Evidence map›Paper›PMID 40785273›Full record

ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2025

International expert consensus on a structured approach to robotic multiport right hemicolectomy with complete mesocolic excision and intracorporeal anastomosis.

Marcos Gómez Ruiz, Paolo Pietro Bianchi, Roland Croner, Samson Tou, Klaus Matzel, Anthony G Gallagher, RORIHEM Study Collaborative

Abstract readConsensus Statement
In one paragraph

Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. ColoRobotica: Structured training in robotic colorectal surgery.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  5. International expert consensus on a structured approach to robotic multiport right hemicolectomy with complete mesocolic excision and intracorporeal anastomosis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    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

7 authors.

Marcos Gómez RuizUnidad de Cirugía Colorrectal, Servicio de Cirugía General, Hospital Universitario Marqués de Valdecilla, Santander, Spain.ORCID https://orcid.org/0000-0002-0848-4682
Paolo Pietro BianchiDepartment of Surgery, ASST-Santi Paolo e Carlo, Milan, Italy.
Roland CronerDepartment of General-, Visceral-, Vascular- and Transplant Surgery, University Hospital Magdeburg, Magdeburg, Germany.
Samson TouDepartment of Colorectal Surgery, Royal Derby Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.ORCID https://orcid.org/0000-0001-6349-9919
Klaus MatzelDepartment of Surgery, Diakoneo Clinic Hallerwiese, Nuremberg, Germany.
Anthony G GallagherFaculty of Medicine, KU Leuven, Leuven, Belgium.
RORIHEM Study Collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo develop and operationally define 'performance metrics' that characterize a reference approach to robotic multiport right hemicolectomy with complete mesocolic excision (CME) and intracorporeal anastomosis (ICA) and to obtain evidence supporting face and content validity through a consensus meeting.

methodThree expert colorectal surgeons with advanced minimally invasive surgical experience, a senior behavioural scientist and a colorectal surgeon with experience in performance metrics development formed the Metrics Group. Published guidelines, clinical evidence, training materials and unedited videos of robotic multiport right hemicolectomy were used to deconstruct the task-robotic right hemicolectomy with CME and ICA-into defined, observable performance units or metrics (i.e. procedure Phases, Steps, Errors and Critical Errors). The performance metrics were then subjected to detailed review by nine expert colorectal surgeons in a modified Delphi process.

resultsPerformance metrics for robotic multiport right hemicolectomy with CME and ICA were deconstructed and described as 15 procedure phases with 124 steps, all of them associated with 146 errors and 136 critical errors. After the modified Delphi process, the agreed performance metrics consisted of 15 procedure phases and 125 steps, 150 errors and 139 critical errors. After discussion, agreed modifications to the metrics an international group of expert colorectal surgeons reached 100% consensus on them, thus providing evidence to support the face and content validity of the metrics.

conclusionRobotic multiport right hemicolectomy with CME and ICA can be broken down into explicitly defined procedure phases and steps, with errors and critical errors known as performance metrics. We consider the metrics imperative for the development of a safe and structured training in robotic multiport right hemicolectomy with CME and ICA.

Indexed as

ColectomyMesocolonRobotic Surgical ProceduresAnastomosis, SurgicalClinical CompetenceColorectal SurgeryConsensusDelphi TechniqueHumanscolorectal resectioncolorectal surgerycomplete mesocolic excisionintracorporeal anastomosismetricsminimally invasive surgeryproficiency‐based progressiontraining

Identifiers

PMID40785273
PMCPMC12336624

What OpenQuestion holds

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LicenceCC BY
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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.