Evidence map›Paper›PMID 37644155›Full record

ArticleSurgical endoscopy2023

Uptake of robot-assisted colon cancer surgery in the Netherlands.

Marlou F M Sterk, Rogier M P H Crolla, Mareille Verseveld, Jan Willem T Dekker, George P van der Schelling, Cornelis Verhoef, Pim B Olthof

Open access · hybridAbstract read
In one paragraph

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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Towards safer colorectal surgery worldwide: Outcomes and benchmarks from the ESCP CORREA 2022 audit.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  6. Article
  7. Review
  8. Surgical Approach and Variation in Long-Term Survival Following Colorectal Cancer Surgery Using Instrumental Variable Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
  9. Review
  10. Review
  11. Review
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

7 authors at 4 institutions in 1 country.

Marlou F M SterkDepartment of Surgery, Amphia Hospital, Breda, The Netherlands.
Rogier M P H CrollaDepartment of Surgery, Amphia Hospital, Breda, The Netherlands.
Mareille VerseveldDepartment of Surgery, Franciscus Gasthuis & Vlietland, Rotterdam, The Netherlands.
Jan Willem T DekkerDepartment of Surgery, Reinier de Graaf Gasthuis, Delft, The Netherlands.
George P van der SchellingDepartment of Surgery, Amphia Hospital, Breda, The Netherlands.
Cornelis VerhoefDepartment of Surgery, Erasmus MC Cancer Institute, Dr. Molewaterplein 40, 3015GD, Rotterdam, The Netherlands.
Pim B OlthofDepartment of Surgery, Amphia Hospital, Breda, The Netherlands. p.olthof@erasmusmc.nl.ORCID 0000-0002-1691-1808
Amphia Ziekenhuis · NLErasmus MC Cancer Institute · NLReinier de Graaf Hospital · NLSint Franciscus Gasthuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe robot-assisted approach is now often used for rectal cancer surgery, but its use in colon cancer surgery is less well defined. This study aims to compare the outcomes of robotic-assisted colon cancer surgery to conventional laparoscopy in the Netherlands.

methodsData on all patients who underwent surgery for colon cancer from 2018 to 2020 were collected from the Dutch Colorectal Audit. All complications, readmissions, and deaths within 90 days after surgery were recorded along with conversion rate, margin and harvested nodes. Groups were stratified according to the robot-assisted and laparoscopic approach.

resultsIn total, 18,886 patients were included in the analyses. The operative approach was open in 15.2%, laparoscopic in 78.9% and robot-assisted in 5.9%. The proportion of robot-assisted surgery increased from 4.7% in 2018 to 6.9% in 2020. There were no notable differences in outcomes between the robot-assisted and laparoscopic approach for Elective cT1-3M0 right, left, and sigmoid colectomy. Only conversion rate was consistently lower in the robotic group. (4.6% versus 8.8%, 4.6% versus 11.6%, and 1.6 versus 5.9%, respectively).

conclusionsThis nationwide study on surgery for colon cancer shows there is a gradual but slow adoption of robotic surgery for colon cancer up to 6.9% in 2020. When comparing the outcomes of right, left, and sigmoid colectomy, clinical outcomes were similar between the robotic and laparoscopic approach. However, conversion rate is consistently lower in the robotic procedures.

Indexed as

Colonic NeoplasmsLaparoscopyRoboticsRobotic Surgical ProceduresColectomyHumansNetherlandsPostoperative ComplicationsRectumRetrospective StudiesTreatment OutcomeColectomyColon cancerMinimally invasiveRobot-assisted colectomyRobotic surgery

Identifiers

PMID37644155
PMCPMC10615967
OpenAlexW4386250226

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.