ArticleSurgical endoscopy2022
Is robotic utilization associated with increased minimally invasive colorectal surgery rates? Surgeon-level evidence.
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 8 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- A systematic review of robotic colorectal surgery programs worldwide and a comprehensive description of local robotic training programme.BMC medical education · 2025Pooled it
- Single-port robotic colorectal surgery: a scoping review of outcome reporting and future directions for standardisation.Journal of robotic surgery · 2026Article
- Multimodal deep learning for objective skill assessment in robot-assisted vesico-urethral anastomosis.Journal of robotic surgery · 2026Article
- Bundled Payment Programs and Changes in Practice Patterns and Episode Spending in Major Gastrointestinal Surgery.Health services research · 2026Article
- Feasibility of initiating robotic surgery during the early stages of gastrointestinal surgery education.Langenbeck's archives of surgery · 2024Article
- Racial disparities in complications following elective colon cancer resection: Impact of laparoscopic versus robotic approaches.American journal of surgery · 2024Article
- Implementation of a structured robotic colorectal curriculum for general surgery residents.Journal of robotic surgery · 2023Article
- Outcomes Comparing 19,769 Patients Who Underwent Robotic, Laparoscopic, or Open Colorectal Surgery.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is unclear whether robotic utilization has increased overall minimally invasive colorectal surgery rates or if robotics is being adopted instead of laparoscopy. The goal was to evaluate whether increasing robotic surgery utilization is associated with increased rates of overall colorectal minimally invasive surgery.
methodsThe Statewide Planning and Research Cooperative System (New York) was used to identify patients undergoing elective colectomy or proctectomy from 2009 to 2015. Individual surgeons were categorized as having increasing or non-increasing robotic utilization (IRU or non-IRU, respectively) based on the annual increase in the proportion of robotic surgery performed. The odds of surgical approach across the study period were evaluated with multinomial regression.
resultsAmong 72,813 resections from 2009 to 2015, minimally invasive-surgery increased (47-61%, p < 0.0001). For colectomy, overall minimally invasive-surgery rates increased (54-66%, p < 0.0001), laparoscopic remained stable (53-54%), and robotics increased (1-12%). For proctectomy, overall minimally invasive-surgery rates increased (22-43%, p < 0.0001), laparoscopic remained stable (20-21%), and robotics increased (2-22%). Over the study period, 2487 surgeons performed colectomies. Among 156 surgeons with IRU for colectomies, robotics increased (2-29%), while laparoscopy decreased (67-44%), and open surgery decreased (31-27%). Overall, surgeons with IRU performed minimally invasive colectomies 73% of the time in 2015 versus 69% in 2009. Over the study period, 1131 surgeons performed proctectomies. Among 94 surgeons with IRU for proctectomies, robotics increased (3-42%), while laparoscopy decreased (25-15%), and open surgery decreased (73-44%). Overall, surgeons with IRU performed minimally invasive proctectomy 56% of the time in 2015 versus 27% in 2009. Patients in the latter study period had 57% greater odds of undergoing robotic surgery.
conclusionsOverall, minimally invasive colorectal resections increased from 2009 to 2015 largely due to increasing robotic utilization, particularly for proctectomies.
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