Evidence map›Paper›PMID 33289055›Full record

ArticleSurgical endoscopy2021

Short-term clinical outcomes of a European training programme for robotic colorectal surgery.

Sofoklis Panteleimonitis, Danilo Miskovic, Rachelle Bissett-Amess, Nuno Figueiredo, Matthias Turina, Giuseppe Spinoglio, Richard J Heald, Amjad Parvaiz, EARCS Collaborative

Abstract read
In one paragraph

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 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 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

26 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. 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 · 2024
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  8. Pre-Procedural Robotic Surgery Curricula: A Systematic Review and Thematic Meta-Synthesis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
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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.

Sofoklis PanteleimonitisSchool of Health and Care Professions, University of Portsmouth, St Andrews Court, St Michael's Road, Portsmouth, PO1 2PR, UK.
Danilo MiskovicSt. Mark's Hospital, London, UK.
Rachelle Bissett-AmessChampalimaud Foundation, Av. Brasilia, 1400-038, Lisbon, Portugal.
Nuno FigueiredoChampalimaud Foundation, Av. Brasilia, 1400-038, Lisbon, Portugal.
Matthias TurinaDivision of Colorectal Surgery and Proctology, University of Zurich Hospital, Moussonstrasse 2, 8044, Zurich, Switzerland.
Giuseppe SpinoglioEuropean Institute of Oncology, via Ripamonti 435, Milan, Italy.
Richard J HealdChampalimaud Foundation, Av. Brasilia, 1400-038, Lisbon, Portugal.
Amjad ParvaizSchool of Health and Care Professions, University of Portsmouth, St Andrews Court, St Michael's Road, Portsmouth, PO1 2PR, UK. apcheema@yahoo.com.
EARCS Collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite there being a considerable amount of published studies on robotic colorectal surgery (RCS) over the last few years, there is a lack of evidence regarding RCS training pathways. This study examines the short-term clinical outcomes of an international RCS training programme (the European Academy of Robotic Colorectal Surgery-EARCS).

methodsConsecutive cases from 26 European colorectal units who conducted RCS between 2014 and 2018 were included in this study. The baseline characteristics and short-term outcomes of cases performed by EARCS delegates during training were analysed and compared with cases performed by EARCS graduates and proctors.

resultsData from 1130 RCS procedures were collected and classified into three cohort groups (323 training, 626 graduates and 181 proctors). The training cases conversion rate was 2.2% and R1 resection rate was 1.5%. The three groups were similar in terms of baseline characteristics with the exception of malignant cases and rectal resections performed. With the exception of operative time, blood loss and hospital stay (training vs. graduate vs. proctor: operative time 302, 265, 255 min, p < 0.001; blood loss 50, 50, 30 ml, p < 0.001; hospital stay 7, 6, 6 days, p = 0.003), all remaining short-term outcomes (conversion, 30-day reoperation, 30-day readmission, 30-day mortality, clinical anastomotic leak, complications, R1 resection and lymph node yield) were comparable between the three groups.

conclusionsColorectal surgeons learning how to perform RCS under the EARCS-structured training pathway can safely achieve short-term clinical outcomes comparable to their trainers and overcome the learning process in a way that minimises patient harm.

Indexed as

Colorectal SurgeryLaparoscopyProctectomyRectal NeoplasmsRobotic Surgical ProceduresAnastomotic LeakHumansLength of StayOperative TimeRetrospective StudiesTreatment OutcomeMinimally invasive colorectal surgeryRobotic colorectal surgeryRobotic rectal surgeryRobotic surgery trainingSurgical training

Identifiers

PMID33289055
PMCPMC8599412

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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.