Evidence map›Paper›PMID 39572427›Full record

ArticleSurgical endoscopy2025

An initial exploratory clinical study and outcome assessment of gastrointestinal surgeries using advanced robotic-assisted techniques.

Zeping Zhang, Weipeng Zhan, Hongwei Tian, Ming Hu, Yuqi Ma, Wutang Jing, Xianbing Huang, Jin Guo, Yuan Deng, Wei Fang and 4 more

Abstract read
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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 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Laparoscopic gastrectomy versus open gastrectomy for gastric cancer in patients among octogenarians: a meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Influence of computed tomography-based pelvimetric parameters and surgical approaches on surgical difficulty in mid‑low rectal cancer.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
    Article
  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

14 authors.

Zeping ZhangFirst Clinical Medical College, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Weipeng ZhanGansu Provincial Hospital, Lanzhou, 730000, China.
Hongwei TianGansu Provincial Hospital, Lanzhou, 730000, China.
Ming HuGansu Provincial Hospital, Lanzhou, 730000, China.
Yuqi MaFirst Clinical Medical College, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Wutang JingGansu Provincial Hospital, Lanzhou, 730000, China.
Xianbing HuangGansu Provincial Hospital, Lanzhou, 730000, China.
Jin GuoGansu Provincial Hospital, Lanzhou, 730000, China.
Yuan DengGansu Provincial Hospital, Lanzhou, 730000, China.
Wei FangGansu Provincial Hospital, Lanzhou, 730000, China.
Dongdong ChenGansu Provincial Hospital, Lanzhou, 730000, China.
Changfeng MiaoGansu Provincial Hospital, Lanzhou, 730000, China.
Jing YangGansu Provincial Hospital, Lanzhou, 730000, China. 21634604@qq.com.
Yuntao MaGansu Provincial Hospital, Lanzhou, 730000, China. 3575515665@qq.com.

Funding

Correlation Analysis of Mesenchymal Circulating Tumor Cells with Chemotherapy Efficacy and Prognosis in Patients with Locally Advanced Gastric Cancer 21GSSYB-5Gansu Provincial Natural Science Foundation Project No.22JR5RA663
6 · The paper itself

Abstract

backgroundIn addition to the Da Vinci surgical robot, domestic surgical robots are being developed rapidly. Chinese Toumai® laparoscopic surgical robot was approved for urological surgery in 2022.This study aims to systematically evaluate the safety and efficacy of the Toumai® robotic surgical system in performing complex gastrointestinal surgeries.

methodsThis prospective, single-center, single-arm exploratory study was conducted at Gansu Provincial Hospital between June 2022 and October 2023, enrolling 12 patients undergoing gastrectomy and 9 patients undergoing colorectal resection. The primary endpoints are oncological outcomes and surgical success rates, while secondary endpoints encompassed intraoperative blood loss, operative duration, complication rates, system performance metrics, length of hospital stay, and postoperative pain levels.

resultsAll patients successfully underwent robotic-assisted surgery with adequate oncological resection and favorable postoperative outcomes. There were no conversions to open or laparoscopic surgery, resulting in a 100% procedural success rate. The median docking time for radical gastrectomy was 17.50 (14.25, 21.50) minutes, with a median master-slave control time of 121.50 (105.50, 172.00) minutes, median intraoperative blood loss of 100.00 (50.00, 275.00) mL, and a median postoperative hospital stay of 9.00 (7.25, 10.75) days. For radical colorectal surgery, the median docking time was 22 (17.50, 30.50) minutes, the median master-slave control time was 68 (56.50, 119.00) minutes, with a median blood loss of 50 (50.00, 150.00) mL, and a median postoperative hospital stay of 7 (7.00, 10.00) days. No intraoperative organ injury, mortality, system failure, or severe postoperative complications were reported.

conclusionsThese preliminary findings provide compelling evidence supporting the safety and efficacy of the Toumai® laparoscopic surgical robotic system in performing gastric and colorectal surgeries.

Indexed as

Colorectal NeoplasmsGastrectomyLaparoscopyRobotic Surgical ProceduresAdultAgedBlood Loss, SurgicalFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsPostoperative PainProspective StudiesColorectal cancerGastric cancerRobotic SurgicalToumai

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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.