Evidence map›Paper›PMID 38835071›Full record

Observational studyWorld journal of emergency surgery : WJES2024

The role of RObotic surgery in EMergency setting (ROEM): protocol for a multicentre, observational, prospective international study on the use of robotic platform in emergency surgery.

Marco Milone, Pietro Anoldo, Nicola de'Angelis, Federico Coccolini, Jim Khan, Yoram Kluger, Massimo Sartelli, Luca Ansaloni, Luca Morelli, Nicola Zanini and 6 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in World journal of emergency surgery : WJES, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Review
  5. Review
  6. Article
  7. Minimally invasive surgery for colorectal cancer emergencies.World journal of clinical oncology · 2025
    Review
  8. 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

16 authors.

Marco MiloneDepartment of Clinical Medicine and Surgery, Federico II University, Via Pansini 5, 80131, Naples, Italy.
Pietro AnoldoDepartment of Clinical Medicine and Surgery, Federico II University, Via Pansini 5, 80131, Naples, Italy. pietro.anoldo@gmail.com.
Nicola de'AngelisUnit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital, AP-HP, University of Paris Cité, Paris, France.
Federico CoccoliniGeneral Surgery Unit, University of Pisa, Pisa, Italy.
Jim KhanUniversity of Portsmouth, Portsmouth Hospitals University NHS Trust, Portsmouth, UK.
Yoram KlugerDepartment of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
Luca AnsaloniDepartment of Surgery, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Luca MorelliGeneral Surgery Unit, University of Pisa, Pisa, Italy.
Nicola ZaniniGeneral and Emergency Surgery Department, Bufalini Hospital, Cesena, Italy.
Carlo VallicelliGeneral and Emergency Surgery Department, Bufalini Hospital, Cesena, Italy.
Gabriele ViguttoGeneral and Emergency Surgery Department, Bufalini Hospital, Cesena, Italy.
Ernest E MooreErnest E Moore Shock Trauma Center at Denver Health, University of Colorado, Denver, CO, USA.
Walter BifflDivision of Trauma/Acute Care Surgery, Scripps Clinic Medical Group, La Jolla, CA, USA.
Fausto CatenaGeneral and Emergency Surgery Department, Bufalini Hospital, Cesena, Italy.
ROEM Collaborative Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic surgery has gained widespread acceptance in elective interventions, yet its role in emergency procedures remains underexplored. While the 2021 WSES position paper discussed limited studies on the application of robotics in emergency general surgery, it recommended strict patient selection, adequate training, and improved platform accessibility. This prospective study aims to define the role of robotic surgery in emergency settings, evaluating intraoperative and postoperative outcomes and assessing its feasibility and safety.

methodsThe ROEM study is an observational, prospective, multicentre, international analysis of clinically stable adult patients undergoing robotic surgery for emergency treatment of acute pathologies including diverticulitis, cholecystitis, and obstructed hernias. Data collection includes patient demographics and intervention details. Furthermore, data relating to the operating theatre team and the surgical instruments used will be collected in order to conduct a cost analysis. The study plans to enrol at least 500 patients from 50 participating centres, with each centre having a local lead and collaborators. All data will be collected and stored online through a secure server running the Research Electronic Data Capture (REDCap) web application. Ethical considerations and data governance will be paramount, requiring local ethical committee approvals from participating centres. DISCUSSION: Current literature and expert consensus suggest the feasibility of robotic surgery in emergencies with proper support. However, challenges include staff training, scheduling conflicts with elective surgeries, and increased costs. The ROEM study seeks to contribute valuable data on the safety, feasibility, and cost-effectiveness of robotic surgery in emergency settings, focusing on specific pathologies. Previous studies on cholecystitis, abdominal hernias, and diverticulitis provide insights into the benefits and challenges of robotic approaches. It is necessary to identify patient populations that benefit most from robotic emergency surgery to optimize outcomes and justify costs.

Indexed as

Robotic Surgical ProceduresCholecystitisDiverticulitisEmergenciesHumansObservational Studies as TopicProspective StudiesEmergency surgeryRobotic surgeryROEM study

Identifiers

PMID38835071
PMCPMC11149189

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.