ArticleSurgical endoscopy2021
Learning curve of robotic-assisted transabdominal preperitoneal repair (rTAPP) for inguinal hernias.
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 35 papers, 7 of them syntheses that pooled it.
What it found
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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
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.
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Who cites it
35 citing papers in PubMed, 7 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Surgeon task load, ergonomics, and clinical outcomes in laparoscopic versus robotic-assisted inguinal hernia repair: a systematic review and meta-analysis of randomized controlled trials.Journal of robotic surgery · 2026Pooled it
- Learning curve in robotic inguinal hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Short-term outcomes of robotic versus laparoscopic TAPP for inguinal hernia repair: a systematic review, meta-analysis, and GRADE assessment.Journal of robotic surgery · 2026Pooled it
- "Comparative safety and efficacy of robotic TAPP and IPOM techniques in ventral hernia repair: a systematic review and meta-analysis of Short-term Outcomes".Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Clinical outcomes from robotic transabdominal preperitoneal inguinal hernia repair in patients under and over 70 years old: a single institution retrospective cohort study with a comprehensive systematic review on behalf of TROGSS - The Robotic Global Surgical Society.Aging clinical and experimental research · 2024Pooled it
- Pooled it
- Learning curve of laparoscopic inguinal hernia repair: systematic review, meta-analysis, and meta-regression.Surgical endoscopy · 2023Pooled it
- First United States experience of robotic-assisted minimally invasive inguinal hernia repair using the Dexter surgical system.Surgical endoscopy · 2026Article
- Risk-adjusted learning curves for robotic suprapubic preperitoneal totally extraperitoneal (PeTEP) and extended totally extraperitoneal (eTEP) ventral hernia repair: a two-center cohort.Journal of robotic surgery · 2026Article
- Learning curve of robotic-assisted transabdominal preperitoneal inguinal hernia repair (r-TAPP): a scoping review of CUSUM-based studies.Journal of robotic surgery · 2026Article
- Association between umbilicus-symphysis pubis distance and operative time in transabdominal preperitoneal (TAPP) inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Robotic transabdominal pre-peritoneal repair of a bilateral inguinal hernia: a surgical technique displaying an educational roadmap using Furtado's 5 triangles concept.Journal of visualized surgery · 2026Article
- Surgeon experience and patient selection influence the learning curve in robotic inguinal hernia repair.Journal of robotic surgery · 2025Article
- Learning curve for robotic-assisted hiatal hernia repair determined by cumulative analysis of adjusted operative times.Scientific reports · 2025Article
- Multisite hernia treatment: the robotic approach makes it feasible.Frontiers in surgery · 2025Article
- Learning Curves for Robotic-Assisted Ventral Hernia Repair.JAMA network open · 2024Article
- Robotic minimally invasive inguinal hernia repair with the Dexter robotic system™: A prospective multicenter clinical investigation.Surgical endoscopy · 2024Article
- Robotic-assisted treatment of paraesophageal hernias in the emergency setting: a retrospective study.Journal of robotic surgery · 2024Article
- Gasless robot-assisted transaxillary hemithyroidectomy (RATH): learning curve and complications.BMC surgery · 2024Article
- Concomitant training in robotic and laparoscopic liver resections of low-to-intermediate difficulty score: a retrospective analysis of the learning curve.Scientific reports · 2024Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLearning curves describe the rate of performance improvements according to the surgeon's caseload, followed by a plateau where limited additional improvements are observed. The aim of this study was to evaluate the learning curve for robotic-assisted transabdominal preperitoneal repair (rTAPP) for inguinal hernias in surgeons already experienced in laparoscopic TAPP.
methodsThe study was approved by local ethic committee. Male patients undergoing rTAPP for inguinal hernia from October 2017 to December 2019 at the Bellinzona Regional Hospital were selected from a prospective database. Demographic and clinical data, including operative time, conversion to laparoscopic or open surgery, intra- and postoperative complications were collected and analyzed.
resultsOver the study period, 170 rTAPP were performed by three surgeons in 132 patients, and mean age was 60.1 ± 13.7 years. The cumulative summation (CUSUM) test showed a significant operative time reduction after the 43
conclusionOur study shows that the rTAPP, performed by experienced laparoscopists, has a learning curve which requires 43 inguinal hernia repairs to achieve 90% proficiency and to significantly reduce the operative time.
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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.