Evidence map›Paper›PMID 33398577›Full record

ArticleSurgical endoscopy2021

Robotic-assisted surgery enhances the learning curve while maintaining quality outcomes in sleeve gastrectomy: a preliminary, multicenter study.

Omar Bellorin, Mariana Vigiola-Cruz, Francesca Dimou, Rachel At, Omar Al Hussein Alawamlh, Alfons Pomp, Gregory Dakin, Cheguevara Afaneh

Abstract readMulticenter Study
PubMed Publisher
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 22% of its field
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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Observational
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  6. Review
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

8 authors at 3 institutions in 1 country.

Omar BellorinDepartment of Surgery, New York Presbyterian Hospital-Weill Cornell Medicine, 525 East 68th St., Box 294, New York, NY, 10065, USA.
Mariana Vigiola-CruzDepartment of Surgery, New York Presbyterian Hospital-Weill Cornell Medicine, 525 East 68th St., Box 294, New York, NY, 10065, USA.
Francesca DimouDepartment of Surgery, Washington University, St. Louis, USA.
Rachel AtDepartment of Surgery, Valley Hospital, Valley Health System, Ridgewood, USA.
Omar Al Hussein AlawamlhDepartment of Surgery, New York Presbyterian Hospital-Weill Cornell Medicine, 525 East 68th St., Box 294, New York, NY, 10065, USA.
Alfons PompDepartment of Surgery, New York Presbyterian Hospital-Weill Cornell Medicine, 525 East 68th St., Box 294, New York, NY, 10065, USA.
Gregory DakinDepartment of Surgery, New York Presbyterian Hospital-Weill Cornell Medicine, 525 East 68th St., Box 294, New York, NY, 10065, USA.
Cheguevara AfanehDepartment of Surgery, New York Presbyterian Hospital-Weill Cornell Medicine, 525 East 68th St., Box 294, New York, NY, 10065, USA. cha9043@med.cornell.edu.ORCID 0000-0002-8968-2444
NewYork–Presbyterian Hospital · USValley Hospital · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe frequency of robotic-assisted bariatric surgery has been on the rise. An increasing number of fellowship programs have adopted robotic surgery as part of the curriculum. Our aim was to compare technical efficiency of a surgeon during the first year of practice after completing an advanced minimally invasive fellowship with a mentor surgeon.

methodsA systematic review of a prospectively maintained database was performed of consecutive patients undergoing robotic-assisted sleeve gastrectomy between 2015 and 2019 at a tertiary-care bariatric center (mentor group) and between 2018 and 2019 at a semi-academic community-based bariatric program (mentee 1 group) and 2019-2020 at a tertiary-care academic center (mentee 2 group).

results257 patients in the mentor group, 45 patients in the mentee 1 group, and 11 patients in the mentee 2 group were included. The mentee operative times during the first year in practice were significantly faster than the mentor's times in the first three (mentee 1 group) and two (mentee 2 group) years (P < 0.05) but remained significantly longer than the mentor's times in the last two (mentee 1 group) and one (mentee 2 group) years (P < 0.05). There was no significant difference in venothromboembolic events (P = 0.89) or readmission rates (P = 0.93). The mean length of stay was 1.8 ± 0.5 days, 1.3 ± 0.5 days, and 1.5 ± 0.5 days in the mentor, mentee 1, and mentee 2 groups, respectively (P < 0.0001). There were no reoperations, conversion to laparoscopy or open, no staple line leaks, strictures, or deaths in any group.

conclusionsThis is one of the first series to show that the robotic platform can safely be taught and may translate into outcomes consistent with surgeons with more experience while mitigating the learning curve as early as the first year in practice. Long-term follow-up of mentees will be necessary to assess the evolution of fellowship training and outcomes.

Indexed as

AdultClinical CompetenceFemaleGastrectomyHumansLaparoscopyLearning CurveMaleMentorsMiddle AgedOperative TimeReoperationRetrospective StudiesRobotic Surgical ProceduresSurgeonsTreatment OutcomeLearning curveOperative timeRobotic-assisted sleeve gastrectomyRobotic training

Identifiers

PMID33398577
OpenAlexW3118899454

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.