Evidence map›Paper›PMID 39402228›Full record

ArticleSurgical endoscopy2025

Rise of the robots: implementing robotic surgery into the acute care surgery practice.

V Christian Sanderfer, Stephanie Jensen, Hisham I Qadri, Hongmei Yang, Emily C Benham, Cynthia Lauer, Kathryn Muir, Bradley W Thomas, Michael S Clemens, Sean R Maloney and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Review
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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.

V Christian SanderferAtrium Health Carolinas Medical Center, Wake Forest School of Medicine, 1000 Blythe Blvd, CharlotteCharlotte, NC, 28203, USA. van.sanderfer@atriumhealth.org.ORCID 0009-0009-1553-9184
Stephanie JensenAtrium Health Carolinas Medical Center, Wake Forest School of Medicine, 1000 Blythe Blvd, CharlotteCharlotte, NC, 28203, USA.
Hisham I QadriWake Forest School of Medicine, Academic Medical Education, Winston-Salem, NC, USA.
Hongmei YangAtrium Health, Information and Analytics Services, Charlotte, NC, USA.
Emily C BenhamAtrium Health Carolinas Medical Center, Wake Forest School of Medicine, 1000 Blythe Blvd, CharlotteCharlotte, NC, 28203, USA.
Cynthia LauerAtrium Health Carolinas Medical Center, Wake Forest School of Medicine, 1000 Blythe Blvd, CharlotteCharlotte, NC, 28203, USA.
Kathryn MuirAtrium Health Carolinas Medical Center, Wake Forest School of Medicine, 1000 Blythe Blvd, CharlotteCharlotte, NC, 28203, USA.
Bradley W ThomasAtrium Health Carolinas Medical Center, Wake Forest School of Medicine, 1000 Blythe Blvd, CharlotteCharlotte, NC, 28203, USA.
Michael S ClemensAtrium Health Carolinas Medical Center, Wake Forest School of Medicine, 1000 Blythe Blvd, CharlotteCharlotte, NC, 28203, USA.
Sean R MaloneyAtrium Health Carolinas Medical Center, Wake Forest School of Medicine, 1000 Blythe Blvd, CharlotteCharlotte, NC, 28203, USA.
William C SherrillAtrium Health Carolinas Medical Center, Wake Forest School of Medicine, 1000 Blythe Blvd, CharlotteCharlotte, NC, 28203, USA.
Addison K MayAtrium Health Carolinas Medical Center, Wake Forest School of Medicine, 1000 Blythe Blvd, CharlotteCharlotte, NC, 28203, USA.
Samuel W RossAtrium Health Carolinas Medical Center, Wake Forest School of Medicine, 1000 Blythe Blvd, CharlotteCharlotte, NC, 28203, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAcute Care Surgery (ACS) admissions and procedures are substantially increasing. ACS disproportionally accounts for a majority of morbidity and mortality among surgical patients. Minimally invasive techniques are associated with improved outcomes and shorter hospital length of stay within the ACS population. While laparoscopy is widespread, ACS surgeons have been slower to adopt the use of robotics. We aimed to evaluate the feasibility of incorporating robotic surgery within ACS practice.

methodsRobotic General Surgery operations performed by 8 Acute Care Surgeons from 5 local facilities within a large integrated healthcare system were queried over a 15 month period. Patients who underwent emergent, urgent, sub-acute, and elective robotic operations by ACS staff were identified. Demographics collected included age, gender, BMI, and ASA score. Outcomes recorded included procedure classification, total supply and implant charges (TSI), conversion to open, hospital length of stay (LOS), 30 day readmission, and 30 day mortality.

resultsOf 200 operations, the most common were Cholecystectomy (43.5%), Inguinal hernia repair (26.0%), Ventral hernia repair (18.0%), Appendectomy (5.0%), and Sigmoid Colectomy (3.5%). The median (± std dev) age was 48 ± 16.66 years and BMI was 29.9 ± 8.79 kg/m

conclusionRobotic techniques may be safely implemented by ACS surgeons, potentially benefitting both patient and surgeon. LOS was similar between laparoscopic and robotic cases and only two cases required conversion to an open procedure. Next steps include a multi-center prospective trial comparing robotic to laparoscopic cases.

Indexed as

Length of StayRobotic Surgical ProceduresAcute Care SurgeryAdultAgedConversion to Open SurgeryFeasibility StudiesFemaleHumansMaleMiddle AgedPatient ReadmissionRetrospective StudiesAcute care surgeryEmergency general surgeryMinimally invasiveRobotics

Identifiers

What OpenQuestion holds

Textmetadata
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.