Evidence map›Paper›PMID 39969976›Full record

ArticleJapanese journal of clinical oncology2025

Validation of objective performance metrics via an intelligent medical network in gynecological oncology robotic surgery.

Shintaro Yanazume, Yusuke Kobayashi, Nozomi Furuzono, Mika Fukuda, Shinichi Togami, Hiroaki Kobayashi

Abstract readValidation Study
In one paragraph

Article in Japanese journal of clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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.

Shintaro YanazumeFaculty of Medicine, Department of Obstetrics & Gynecology, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.ORCID 0000-0003-2297-6648
Yusuke KobayashiFaculty of Medicine, Department of Obstetrics & Gynecology, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.
Nozomi FuruzonoFaculty of Medicine, Department of Obstetrics & Gynecology, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.
Mika FukudaFaculty of Medicine, Department of Obstetrics & Gynecology, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.
Shinichi TogamiFaculty of Medicine, Department of Obstetrics & Gynecology, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.ORCID 0000-0003-1920-9405
Hiroaki KobayashiFaculty of Medicine, Department of Obstetrics & Gynecology, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.

Funding

Sysmex Corporation
6 · The paper itself

Abstract

backgroundAutomated performance metrics (APMs) are potentially useful to accurately assess and improve surgeon skills and patient outcomes, while their clinical use is currently limited. We report on the use of the Medicaroid Intelligent Network System (MINS™), a network support system platform used together with the "hinotori" surgical robot system (hinotori™) for the collection of data logs from surgeries, and discuss its potential to improve surgical outcomes.

methodsThis study prospectively evaluated the efficacy of MINS™ for collecting data logs in gynecologic oncologic robotic surgery between December 2022 and February 2024 in nine patients. MINS™ regularly communicated with the hinotori™ via a secure network to collect and send system logs to a cloud server, quantifying various performance data for the evaluation of surgical outcomes.

resultsClinical data on hinotori™ movement were successfully extracted. The number of operation arm (OA) changes was significantly higher in Patient No. 7, who underwent pelvic lymph node dissection. OA3 monopolar was used more frequently than OA1 bipolar for coagulation (mean: 6.7% vs 2.5%, P ˂0.001). The error count and percentage of inactive time associated with OA collisions decreased dramatically after Patient No. 6, following the version upgrade in July 2024.

conclusionMINS™ utilizes technology to connect the hinotori™ to various systems via the Internet, allowing objective evaluations of surgical procedures from data logs. MINS™ is a clinically applicable APM system that objectively analyzes a surgeon's individuality and has the potential to improve surgical techniques and promote standardization.

Indexed as

Genital Neoplasms, FemaleGynecologic Surgical ProceduresRobotic Surgical ProceduresAgedFemaleHumansMiddle AgedProspective Studiesautomated performance metricsgynecological oncologyhinotori™MINS™robotic surgerytelemedicine

Identifiers

PMID39969976
PMCPMC12138769

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Registered trials

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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.