ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2021
Evaluating the Regional Uptake of Minimally Invasive Colorectal Surgery: a Report from the Surgical Care Outcomes Assessment Program.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- A systematic review of robotic colorectal surgery programs worldwide and a comprehensive description of local robotic training programme.BMC medical education · 2025Pooled it
- Economic, resource-use, and adoption signals in the robotic colorectal surgery literature: a bibliometric and visualization study.Journal of robotic surgery · 2026Review
- Bundled Payment Programs and Changes in Practice Patterns and Episode Spending in Major Gastrointestinal Surgery.Health services research · 2026Article
- Review
- Surgical Approach and Variation in Long-Term Survival Following Colorectal Cancer Surgery Using Instrumental Variable Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- "Impact of regional data reporting and feedback on rectal cancer surgery quality metrics in the Surgical Care Outcomes Assessment Program (SCOAP)".Surgery open science · 2025Article
- Retrospective Database Analysis of the Clinical and Economic Outcomes Associated with Disruptive Surgical Bleeding.ClinicoEconomics and outcomes research : CEOR · 2025Article
- An artificial intelligence-designed predictive calculator of conversion from minimally invasive to open colectomy in colon cancer.Updates in surgery · 2024Article
- Regional variations and deprivation are linked to poorer access to laparoscopic and robotic colorectal surgery: a national study in England.Techniques in coloproctology · 2023Article
- Efficacy of laparoscopic surgery for loop colostomy: a propensity-score-matched analysis.Techniques in coloproctology · 2023Article
- Implementation of a structured robotic colorectal curriculum for general surgery residents.Journal of robotic surgery · 2023Article
- Health-care expenditures are less for minimally invasive than open colectomy for colon cancer: A US commercial claims database analysis.Surgical endoscopy · 2023Article
- Feasibility of two laparoscopic surgeries for colon cancer performed by the same surgeon on a single day.International journal of colorectal disease · 2023Article
- Clinical and Economic Burden Associated with Disruptive Surgical Bleeding: A Retrospective Database Analysis.ClinicoEconomics and outcomes research : CEOR · 2023Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMinimally invasive surgery (MIS) for colorectal disease has well-known benefits, but many patients undergo open operations. When choosing an MIS approach, robotic technology may have benefits over traditional laparoscopy and is increasingly used. However, the broad adoption of MIS, and specifically robotics, across colorectal operations has not been well described. Our primary hypothesis is that rates of MIS in colorectal surgery are increasing, with different contributions of robotics to abdominal and pelvic colorectal operations.
methodsRates of MIS colorectal operations are described using a prospective cohort of elective colorectal operations at hospitals in the Surgical Care Outcomes Assessment Program (SCOAP) from 2011 to 2018. The main outcome was proportion of cases approached using open, laparoscopic, and robotic surgery. Factors associated with increased use of MIS approaches were described.
resultsAcross 21,423 elective colorectal operations, rates for MIS (laparoscopic or robotic surgery) increased from 44% in 2011 to 75% in 2018 (p < 0.001). Approaches for abdominal operations (n = 12,493) changed from 2 to 11% robotic, 43 to 63% laparoscopic, and 56 to 26% open (p < 0.001). Approaches for pelvic operations (n = 8930) changed from 3 to 33% robotic, 40 to 42% laparoscopic, and 57 to 24% open(p < 0.001). These trends were similar for high-(100 + operations/year) and low-volume hospitals and surgeons.
conclusionsAt SCOAP hospitals, the majority of elective colorectal operations is now performed minimally invasively. The increase in the MIS approach is primarily driven by laparoscopy in abdominal procedures and robotics in pelvic procedures.
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Registered trials
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.