Evidence map›Paper›PMID 40858944›Full record

ArticleSurgical endoscopy2025

Robotic Care Outcomes Project (ROBOCOP) for elective cholecystectomy.

Marc Abou Assali, Yanli Li, Hannah Bossie, Christopher Neighorn, Esther Wu, Kaushik Mukherjee

Abstract readComparative Study
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Robotic versus Laparoscopic Cholecystectomy: Length of Stay and Readmission.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Pooled it
  2. Article
  3. Article
  4. Review
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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.

Marc Abou AssaliDepartment of Surgery, Loma Linda University Health, Loma Linda, CA, USA.
Yanli LiIntuitive Surgical Inc, Sunnyvale, CA, USA.
Hannah BossieIntuitive Surgical Inc, Sunnyvale, CA, USA.
Christopher NeighornIntuitive Surgical Inc, Sunnyvale, CA, USA.
Esther WuDivision of General and Gastrointestinal Surgery, Loma Linda University Health, Loma Linda, CA, USA.
Kaushik MukherjeeDivision of Acute Care Surgery, Loma Linda University Health, 11175 Coleman Pavilion, CP 21111, Loma Linda, CA, 92350, USA. kmukherjee@llu.edu.ORCID http://orcid.org/0000-0002-3292-0552

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic cholecystectomy (RCHOLE) is being used more frequently for elective patients. We aimed to compare clinical outcomes, specifically conversion to open/subtotal cholecystectomy, for RCHOLE and laparoscopic cholecystectomy (LCHOLE).

methodsOur study received a Non-Human Subjects Research Determination. We studied elective laparoscopic (LCHOLE) and robotic (RCHOLE) cases from 2020 to 2022 using de-identified extraction of electronic US hospital health record data from the Intuitive Custom Hospital Analytics database. LCHOLE and RCHOLE cases, conversion to open/subtotal cholecystectomy, and complications were identified using ICD10 and/or CPT codes. Patients with missing operative times and demographics were excluded (n = 11,276). We used Multivariate Logistic Regression with Inverse Probability Treatment Weighting(MLR/IPTW) to balance covariates. R 4.1.1 was used for analysis.

resultsLCHOLE(n = 93,122) and RCHOLE(n = 23,581) had similar mean age(50 years) and gender(70% female); RCHOLE patients were more frequently obese(BMI ≥ 30 kg/m2, 38.0% vs. 33.4%, p < 0.001). Operative time was longer in RCHOLE(107 ± 53 vs. 93 ± 42 min, p < 0.001). After MLR/IPTW, RCHOLE had decreased odds of conversion to open cholecystectomy (OR 0.51 [95%CI 0.42, 0.61, p < 0.001), but similar odds of subtotal cholecystectomy. Readmission (OR 0.89 [0.81, 0.97, p = 0.008]) hospital acquired conditions (OR 0.71 [0.60, 0.83, p < 0.001]), and bile duct injury (OR 0.00, p < 0.001) were less likely with RCHOLE. Odds of surgical site infection and hospital mortality were similar in both groups.

conclusionsIn the elective setting, robotic cholecystectomy has reduced odds of conversion to open, readmission, and hospital acquired conditions including bile duct injury when compared to laparoscopic cholecystectomy.

Indexed as

CholecystectomyCholecystectomy, LaparoscopicElective Surgical ProceduresRobotic Surgical ProceduresAdultAgedConversion to Open SurgeryFemaleHumansLength of StayMaleMiddle AgedOperative TimePatient ReadmissionPostoperative ComplicationsRetrospective StudiesBile duct injuryConversion to open surgeryElective surgeryLaparoscopic cholecystectomyRobotic cholecystectomy

Identifiers

PMID40858944
PMCPMC12618350

What OpenQuestion holds

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LicenceCC BY
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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.