ArticleAnnals of surgical treatment and research2022
Learning curve for single-port robot-assisted rectal cancer surgery.
Article in Annals of surgical treatment and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Application of the Da Vinci Single-Port (SP) Robot in General Surgery: A First Systematic Review.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025Pooled it
- A systematic review of the Da Vinci® Single-Port system (DVSP) in the context of colorectal surgery.International journal of colorectal disease · 2025Pooled it
- Short-Term Comparative Outcomes of Single-Port Robotic Surgery and Single-Incision Laparoscopic Surgery in Rectal Cancer: A Retrospective Multicentre Study.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Article
- Single-Port Robot-Assisted Nipple-Sparing Mastectomy: Main Analysis of a Retrospective Multicenter Study (SPROUT, KoREa-BSG 09).Annals of surgical oncology · 2026Article
- Learning Curve on Lymph Nodes Retrieval and Postoperative Length of Hospital Stay in Robotic Rectal Cancer: A Retrospective, Observational Study.Health science reports · 2025Article
- Short-term outcomes of da Vinci SP versus Xi for rectal cancer surgery: a propensity score matching analysis of two tertiary center cohorts.Surgical endoscopy · 2025Article
- Evaluation of the da Vinci single-port system in colorectal cancer surgery: a scoping review.Updates in surgery · 2024Article
- Da Vinci single-port robotic system current application and future perspective in general surgery: A scoping review.Surgical endoscopy · 2024Article
- Robotic abdominoperineal resection for T4b rectal cancer using the da Vinci SP platform.Techniques in coloproctology · 2023Article
- Single-portAnnals of surgical treatment and research · 2023Article
- Learning curve for uniportal thoracoscopic pulmonary segmentectomy: how many procedures are required to acquire expertise?Translational lung cancer research · 2023Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: We analyzed the learning curve of single-port robotic (SPR)-assisted rectal cancer surgery. Methods: Fifty-seven consecutive SPR-assisted rectal cancer surgery cases performed by the same surgeon were considered in surgical interventions for rectal cancer. Total operation time (OT), docking time (DT), and surgeon console time (SCT) measured during surgery were used to parametrize the learning curve. The parameters representing the learning curve were evaluated using the cumulative sum (CUSUM). Results: The mean value of total OT was 241.8 ± 91.7 minutes, the mean value of DT was 20.6 ± 19.1 minutes, and the mean value of SCT was 135.9 ± 66.7 minutes. The learning curve was divided into phase 1 (initial 16 cases), phase 2 (second 16 cases), and phase 3 (subsequent 25 cases). The peak on the CUSUM graph occurred in the 21st case. The longest OT among phases was in phase 2. Complications were most frequent in phase 2. However, complications of Clavien-Dindo (CD) grade IIIb were most frequent in phase 3 with 2 patients. The most common complications were fluid collection and urinary retention (7 patients each). Complications of CD grade IIIb required one stomal revision due to stoma obstruction and one irrigation and loop ileostomy due to anastomosis leakage. Conclusion: Improvement in surgical performance of SPR assisted rectal cancer operation was achieved after 21 cases. The three phases identified in the cumulative sum analysis showed a significant decrease in operative time after the middle stage of the learning curve without an increase in the complication rate.
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