Evidence map›Paper›PMID 40702985›Full record

ArticleAnnals of the Royal College of Surgeons of England2025

Immersive robotic colorectal training in the United Kingdom is safe and efficient.

J Franklyn, P Vaughn Shaw, M Abdalkoddus, R Coates, S Holtham, G Farook

Abstract read
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 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.

J FranklynWest Hertfordshire Teaching Hospitals NHS Trust, UK.
P Vaughn ShawNHS Lothian, UK.
M AbdalkoddusUniversity Hospitals Plymouth NHS Trust, UK.
R CoatesSouth Tyneside and Sunderland NHS Foundation Trust, UK.
S HolthamSouth Tyneside and Sunderland NHS Foundation Trust, UK.
G FarookSouth Tyneside and Sunderland NHS Foundation Trust, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWith increased utilisation of robotics in surgery, the demand for structured training is increasing. This paper presents the safety and efficacy profile of a robotic colorectal fellowship in the United Kingdom.

methodsThis is a retrospective study conducted in a district general hospital between 2019 and 2023. Procedures performed using the Da Vinci robot were divided into two cohorts, those performed by robotic fellows and those performed by consultant surgeons. Each fellowship lasted on average six months and at the end of the fellowship the trainee had completed the mandatory requirements to be certified as a robotic surgeon. The objective of this study is to compare the outcomes of procedures performed by the fellows with those performed by consultants.

resultsOf the 224 robotic procedures recorded, 117 were performed by consultants and 107 by fellows. The median time to complete the procedure was 315min vs 257min for consultants and fellows, respectively. The average postoperative length of stay was 6 and 7 days, the anastomotic leak rate was 4.3% and 5.6% and reoperation rate was 11% and 9% for procedures performed by consultants and fellows, respectively. The median lymph nodal yield was 17 in both groups and the margin positivity rate (R1) resection rate was 7% and 4% (

conclusionIt is possible to safely train in robotic colorectal surgery without compromising patient safety, oncological outcomes or adversely affecting theatre efficiency.

Indexed as

Colorectal NeoplasmsColorectal SurgeryRobotic Surgical ProceduresAdultAgedClinical CompetenceFellowships and ScholarshipsFemaleHumansLength of StayMaleMiddle AgedOperative TimeReoperationRetrospective StudiesUnited KingdomColorectalRobotic

Identifiers

PMID40702985
PMCPMC12578590

What OpenQuestion holds

Textmetadata
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.