ArticleSurgical endoscopy2022
Cumulative summation analysis of learning curve for robotic-assisted hiatal hernia repairs.
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 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Robotic surgery versus Laparoscopic surgery for anti-reflux and hiatal hernia surgery: a short-term outcomes and cost systematic literature review and meta-analysis.Langenbeck's archives of surgery · 2024Pooled it
- Robotic versus laparoscopic surgery for hiatal hernia repair: a systematic literature review and meta-analysis.Journal of robotic surgery · 2023Pooled it
- First United States experience of robotic-assisted minimally invasive inguinal hernia repair using the Dexter surgical system.Surgical endoscopy · 2026Article
- A study of the learning curve for laparoscopic Nissen fundoplication procedure, focusing on operative times using cumulative sum (CUSUM) method and multiple regression analysis for patients with neuromuscular disease.Pediatric surgery international · 2026Article
- Robot-Assisted Antireflux Surgery in Gastro-Oesophageal Reflux Disease and Hiatal Hernia: Beyond Platform Comparison Towards Selective Clinical Value.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Review
- Comparative outcomes of natural orifice specimen extraction surgery versus totally laparoscopic surgery for right-sided colon cancer: a single-centre propensity score-matched study.Frontiers in surgery · 2026Article
- Learning curve for robotic-assisted hiatal hernia repair determined by cumulative analysis of adjusted operative times.Scientific reports · 2025Article
- Voluminous hiatal hernias - the role of robotic surgery.Innovative surgical sciences · 2025Review
- Robotic hiatus hernia surgery: learning curve and lessons learned.Journal of robotic surgery · 2025Article
- Cumulative summation analysis of learning curve for endoscopic endonasal transsphenoidal resection of craniopharyngiomas.Frontiers in surgery · 2024Article
- Proctored adoption of robotic hiatus hernia surgery: outcomes and learning curves in a high-volume UK centre.Surgical endoscopy · 2023Article
- Comparison of laparoscopicJournal of thoracic disease · 2023Review
- A multidimensional learning curve analysis of totally laparoscopic ileostomy reversal using a single surgeon' s experience.Frontiers in surgery · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobotic-assisted laparoscopic surgery (RALS) is evolving as an important surgical approach in the field of general surgery. We aimed to evaluate the learning curve for RALS procedures involving repair of hiatal hernias.
methodsA series of robotic-assisted hiatal hernia (HH) repairs were performed between 2013 and 2017 by a surgeon at a single institution. Data were entered into a retrospective database. Patient demographics and intraoperative parameters including console time (CT), surgery time (ST), and total operative time (OT) were examined and abstracted for learning curve analysis using the cumulative sum (CUSUM) method. Assessment of perioperative and post-operative outcomes were calculated using descriptive statistics.
resultsThe average age of the patients was 57.4 years, average BMI was 29.9 kg/m
conclusionsThe three phases identified with CUSUM analysis represented characteristic stages of the learning curve for robotic hiatal hernia procedures. Our data suggest the training phase is achieved after 40 cases and a high level of mastery is achieved after approximately 85 cases. Thus, the CUSUM method serves as a useful tool for objectively evaluating practical skills for surgeons and can ultimately help establish milestones that assess surgical competency during robotic surgery training.
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Registered trials
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.