Evidence map›Paper›PMID 33068190›Full record

ArticleTechniques in coloproctology2021

First clinical experience with single-port robotic transanal minimally invasive surgery (SP rTAMIS) for benign rectal neoplasms.

J H Marks, E Kunkel, J F Salem, C Martin, B Anderson, S Agarwal

Abstract read
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Article in Techniques in coloproctology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  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
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  12. Robotic Transanal Minimally Invasive Surgery for Rectal Polyps.Clinics in colon and rectal surgery · 2024
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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

6 authors.

J H MarksDivision of Colorectal Surgery, Marks Colorectal Surgical Associates, Lankenau Medical Center, Medical Science Building, Suite 375, 600 East Lancaster Avenue, Wynnewood, PA, 19096, USA. marksj@mlhs.org.ORCID http://orcid.org/0000-0002-5977-0603
E KunkelDivision of Colorectal Surgery, Marks Colorectal Surgical Associates, Lankenau Medical Center, Medical Science Building, Suite 375, 600 East Lancaster Avenue, Wynnewood, PA, 19096, USA.
J F SalemDivision of Colorectal Surgery, Marks Colorectal Surgical Associates, Lankenau Medical Center, Medical Science Building, Suite 375, 600 East Lancaster Avenue, Wynnewood, PA, 19096, USA.
C MartinDivision of Colorectal Surgery, Marks Colorectal Surgical Associates, Lankenau Medical Center, Medical Science Building, Suite 375, 600 East Lancaster Avenue, Wynnewood, PA, 19096, USA.
B AndersonDivision of Colorectal Surgery, Marks Colorectal Surgical Associates, Lankenau Medical Center, Medical Science Building, Suite 375, 600 East Lancaster Avenue, Wynnewood, PA, 19096, USA.
S AgarwalDivision of Colorectal Surgery, Marks Colorectal Surgical Associates, Lankenau Medical Center, Medical Science Building, Suite 375, 600 East Lancaster Avenue, Wynnewood, PA, 19096, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe new da Vinci Single-Port (SP) robot is a single-arm four-channel robotic system well suited for endoluminal surgery. We report our initial experience performing SP robotic transanal minimally invasive surgery (SP rTAMIS) for rectal neoplasms.

methodsUnder Institutional Review Board approval, two patients with rectal neoplasms were prospectively enrolled for elective SP rTAMIS. The primary endpoint was to report the safety and feasibility of successful procedure completion with the SP robot. Secondary endpoints included patient characteristics and perioperative metrics.

resultsBoth patients underwent successful SP rTAMIS resection of rectal neoplasms without intraoperative complications or conversions. The lesions were 4.0 cm and 3.0 cm in size, located 6 cm and 7 cm cephalad to the anorectal ring. Excisions were full thickness with no piecemeal extractions or specimen fragmentation. Estimated blood loss was 0 mL and 30 mL. The mean excised area was 13.4 cm

conclusionsOur initial experience indicates that SP rTAMIS is a safe and feasible approach for local excision of rectal lesions. While SP rTAMIS is very promising, more experience with this approach is necessary to determine its widespread applicability.

Indexed as

Rectal NeoplasmsRoboticsRobotic Surgical ProceduresTransanal Endoscopic SurgeryAnal CanalHumansMinimally Invasive Surgical ProceduresRectumLocal excisionRobotic surgerySingle-port robot (SP)Transanal endoscopic microsurgery (TEM)Transanal minimally invasive surgery (TAMIS)Transanal surgery

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Registered trials

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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.