Evidence map›Paper›PMID 33977377›Full record

Trial reportSurgical endoscopy2022

Efficiency in image-guided robotic and conventional camera steering: a prospective randomized controlled trial.

P J M Wijsman, F J Voskens, L Molenaar, C D P van 't Hullenaar, E C J Consten, W A Draaisma, I A M J Broeders

Open access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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.

P J M WijsmanDepartment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands.ORCID 0000-0001-6929-9061
F J VoskensDepartment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands.
L MolenaarDepartment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands.
C D P van 't HullenaarDepartment of Surgery, Het Van Weel Bethesda Ziekenhuis, Dirksland, The Netherlands.
E C J ConstenDepartment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands.
W A DraaismaDepartment of Surgery, Jeroen Bosch Hospital, 's Hertogenbosch, The Netherlands.
I A M J BroedersDepartment of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands. iamj.broeders@meandermc.nl.
Meander Medisch Centrum · NLJeroen Bosch Ziekenhuis · NLZiekenhuis Bethesda · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic camera steering systems have been developed to facilitate endoscopic surgery. In this study, a randomized controlled trial was conducted to compare conventional human camera control with the AutoLap™ robotic camera holder in terms of efficiency and user experience when performing routine laparoscopic procedures. Novelty of this system relates to the steering method, which is image based.

methodsPatients undergoing an elective laparoscopic hemicolectomy, sigmoid resection, fundoplication and cholecystectomy between September 2016 and January 2018 were included. Stratified block randomization was used for group allocation. The primary aim of this study was to compare the efficiency of robotic and human camera control, measured with surgical team size and total operating time. Secondary outcome parameters were number of cleaning moments of the laparoscope and the post-study system usability questionnaire.

resultsA total of 100 patients were randomized to have robotic (50) versus human (50) camera control. Baseline characteristics did not differ significantly between groups. In the robotic group, 49/50 (98%) of procedures were carried out without human camera control, reducing the surgical team size from four to three individuals. The median total operative time (60.0 versus 53.0 min, robotic vs. control) was not significantly different, p = 0.122. The questionnaire showed a positive user satisfaction and easy control of the robotic camera holder.

conclusionImage-based robotic camera control can reduce surgical team size and does not result in significant difference in operative time compared to human camera control. Moreover, robotic image-guided camera control was associated with positive user experience.

Indexed as

LaparoscopyRoboticsRobotic Surgical ProceduresColectomyHumansProspective StudiesActive robotic camera steeringAutoLap™ systemLaparoscopic camera holderSolo surgery

Identifiers

PMID33977377
OpenAlexW3160632377

What OpenQuestion holds

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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.