ArticleSurgical endoscopy2023
Proctored adoption of robotic hiatus hernia surgery: outcomes and learning curves in a high-volume UK centre.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Current evidence and reported experiences for robot-assisted emergency general surgery: systematic review.Journal of robotic surgery · 2025Pooled it
- Learning curves for adoption of robotic bariatric surgery: a systematic review of safety, efficiency and clinical outcomes.Journal of robotic surgery · 2024Pooled it
- Robotic versus laparoscopic anti-reflux and hiatal surgery in a uk benign upper gi unit: perioperative outcomes in a four-year observational study.Journal of robotic surgery · 2026Observational
- Proctoring as advanced surgical learning: the proctor's perspective in robotic surgery.Journal of robotic surgery · 2026Review
- Learning curve and surgical time predictors in robot-assisted transvaginal natural orifice transluminal endoscopic surgery: a risk-adjusted cumulative sum analysis.Journal of robotic surgery · 2026Article
- Experience with robotic common bile duct exploration for common bile duct stones in comparison to a conventional laparoscopic approach.Surgical endoscopy · 2026Article
- Is proctoring in robotic surgery truly helpful? Evaluating general surgeons' perspectives.Journal of robotic surgery · 2025Article
- The Implementation of Robotics in the Setting of Hiatal Hernia Repair: A Scoping Review on Current Evidence.Cureus · 2025Review
- Learning curve for robotic-assisted hiatal hernia repair determined by cumulative analysis of adjusted operative times.Scientific reports · 2025Article
- Global trends and hotspots in the learning curves of robotic-assisted surgery: a bibliometric and visualization analysis.Journal of robotic surgery · 2025Review
- Robotic-assisted sleeve gastrectomy: an analysis of cost, peri-operative outcomes and learning curve in a prospective cohort study.Journal of robotic surgery · 2025Article
- Robotic hiatus hernia surgery: learning curve and lessons learned.Journal of robotic surgery · 2025Article
- Does practice make perfect? Studying the relationship between surgeon experience and patient outcomes for paraesophageal hernia repairs.Surgical endoscopy · 2024Article
- The training pathway for residents: 'Robotic Curriculum for young Surgeons' (RoCS) does not impair patient outcome during implementation into clinical routine.Journal of robotic surgery · 2024Article
- Three-arm robotic cholecystectomy: a novel, cost-effective method of delivering and learning robotic surgery in upper GI surgery.Journal of robotic surgery · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe adoption of new surgical technologies is inevitably accompanied by a learning curve. With the increasing adoption of robotic techniques in benign foregut surgery, it is imperative to define optimal learning pathways, to ensure a clinically safe introduction of such a technique. The aim of this study was to assess the learning curve for robotic hiatal hernia repair with a pre-defined adoption process and proctoring.
methodsThe learning curve was assessed in four surgeons in a high-volume tertiary referral centre, performing over a 100 hiatal hernia repairs annually. The robotic adoption process included simulation-based training and a multi-day wet lab-based course, followed by robotic operations proctored by robotic upper GI experts. CUSUM analysis was performed to assess changes in operating time in sequential cases.
resultsEach surgeon (A, B, C and D) performed between 22 and 32 cases, including a total of 109 patients. Overall, 40 cases were identified as 'complex' (36.7%), including 16 revisional cases (16/109, 14.7%). With CUSUM analysis inflection points for operating time were seen after 7 (surgeon B) to 15 cases (surgeon B).
conclusionThe learning curve for robotic laparoscopic fundoplication may be as little as 7-15 cases in the setting of a clearly organized learning pathway with proctoring. By integrating these organized learning pathways learning curves may be shortened, ensuring patient safety, preventing detrimental outcomes due to longer learning curves, and accelerating adoption and integration of novel surgical techniques.
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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.