ArticleSurgical endoscopy2022
Trends and consequences of surgical conversion in the United States.
Article in Surgical endoscopy, 2022. 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, 25 citations in OpenAlex.
- Short-term surgical outcomes of robotic-assisted versus laparoscopic ileal pouch-anal anastomosis (IPAA): a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- An Emergency Robotic Programme for Acute Complicated Diverticulitis: A Tertiary Centre Experience.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Article
- Implementation of a robotic surgery program in Peru: a retrospective cohort study of case mix, perioperative outcomes, and predictors of operative time.Journal of robotic surgery · 2026Article
- Colorectal Cancer Surgery: Laparoscopic vs. Robotic Approaches-A Review of the Literature.Journal of clinical medicine · 2026Review
- Reduced conversion and readmission rates in robotic ileocecal resection for Crohn's disease: a propensity-matched analysis of the Hugo™ RAS system.Surgical endoscopy · 2026Article
- Robotic vs. laparoscopic redo ileocolonic resection for recurrent Crohn's disease.Journal of robotic surgery · 2026Article
- Real-world performance of the SSI Mantra™ robotic system: a multi-centric multi-specialty study evaluating its safety and surgical applications.Journal of robotic surgery · 2026Article
- Robotic right colectomy is associated with reduced conversion to open surgery in patients with obesity.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2025Article
- Risk of Open Conversion During Robotic Gastrectomy for Gastric Cancer: Optimizing Patient Selection.Journal of surgical oncology · 2025Article
- Safety with the senhance™ robotic system in 3,239 patients across various surgical disciplines.Langenbeck's archives of surgery · 2025Article
- Unplanned conversions of robotic pancreaticoduodenectomy: short-term outcomes and suggested stepwise approach for a safe conversion.Surgical endoscopy · 2024Article
- National trends and feasibility of a robotic surgical approach in the management of patients with inflammatory bowel disease.Surgical endoscopy · 2023Article
- Perioperative outcomes of robotic and laparoscopic surgery for colorectal cancer: a propensity score-matched analysis.World journal of surgical oncology · 2023Article
- Minimally invasive ileal pouch-anal anastomosis for patients with obesity: a propensity score-matched analysis.Langenbeck's archives of surgery · 2021Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to identify national utilization trends of robotic surgery for elective colectomy, conversion rates over time, and the specific impact of conversion on postoperative morbidity. Conversion to open represents a hard endpoint for minimally invasive surgery (MIS) and is associated with worse outcomes when compared to MIS or even traditional open procedures.
methodsAll adult patients who underwent either laparoscopic or robotic elective colectomy from 2013 to 2018 as reported in the American College of Surgeons Quality Improvement Program (ACS-NSQIP) database were included. National trends of both robotic utilization and conversion rates were analyzed, overall and according to underlying disease (benign disease, inflammatory bowel disease (IBD), cancer), or the presence of obesity (body mass index (BMI) ≥ 30 kg/m
resultsOf 66,652 included procedures, 5353 (8.0%) were converted to open. Conversion rates were 8.5% for laparoscopic and 4.9% for robotic surgery (p < 0.0001). A decline in conversion rates over the 6-year inclusion period was observed overall and for patients with obesity. This trend paralleled an increased utilization of the robotic platform. Several surrogates for advanced disease stages for cancer, diverticulitis, and IBD and prolonged surgical duration were identified as independent risk factors for unplanned conversion, while robotic approach was an independent protective factor (OR 0.44, p < 0.0001). Patients who had unplanned conversion were more likely to experience postoperative complications (OR 2.36; 95% CI [2.21-2.51]), length of hospital stay ≥ 6 days (OR 2.86; 95% CI [2.67-3.05], and 30-day mortality (OR 2.28; 95% CI [1.72-3.02]).
conclusionThis nationwide study identified a decreasing trend in conversion rates over the 6-year inclusion period, both overall and in patients with obesity, paralleling increased utilization of the robotic platform. Unplanned conversion to open was associated with a higher risk of postoperative complications.
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