Evidence map›Paper›PMID 36577927›Full record

ArticleWorld journal of urology2023

The feasibility of robot-assisted radical cystectomy: an experimental study.

Angelis Peteinaris, Panagiotis Kallidonis, Arman Tsaturyan, Konstantinos Pagonis, Solon Faitatziadis, Kristiana Gkeka, Athanasios Vagionis, Anastasios Natsos, Mohammed Obaidat, Eirini Anaplioti and 3 more

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In one paragraph

Article in World journal of urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 2 countries.

Angelis PeteinarisDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece.
Panagiotis KallidonisDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece.
Arman TsaturyanDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece.
Konstantinos PagonisDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece.
Solon FaitatziadisDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece.
Kristiana GkekaDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece.
Athanasios VagionisDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece.
Anastasios NatsosDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece.
Mohammed ObaidatDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece.
Eirini AnapliotiDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece.
Vasileios TatanisDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece.
Theofanis VrettosDepartment of Anesthesiology and ICU, University Hospital of Patras, Patras, Greece.
Evangelos LiatsikosDepartment of Urology, University Hospital of Patras, University of Patras Medical School, Rio, 26500, Patras, Greece. liatsikos@yahoo.com.ORCID http://orcid.org/0000-0002-5544-9636
University of Patras · GRGeneral University Hospital of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the feasibility of the avatera system for performing robot-assisted radical cystectomy (RARC) followed by intracorporeal reconstruction of ileal neobladder.

methodsSix anesthetized female pigs were used to perform RARC and formation of the intracorporeal orthotopic ileal neobladder. Three surgeons with different level of expertise in the use of robotic systems performed RARC after a short instructional lecture and a 2-h hands-on training. The urinary diversion phase was performed only by the experienced surgeon. The successful completion of the procedure, operative time for demolitive and reconstructive phases, intraoperative blood loss and malfunction of the robotic system were evaluated.

resultsAn improvement of the operative time was observed for each surgeon. The experienced surgeon, the fellow and the resident improved their time by 11, 15, and 22 min, respectively, between the first and the second RARC performed. The most significant time difference was demonstrated by the resident, who had no previous experience in using robotic systems. The time difference between the first and the last orthotopic ileal neobladder creation for the experienced surgeon was 51 min.

conclusionThe feasibility of avatera system for performing complex surgical procedure such as RARC with intracorporeal neobladder formation was demonstrated by this experimental study. No major bleeding or severe malfunctions were observed during the procedures. Significant improvement in operative time was demonstrated with the increasing experience from 1st to 6th case.

Indexed as

RoboticsRobotic Surgical ProceduresUrinary Bladder NeoplasmsUrinary DiversionAnimalsCystectomyFeasibility StudiesFemaleSwineTreatment OutcomeAvatera systemExperimental studyOrthotopic ileal neobladderRobot-assisted radical cystectomy

Identifiers

PMID36577927
OpenAlexW4313224323

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Registered trials

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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.