Evidence map›Paper›PMID 39966128›Full record

ArticleSurgical endoscopy2025

Initial experience with the Carina™ platform in robotic-assisted hysterectomy for gynecological malignant disease.

Yafen Liu, Zhao Zhao, Penglin Xu, Yue Li, Weizhong Chang, Mei Ji

Registry-linked trialAbstract 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. It is linked to trial NCT07632638 (Safety and Technical Evaluation of a Robotic Platform), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT07632638 narecruitingnot on this mapstarted 2026, after this paper: background citation

Safety and Technical Evaluation of a Robotic Platform (RonovoTM) in Elective Oncological Surgery: A Prospective, Single-Arm, Multi-Specialty Registry

TypeinterventionalSponsorInstituto do Cancer do Estado de São PauloRan2026 to 2026Enrolled40ConditionsMalignant Neoplasms, CancerArmsRonovoTM Robotic Surgical Platform
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. [Application of Domestic Robotic Surgical Systems in Gynecologic Surgery].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Review
  4. Article
  5. 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

6 authors.

Yafen Liu *Department of Gynecology, The First Affiliated Hospital of Zhengzhou University, No. 1, Jianshe East Road, Erqi District, Zhengzhou, Henan, People's Republic of China.
Zhao Zhao *Department of Gynecology, The First Affiliated Hospital of Zhengzhou University, No. 1, Jianshe East Road, Erqi District, Zhengzhou, Henan, People's Republic of China.
Penglin XuDepartment of Gynecology, The First Affiliated Hospital of Zhengzhou University, No. 1, Jianshe East Road, Erqi District, Zhengzhou, Henan, People's Republic of China.
Yue LiDepartment of Gynecology, The First Affiliated Hospital of Zhengzhou University, No. 1, Jianshe East Road, Erqi District, Zhengzhou, Henan, People's Republic of China.
Weizhong ChangDepartment of Gynecology, The First Affiliated Hospital of Zhengzhou University, No. 1, Jianshe East Road, Erqi District, Zhengzhou, Henan, People's Republic of China.
Mei JiDepartment of Gynecology, The First Affiliated Hospital of Zhengzhou University, No. 1, Jianshe East Road, Erqi District, Zhengzhou, Henan, People's Republic of China. fccjim@zzu.edu.cn.ORCID 0000-0002-7049-1525

Funding

the National Natural Science Foundation of China 82273056
6 · The paper itself

Abstract

objectiveThis retrospective study was performed to evaluate the efficiency and safety of a new modular robotic system, the Carina™ Platform (Ronovo Surgical, Shanghai, China), in gynecological surgery.

methodsAll patients underwent robotic hysterectomies (RH) using the Carina performed by a single gynecologist experienced in laparoscopic and robotic surgery from November to December 2023. Patients were evaluated for estimated blood loss (EBL), intraoperative and postoperative complications, length of hospital stay, conversion rate, as well as console and docking times.

resultsTwo separate populations were involved: 10 cervical cancer patients (group 1) and six endometrial cancer patients (group 2). There were no conversions to laparotomies or laparoscopies. The mean docking time was 5.75 ± 2.38 min. The mean console time and mean operative time were 154.60 ± 26.01 min and 211.90 ± 53.65 min in group 1, respectively. The mean console time and mean operative time were 98.67 ± 26.71 min and 153.33 ± 22.77 min in group 2, respectively. The median estimated blood loss for group 1 and group 2 were 30 ml (20, 50) and 20 ml (7.5, 20), respectively. No intraoperative or postoperative complications related to the device were recorded.

conclusionOur experience allows us to state that the modular Carina Platform is safe and efficient in complex gynecologic surgery. CLINICAL

trial registrationresearchregistry10353  https://www.researchregistry.com/browse-the-registry#home/registrationdetails/665c1a398a97c302739cce06/.

Indexed as

Endometrial NeoplasmsHysterectomyRobotic Surgical ProceduresUterine Cervical NeoplasmsAdultAgedBlood Loss, SurgicalFemaleHumansLength of StayMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesGynecologic surgeryModular Carina™ platformRobotic-assisted surgery

Identifiers

PMID39966128
PMCPMC11933141

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LicenceCC BY-NC-ND
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Registered trials

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.