Evidence map›Paper›PMID 33634355›Full record

ArticleJournal of robotic surgery2022

Optimizing outcomes in colorectal surgery: cost and clinical analysis of robotic versus laparoscopic approaches to colon resection.

Kevin J Hancock, V Suzanne Klimberg, Omar Nunez-Lopez, Aakash H Gajjar, Guillermo Gomez, Douglas S Tyler, Laila Rashidi

Open access · greenAbstract read
In one paragraph

Article in Journal of robotic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 15% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  3. Training and assessment for colorectal surgery and appendicectomy- a systematic review.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
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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

7 authors at 3 institutions in 1 country.

Kevin J HancockDepartment of Surgery, University of Texas Medical Branch, 301 University Dr, Galveston, TX, 77555, USA.ORCID http://orcid.org/0000-0002-9041-0593
V Suzanne KlimbergDepartment of Surgery, University of Texas Medical Branch, 301 University Dr, Galveston, TX, 77555, USA.
Omar Nunez-LopezDepartment of Surgery, University of Texas Medical Branch, 301 University Dr, Galveston, TX, 77555, USA.
Aakash H GajjarDepartment of Surgery, University of Texas Medical Branch, 301 University Dr, Galveston, TX, 77555, USA.
Guillermo GomezDepartment of Surgery, University of Texas Medical Branch, 301 University Dr, Galveston, TX, 77555, USA.
Douglas S TylerDepartment of Surgery, University of Texas Medical Branch, 301 University Dr, Galveston, TX, 77555, USA.
Laila RashidiDepartment of Surgery, Multicare Health System, 3124 19th St. Suite 220, Tacoma, WA, 98405, USA. lailarashidi58@gmail.com.
The University of Texas Medical Branch at Galveston · USColorectal Surgical Associates · USMultiCare Health System · US

Funding

SURGICAL TRAINING IN GASTROINTESTINAL ENDOCRINOLOGYT32DK007639 · NIDDK · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI RADHAKRISHNAN, RAVI S. · 1992 to 2022
$3.6M
NIDDK NIH HHS T32 DK007639NIDDK NIH HHS T32DK007639
6 · The paper itself

Abstract

The use of robotics in colorectal surgery has been steadily increasing, however, reported longer operative times and increased cost has limited its widespread adoption. We investigated the cost of elective colorectal surgery based on type of anatomic resection and the impact of a standardized protocol for robotic colectomies. A retrospective review was conducted of 279 elective colectomies at a single institution between 2013 and 2017. Clinical outcomes and detailed cost data were compared based on open, laparoscopic, or robotic surgical approach and stratified by anatomic resection. Robotic, laparoscopic and open colectomy rates were 35, 34 and 31%, respectively. While total costs were similar in robotic and laparoscopic surgery, anatomic resection stratification showed that low anterior resection (LAR) was significantly cheaper ($14,093 vs $17,314). When a standardized surgical protocol was implemented for robotic colectomies, significant reductions in operative times, length of stay, total cost, and operative cost were observed. Robotic surgery may be most cost effective for elective LAR compared to laparoscopic or open approaches. A standardized surgical protocol for robotic surgery may help reduce costs by reducing operative times, operating rooms expenditure, and lengths of stay.

Indexed as

Colorectal SurgeryLaparoscopyRobotic Surgical ProceduresColectomyColonHumansLength of StayOperative TimeRetrospective StudiesColorectalCostMinimally invasiveRoboticStandardized surgical protocol

Identifiers

PMID33634355
PMCPMC8384955
OpenAlexW3130681174

What OpenQuestion holds

Textmetadata
LicenceTDM
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.