Evidence map›Paper›PMID 40122784›Full record

ArticleWorld journal of surgery2025

Implementation of a Robotic Surgical Program With the Dexter Robotic Surgery System: Initial Experiences in Cholecystectomy.

Anne-Sophie Hotz, Nico Seeger, Lukas Gantner, Felix Grieder, Stefan Breitenstein

Abstract read
In one paragraph

Article in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Robotic-assisted right colectomy with the DEXTERTechniques in coloproctology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Robotic-assisted hysterectomy using DEXTERFacts, views & vision in ObGyn · 2025
    Article
  10. Article
  11. Observational
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

5 authors.

Anne-Sophie HotzDepartment of Visceral and Thoracic Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Nico SeegerDepartment of Visceral and Thoracic Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Lukas GantnerDepartment of Visceral and Thoracic Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Felix GriederDepartment of Visceral and Thoracic Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Stefan BreitensteinDepartment of Visceral and Thoracic Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland.ORCID 0000-0002-9673-2788

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of surgical robots in minimally invasive visceral surgery is increasing, with new platforms like the Dexter Robotic System. This study evaluated the implementation of Dexter in a general visceral surgery department, focusing on safety, performance, and surgeon stress in elective cholecystectomy. MATERIALS AND

methodsThree surgeons with varying laparoscopic and robotic experience performed robotic cholecystectomies with Dexter between December 2022 and June 2024. Perioperative outcomes and safety data were collected until 30 days post-surgery. Surgeons' stress load and physical discomfort were assessed using validated questionnaires (SMEQ, STAI, and LED).

resultsFifty-nine patients underwent elective gallbladder removal. Median age was 52 years (range 27-85) and BMI 26.3 kg/m

conclusionThe Dexter system was safely implemented in clinical practice, with efficient learning curve and low perceived stress, even for surgeons without prior robotic experience. Further studies are needed to determine whether Dexter offers advantages over conventional techniques.

Indexed as

CholecystectomyCholecystectomy, LaparoscopicRobotic Surgical ProceduresAdultAgedAged, 80 and overElective Surgical ProceduresFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsStress, PsychologicalSurgeonscholecystectomyDexter Robotic Surgery systemminimally invasive surgeryrobot‐assisted surgery

Identifiers

PMID40122784
PMCPMC12058442

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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.