).Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Guideline
- The learning curve of laparoscopic, robot-assisted and transanal total mesorectal excisions: a systematic review.Surgical endoscopy · 2022Pooled it
- Impact of BMI on robotic rectal cancer surgery versus three-dimensional laparoscopic rectal cancer surgery: a retrospective study.Surgical endoscopy · 2026Article
- Surgeon workload in supervised robotic colorectal surgery: a surgical task load index study.Surgical endoscopy · 2026Article
- Impact of surgeon qualifications on the safety of Robot-Assisted surgery.Surgery today · 2026Article
- Initial adaptation to robotic rectal cancer surgery using the hinotori surgical robot system: a CUSUM analysis of certified proctor surgeons.Journal of robotic surgery · 2026Article
- Article
- European Delphi consensus on specific training, implementation requirements, and clinical use for the Hugo™ robotic-assisted surgery platform in colorectal procedures.International journal of colorectal disease · 2026Article
- Robotic colorectal surgery: making sense of the learning curve.Journal of robotic surgery · 2026Review
- Transanal versus robotic total mesorectal excision for mid- and low-rectal cancer: A single-center comparative cohort of 109 patients.Journal of robotic surgery · 2026Article
- Learning Curve of Da Vinci Xi Robotic Low Anterior Resection: A Cumulative Sum Analysis of a Single High-Volume Surgeon.Journal of clinical medicine · 2026Article
- Mapping the knowledge landscape of robotic colorectal cancer surgery: a visualization study.Journal of robotic surgery · 2025Article
- Comparison of short-term outcomes for robotic rectal surgery between the hinotori™ surgical robot system and da Vinci surgical system: a single-center retrospective study using propensity score matching analysis.Surgical endoscopy · 2025Article
- Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.World journal of emergency surgery : WJES · 2023Article
- Training curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper.World journal of emergency surgery : WJES · 2023Review
- A novel training program: laparoscopic versus robotic-assisted low anterior resection for rectal cancer can be trained simultaneously.Frontiers in oncology · 2023Article
- Impact of Surgical Experience Before Robot-assisted Partial Nephrectomy on Surgical Outcomes: A Multicenter Analysis of 2500 Patients.European urology open science · 2022Article
- Local recurrence of robot-assisted total mesorectal excision: a multicentre cohort study evaluating the initial cases.International journal of colorectal disease · 2022Article
- Learning Curve of Robotic-Assisted Total Mesorectal Excision for Rectal Cancer.Frontiers in oncology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobotic surgery has advantages in terms of the ergonomic design and expectations of shortening the learning curve, which may reduce the number of patients with adverse outcomes during a surgeon's learning period. We investigated the differences in the learning curves of robotic surgery and clinical outcomes for rectal cancer among surgeons with differences in their experiences of laparoscopic rectal cancer surgery.
methodsPatients who underwent robotic surgery for colorectal cancer were reviewed retrospectively. Patients were divided into five groups by surgeons, and their clinical outcomes were analyzed. The learning curve of each surgeon with different volumes of laparoscopic experience was analyzed using the cumulative sum technique (CUSUM) for operation times, surgical failure (open conversion or anastomosis-related complications), and local failure (positive resection margins or local recurrence within 1 year).
resultsA total of 662 patients who underwent robotic low anterior resection (LAR) for rectal cancer were included in the analysis. Number of laparoscopic LAR cases performed by surgeon A, B, C, D, and E prior to their first case of robotic surgery were 403, 40, 15, 5, and 0 cases, respectively. Based on CUSUM for operation time, surgeon A, B, C, D, and E's learning curve periods were 110, 39, 114, 55, and 23 cases, respectively. There were no significant differences in the surgical and oncological outcomes after robotic LAR among the surgeons.
conclusionsThis study demonstrated the limited impact of laparoscopic surgical experience on the learning curve of robotic rectal cancer surgery, which was greater than previously reported curves.
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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.