Evidence map›Paper›PMID 39630266›Full record

ArticleSurgical endoscopy2025

A pan-European survey of robotic training for gastrointestinal surgery: European Robotic Surgery Consensus (ERSC) initiative.

Michael G Fadel, Josephine Walshaw, Francesca Pecchini, Marina Yiasemidou, Matthew Boal, Muhammed Elhadi, Matyas Fehervari, Lisa H Massey, Francesco Maria Carrano, Stavros A Antoniou and 7 more

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

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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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

17 authors.

Michael G FadelDepartment of Surgery and Cancer, Imperial College, London, UK.ORCID 0000-0002-3305-4270
Josephine WalshawLeeds Institute of Medical Research, St James's University Hospital, University of Leeds, Leeds, UK. j.b.walshaw@leeds.ac.uk.ORCID 0000-0003-0450-273X
Francesca PecchiniDivision of General Surgery, Emergency and New Technologies, Baggiovara General Hospital, Modena, Italy.
Marina YiasemidouThe Royal London Hospital, Barts Health NHS Trust, London, UK.
Matthew BoalThe Griffin Institute, Northwick Park and St Mark's Hospital, London, UK.
Muhammed ElhadiTripoli University Hospital, Tripoli, Libya.
Matyas FehervariDepartment of Surgery and Cancer, Imperial College, London, UK.
Lisa H MasseyDepartment of Colorectal Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Francesco Maria CarranoDepartment of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, St Andrea Hospital, Sapienza University, Rome, Italy.
Stavros A AntoniouDepartment of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece.
Felix NickelDepartment of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Silvana PerrettaIRCAD, Research Institute Against Digestive Cancer, Strasbourg, France.
Hans F FuchsDepartment of General, Visceral, Cancer and Transplantation Surgery, University Hospital Cologne, Cologne, Germany.
George B HannaDepartment of Surgery and Cancer, Imperial College, London, UK.
Christos KontovounisiosDepartment of Surgery and Cancer, Imperial College, London, UK.
Nader K FrancisThe Griffin Institute, Northwick Park and St Mark's Hospital, London, UK.
European Robotic Surgery Consensus (ERSC) study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been a recent rapid growth in the adoption of robotic systems across Europe. This study aimed to capture the current state of robotic training in gastrointestinal (GI) surgery and to identify potential challenges and barriers to training within Europe.

methodsA pan-European survey was designed to account for the opinion of the following GI surgery groups: (i) experts/independent practitioners; (ii) trainees with robotic access; (iii) trainees without robotic access; (iv) robotic industry representatives. The survey explored various aspects, including stakeholder opinions on bedside assisting, console operations, challenges faced and performance assessment. It was distributed through multiple European surgical societies and industry, in addition to social media and snowball sampling, between December 2023 and March 2024.

resultsA total of 1360 participants responded, with valid/complete responses from 1045 participants across 38 European countries. Six hundred and ninety-five (68.0%) experts and trainees were not aware of a dedicated robotic training curriculum for trainees, with 13/23 (56.5%) industry representatives not incorporating training for trainees in their programme. Among trainees with access to robotic systems, 94/195 (48.2%) had not performed any robotic cases, citing challenges including a lack of certified robotic trainers and training lists. Both experts and trainees agreed that trainees should start bedside assisting and operating on the console earlier than they currently do. Assessment tools of trainee performance were not being used by 139/479 (29.0%) participants.

conclusionThis pan-European survey highlights the need for a standardised robotic curriculum to address the gap in visceral training, assessment and certification. A greater emphasis may be required on implementing robotic training earlier through simulation training, dual console learning, bedside assisting, key clinical performance indicators, and assessment tools. The findings will guide the development of a pan-European consensus on the essential components of a comprehensive training programme for GI robotic surgery.

Indexed as

Digestive System Surgical ProceduresEducation, Medical, GraduateRobotic Surgical ProceduresClinical CompetenceConsensusCurriculumEuropeFemaleHumansMaleSurveys and QuestionnairesAssessmentCertificationGastrointestinal surgeryRobotic surgeryTraining

Identifiers

PMID39630266
PMCPMC11794360

What OpenQuestion holds

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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.