SynthesisWorld journal of emergency surgery : WJES2022
Robotic surgery in emergency setting: 2021 WSES position paper.
Synthesis in World journal of emergency surgery : WJES, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 5 of them syntheses that pooled 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.
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.
Who cites it
58 citing papers in PubMed, 5 syntheses or guidelines pooled it, 128 citations in OpenAlex.
- Robotic surgery in colorectal emergencies: a systematic review of current evidence.World journal of emergency surgery : WJES · 2026Pooled it
- Robotic Appendicectomy: A review of feasibility.Sultan Qaboos University medical journal · 2023Pooled it
- 2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery.World journal of emergency surgery : WJES · 2023Guideline
- New Robotic Platforms in General Surgery: What's the Current Clinical Scenario?Medicina (Kaunas, Lithuania) · 2023Pooled it
- Robotic operations in urgent general surgery: a systematic review.Journal of robotic surgery · 2023Pooled it
- Navigating decision-making for high-cost robotic surgery in the emergency department: an acute care surgery experience.Journal of robotic surgery · 2026Article
- An Emergency Robotic Programme for Acute Complicated Diverticulitis: A Tertiary Centre Experience.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Article
- Interhospital transfer and outcomes after robotic emergency general surgery: a national analysis.Journal of robotic surgery · 2026Article
- Laparoscopic and Robotic Appendectomy: Efficiency and Cost Comparison.Journal of surgery and research · 2026Article
- Development of a robotic training curriculum for visceral and gastrointestinal surgical trainees: an international Delphi study.Surgical endoscopy · 2026Article
- Surgeon practice patterns drive procedural cost variation in appendectomy without improving short-term outcomes.Surgical endoscopy · 2026Article
- Emergency robotic-assisted repair in an elderly patient with strangulated hernia and active influenza A infection: A case report.World journal of virology · 2026Article
- Robot-assisted cholecystectomies take less time to perform than laparoscopy in the urgent setting: a single-centered study evaluating elective and urgent cases.Journal of robotic surgery · 2026Article
- Development of a robotic training curriculum for visceral and gastrointestinal surgical trainees: an international Delphi study.The British journal of surgery · 2026Article
- Development of a Robotic Training Curriculum for Visceral and Gastrointestinal Surgical Trainees: An International Delphi Study.United European gastroenterology journal · 2026Article
- Non-elective colectomy for diverticulitis in the U.S.: a retrospective comparison of robotic, laparoscopic, and open approaches.World journal of emergency surgery : WJES · 2026Article
- Surgeon Volume and Clinical Outcomes After Robotic Elective and Emergency General Surgery.JAMA network open · 2026Article
- "Results of the structured implementation of a robotic acute care surgery program".Journal of robotic surgery · 2026Observational
- Artificial intelligence in emergency surgery: a scoping review within the artificial intelligence in emergency and trauma surgery (ARIES) project.World journal of emergency surgery : WJES · 2026Article
- Beyond the Knife: Evolution, Innovation, Challenges, Global Gaps, and the Future of Acute Care Surgery.Cureus · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
38 authors at 20 institutions in 14 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emergency settings. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a systematic review of the literature to develop consensus statements about the potential use of robotics in emergency general surgery.
methodsThis position paper was conducted according to the WSES methodology. A steering committee was constituted to draft the position paper according to the literature review. An international expert panel then critically revised the manuscript. Each statement was voted through a web survey to reach a consensus.
resultsTen studies (3 case reports, 3 case series, and 4 retrospective comparative cohort studies) have been published regarding the applications of robotics for emergency general surgery procedures. Due to the paucity and overall low quality of evidence, 6 statements are proposed as expert opinions. In general, the experts claim for a strict patient selection while approaching emergent general surgery procedures with robotics, eventually considering it for hemodynamically stable patients only. An emergency setting should not be seen as an absolute contraindication for robotic surgery if an adequate training of the operating surgical team is available. In such conditions, robotic surgery can be considered safe, feasible, and associated with surgical outcomes related to an MIS approach. However, there are some concerns regarding the adoption of robotic surgery for emergency surgeries associated with the following: (i) the availability and accessibility of the robotic platform for emergency units and during night shifts, (ii) expected longer operative times, and (iii) increased costs. Further research is necessary to investigate the role of robotic surgery in emergency settings and to explore the possibility of performing telementoring and telesurgery, which are particularly valuable in emergency situations.
conclusionsMany hospitals are currently equipped with a robotic surgical platform which needs to be implemented efficiently. The role of robotic surgery for emergency procedures remains under investigation. However, its use is expanding with a careful assessment of costs and timeliness of operations. The proposed statements should be seen as a preliminary guide for the surgical community stressing the need for reevaluation and update processes as evidence expands in the relevant literature.
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What OpenQuestion holds
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.