SynthesisSurgical endoscopy2022
The learning curve of laparoscopic, robot-assisted and transanal total mesorectal excisions: a systematic review.
Synthesis in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 5 of them syntheses that pooled it.
What it found
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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
29 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Restorative resection in robot-assisted versus laparoscopic total mesorectal excision: systematic review and meta-analysis.The British journal of surgery · 2026Pooled it
- Learning curves in robotic and laparoscopic colorectal surgery: a systematic review.Journal of robotic surgery · 2026Pooled it
- The Multi-Dimensional Learning Curve in Robotic-Assisted vs. Laparoscopic Rectal Cancer Resection: A Systematic Review of Procedural Efficiency, Pathological Integrity, and Ergonomic Impact.Journal of robotic surgery · 2026Pooled it
- The effect of excess body weight on short-term outcomes following minimally invasive rectal cancer surgery: a systematic review and meta-analysis.Techniques in coloproctology · 2026Pooled it
- Pooled it
- Trial
- Repositioning transanal total mesorectal excision in the robotic era.Journal of robotic surgery · 2026Review
- Safe Implementation of Robotic Colorectal Surgery: Balancing Surgical Training and Patient Safety with the Dual-Console System.Journal of clinical medicine · 2026Article
- Cumulative Surgeon Experience and Anastomotic Leakage After Left-Sided and Segmental Colorectal Resection with Primary Anastomosis: A Seven-Year Single-Center Retrospective Study.Medicina (Kaunas, Lithuania) · 2026Observational
- Learning curve for Da Vinci Single-Port robotic colorectal cancer surgery: impact of prior robotic experience.Surgical endoscopy · 2026Article
- Short-term outcomes of laparoscopic-assisted transanalWorld journal of gastrointestinal surgery · 2026Article
- Technical proficiency assessment of robotic intracorporeal single-stapling colorectal anastomosis using video-based RA-CUSUM.International journal of colorectal disease · 2026Article
- Short-term outcomes and learning curve of the double-bipolar method in 100 consecutive robot-assisted colorectal cancer resections: a single-center retrospective cohort study.Journal of robotic surgery · 2026Article
- Article
- Article
- Trends and outcomes in colorectal cancer surgery: a multicenter cross-sectional study of minimally invasive versus open techniques in Germany.Surgical endoscopy · 2024Article
- Total Mesorectal Excision with New Robotic Platforms: A Scoping Review.Journal of clinical medicine · 2024Article
- Construction and implementation of a laparoscopic skill training course based on a smartphone application and virtual reality.BMC medical education · 2024Article
- Learning Curve for Robotic Colorectal Surgery.Cancers · 2024Review
- [Robotic rectal surgery].Chirurgie (Heidelberg, Germany) · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe standard treatment of rectal carcinoma is surgical resection according to the total mesorectal excision principle, either by open, laparoscopic, robot-assisted or transanal technique. No clear consensus exists regarding the length of the learning curve for the minimal invasive techniques. This systematic review aims to provide an overview of the current literature regarding the learning curve of minimal invasive TME.
methodsA systematic literature search was performed. PubMed, Embase and Cochrane Library were searched for studies with the primary or secondary aim to assess the learning curve of either laparoscopic, robot-assisted or transanal TME for rectal cancer. The primary outcome was length of the learning curve per minimal invasive technique. Descriptive statistics were used to present results and the MINORS tool was used to assess risk of bias.
results45 studies, with 7562 patients, were included in this systematic review. Length of the learning curve based on intraoperative complications, postoperative complications, pathological outcomes, or a composite endpoint using a risk-adjusted CUSUM analysis was 50 procedures for the laparoscopic technique, 32-75 procedures for the robot-assisted technique and 36-54 procedures for the transanal technique. Due to the low quality of studies and a high level of heterogeneity a meta-analysis could not be performed. Heterogeneity was caused by patient-related factors, surgeon-related factors and differences in statistical methods.
conclusionCurrent high-quality literature regarding length of the learning curve of minimal invasive TME techniques is scarce. Available literature suggests equal lengths of the learning curves of laparoscopic, robot-assisted and transanal TME. Well-designed studies, using adequate statistical methods are required to properly assess the learning curve, while taking into account patient-related and surgeon-related factors.
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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.