Evidence map›Paper›PMID 38500710›Full record

ArticleBMJ surgery, interventions, & health technologies2024

New robotic platform for transoral robotic surgery: an IDEAL stage 0 study.

Asit Arora, Jack Faulkner, Vinidh Paleri, Karan Kapoor, Ali Al-Lami, Oladejo Olaleye, Stuart Winter, Geogios Oikonomou, Enyi Ofo, Sebastien Ourselin and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMJ surgery, interventions, & health technologies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

13 authors at 9 institutions in 1 country.

Asit AroraSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Jack FaulknerSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.ORCID 0000-0001-6771-2318
Vinidh PaleriRoyal Marsden Hospital NHS Trust, London, UK.
Karan KapoorSurrey and Sussex Healthcare NHS Trust, Redhill, Surrey, UK.
Ali Al-LamiEast Kent Hospitals University NHS Foundation Trust, Canterbury, Kent, UK.
Oladejo OlaleyeOtolaryngology, Head and Neck Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK.ORCID 0000-0002-3168-2556
Stuart WinterDepartment of Surgical Sciences, University of Oxford Nuffield, Oxford, Oxfordshire, UK.
Geogios OikonomouSt George's University Hospitals NHS Foundation Trust, London, UK.
Enyi OfoSt George's University Hospitals NHS Foundation Trust, London, UK.
Sebastien OurselinSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Prokar DasguptaMRC Centre for Transplantation, NIHR Biomedical Research Centre, King's College, London, UK.
Mark SlackCMR Surgical Ltd, Cambridge, UK.
Jean-Pierre JeannonHead and Neck Surgery, Guy's Hospital, London, UK.
Guy's Hospital · GBKing's College London · GBSt George’s University Hospitals NHS Foundation Trust · GBCMR Surgical (United Kingdom) · GBEast Kent Hospitals University NHS Foundation Trust · GBRoyal Marsden Hospital · GBSurrey and Sussex Healthcare NHS Trust · GBUniversity Hospitals of Leicester NHS Trust · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aims to assess the feasibility to perform transoral robotic surgery (TORS) with a new robotic platform, the Versius Surgical System (CMR Surgical, UK) in a preclinical cadaveric setting in accordance to stage 0 of the IDEAL-D framework. Design: IDEAL stage 0 preclinical assessment of the Versius Robotic System in TORS in human cadavers. Setting: All procedures were performed in a simulated operating theatre environment at a UK surgical training centre. Participants: 11 consultant head and neck surgeons from the UK, mainland Europe and the USA took part in TORS procedures on six human cadavers. Interventions: 3 key index procedures were assessed that represent the core surgical workload of TORS: lateral oropharyngectomy, tongue base resection and partial supraglottic laryngectomy. Main outcome measures: The primary outcome was the successful completion of each surgical procedure. Secondary outcomes included the optimisation of system setup, instrumentation and surgeon-reported outcomes for feasibility of each component procedural step. Results: 33 cadaveric procedures were performed and 32 were successfully completed. One supraglottic laryngectomy was not fully completed due to issues dividing the epiglottic cartilage with available instrumentation. Surgeon-reported outcomes met the minimal level of feasibility in all procedures and a consensus that it is feasible to perform TORS with Versius was reached. Available instrumentation was not representative of other robotic platforms used in TORS and further instrument optimisation is recommended before wider dissemination. Conclusions: It is feasible to perform TORS with the Versius Surgical System (CMR Surgical) within a pre-clinical cadaveric setting. Clinical evaluation is needed and appropriate with the system. Further instrument development and optimisation is desirable.

Indexed as

Device EvaluationEar Nose Throat DevicesMinimally Invasive Surgical ProceduresRobotic Surgical ProceduresTechnology

Identifiers

PMID38500710
PMCPMC10946345
OpenAlexW4392846904

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.