Evidence map›Paper›PMID 38441251›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2024

Results of an exploratory survey within ESTS membership in 2022 on current trend of robotic-assisted thoracic surgery and its training perspectives.

Shilpa Gandhi, Nuria Maria Novoa Valentin, Alessandro Brunelli, Isabelle Schmitt-Opitz, Marialuisa Lugaresi, Niccolò Daddi, Herbert Decaluwe, Hasan Batirel, Giulia Veronesi, Jean-Marc Baste and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Aesculapius meets Vulcanus: robotic chest surgery.Interdisciplinary cardiovascular and thoracic surgery · 2024
    Article
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 12 institutions in 7 countries.

Shilpa GandhiCardiac surgery unit, Department of Cardiothoracic Surgery, St Georges' University Hospital NHS Foundation Trust, London, UK.ORCID 0000-0001-9098-4936
Nuria Maria Novoa ValentinDivision of Thoracic Surgery, Puerta de Hierro University Hospital, Majadahonda, Spain.
Alessandro BrunelliDivision of Thoracic Surgery, St James's University Hospital, Leeds, UK.ORCID 0000-0002-0708-7159
Isabelle Schmitt-OpitzDepartment of Thoracic Surgery, Universitatsspital, Zurich, Switzerland.ORCID 0000-0001-5900-9040
Marialuisa LugaresiDepartment of Medical and Surgical Sciences, University of Bologna Medical School, Bologna, Italy.
Niccolò DaddiDivision of Thoracic Surgery unit, IRCCS Azienda Ospedaliero-Universitaria, University of Bologna Medical School, Bologna, Italy.
Herbert DecaluweDivision of Thoracic Surgery, University Hospital Leuven, Leuven, Belgium.
Hasan BatirelDivision of Thoracic Surgery, Biruni University School of Medicine, Istanbul, Turkey.ORCID 0000-0002-9349-7022
Giulia VeronesiDivision of Thoracic Surgery, Universita Vita e Salute San Raffaele, Milan, Italy.
Jean-Marc BasteCardiothoracic Department, Rouen University Hospital, Inserm U1096, UNIVRouen, Normandy, France.ORCID 0000-0002-1739-4523
Paraskevas LyberisDivision of Thoracic Surgery, University of Torino, Torino, Italy.
Joel DunningDivision of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK.
ESTS Robotic Working Group
St James's University Hospital · GBVita-Salute San Raffaele University · ITAzienda USL di Bologna · ITBiruni University · TRHospital Universitario Puerta de Hierro Majadahonda · ESInserm · FRUniversity Hospital of Zurich · CHUniversity of Turin · ITJames Cook University Hospital · GBKU Leuven · BESt George’s University Hospitals NHS Foundation Trust · GBUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRobotic-assisted thoracic surgery (RATS) is increasingly used in our specialty. We surveyed European Society of Thoracic Surgeons membership with the objective to determine current status of robotic thoracic surgery practice including training perspectives.

methodsA survey of 17 questions was rolled out with 1 surgeon per unit responses considered as acceptable.

resultsA total of 174 responses were obtained; 56% (97) were board-certified thoracic surgeons; 28% (49) were unit heads. Most responses came from Italy (20); 22% (38) had no robot in their institutions, 31% (54) had limited access and only 17% (30) had full access including proctoring. Da Vinci Xi was the commonest system in 56% (96) centres, 25% (41) of them had dual console in all systems, whereas RATS simulator was available only in half (51.18% or 87). Video-assisted thoracic surgery (VATS) was the most commonly adopted surgical approach in 81% of centres (139), followed by thoracotomy in 67% (115) and RATS in 36% (62); 39% spent their training time on robotic simulator for training, 51% on robotic wet/dry lab, which being no significantly different to 46-59% who had training on VATS platform. There was indeed huge overlap between simulator models or varieties usage; 52% (90) reported of robotic surgery not a part of training curriculum with no plans to introduce it in future. Overall, 51.5% (89) responded of VATS experience being helpful in robotic training in view of familiarity with minimally invasive surgery anatomical views and dissection; 71% (124) reported that future thoracic surgeons should be proficient in both VATS and RATS. Half of the respondents found no difference in earlier chest drain removal with either approach (90), 35% (60) reported no difference in postoperative pain and 49% (84) found no difference in hospital stay; 52% (90) observed better lymph node harvest by RATS.

conclusionsSurvey concluded on a positive response with at least 71% (123) surgeons recommending to adopt robotics in future.

Indexed as

Conformite EuropeenneRobotic-assisted thoracic surgeryRobotic curriculumSimulationThoracic surgeryTrainingVideo-assisted thoracoscopic surgery

Identifiers

PMID38441251
PMCPMC11014782
OpenAlexW4392456723

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.