Evidence map›Paper›PMID 40853513›Full record

SynthesisJournal of robotic surgery2025

Learning curve of robotic colectomy: a systematic review and meta-analysis of surgical proficiency, outcomes, and training protocols.

Danilo Coco, Silvana Leanza

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis 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 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
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

2 authors.

Danilo CocoDepartment of General, Robotic and Oncologic Surgery, Giglio Foundation Hospital Cefalu', Palermo, Italy. webcostruction@msn.com.ORCID http://orcid.org/0000-0002-5839-1767
Silvana LeanzaDepartment of General, Robotic and Oncologic Surgery, Giglio Foundation Hospital Cefalu', Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This investigation systematically evaluates the skill acquisition process in robotic colectomy procedures, determining the case volume required for surgical competency and assessing the effectiveness of various training methodologies. A comprehensive evidence synthesis was performed according to PRISMA standards. Multiple medical databases (PubMed, Embase, Cochrane Library) were systematically interrogated for relevant publications from January 2000 to January 2024. Eligible studies documented proficiency development in robotic colectomy, providing metrics on procedure duration, adverse events, and educational approaches. Analytical methods incorporated random-effects modeling with heterogeneity evaluation through I

methodsFrom an initial pool of 1,800 potential studies, 35 met rigorous inclusion criteria, collectively representing 7500 surgical cases.

resultsProficiency development required between 20 and 70 procedures, with a weighted mean of 45 cases (95% confidence interval: 40-50). Significant reductions in operative duration (p < 0.001) and complication frequency (25% to 10%, p = 0.005) were observed following competency attainment. Training methodologies demonstrated considerable variation, with case volume requirements (designated TR-100 to TR-500) showing differential effectiveness. Formalized instructional programs incorporating simulation training and expert supervision correlated with accelerated skill acquisition.

conclusionachieving technical proficiency in robotic colectomy typically necessitates approximately 45 cases, with measurable enhancements in both procedural efficiency and clinical outcomes. The implementation of systematic training frameworks, particularly those integrating simulation components and mentored practice, appears crucial for optimizing surgical education.

Indexed as

Clinical CompetenceColectomyLearning CurveRobotic Surgical ProceduresHumansOperative TimeSimulation TrainingCompetency developmentEvidence synthesisMinimally invasive colorectal surgeryRobot-assisted colectomySurgical educationSurgical skill acquisitionSystematic review methodology

Identifiers

What OpenQuestion holds

Textmetadata
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.