ArticleJournal of robotic surgery2025
A decade-long prospective analysis of the learning curve after 435 robotic pancreaticoduodenectomies from a single tertiary institution.
Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The learning curve of robotic pancreatoduodenectomy: a systematic review of learning curve assessment methodologies, proficiency thresholds, training pathways and clinical outcomes.Journal of robotic surgery · 2026Pooled it
- The Hidden Cost of Precision: Financial, Training, and Environmental Trade-Offs in Robotic HPB Surgery.Journal of robotic surgery · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRobotic pancreaticoduodenectomy (PD) has emerged as a leading approach in complex pancreatic surgery, but the path to proficiency is steep. While early learning curve assessments are available for simpler robotic procedures, few studies quantify the extended time and caseload needed to achieve consistency and mastery in robotic PD.
methodsWith IRB approval, we prospectively followed 435 patients who underwent robotic PD between 2013 and 2024. The learning curve was assessed using Cumulative Sum (CUSUM) analysis based on operative time. Data are presented as median (mean ± SD), and statistical significance was set at p ≤ 0.05.
resultsCUSUM analysis identified the turning point for consistent procedural proficiency at 88 cases. Patient characteristics included a median age of 70 (68 ± 10.9) years, BMI of 27 (27 ± 5.1) kg/m
conclusionsTrue mastery in robotic PD demands extended experience, with significant procedural gains occurring after the 88-case mark. This extended learning curve should be acknowledged when designing training programs and evaluating surgical outcomes in robotic pancreatic surgery.
Indexed as
Identifiers
40643746What OpenQuestion holds
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.