ReviewJournal of abdominal wall surgery : JAWS2025
Structured Training in Robotic Abdominal Wall Surgery: A Systematic Review of Educational Models, Methodologies, Existing Gaps and Unmet Needs.
Review in Journal of abdominal wall surgery : JAWS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses 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
12 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Simulation unlocked: transforming thyroid surgery training through high-fidelity and curriculum-based innovation-a systematic review.Langenbeck's archives of surgery · 2026Pooled it
- Training pathways and formal curricula in robotic bariatric surgery: a systematic review.Journal of robotic surgery · 2026Pooled it
- Robotic curriculum and development strategies in robotic abdominal surgery.Journal of robotic surgery · 2026Pooled it
- Optimizing robotic approach to ventral hernia repair: an updated systematic review and meta-analysis between preperitoneal versus retromuscular repair.Journal of robotic surgery · 2025Pooled it
- Robotic vs. laparoscopic TAPP: a systematic review and meta-analysis of randomized controlled trials on short-term outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Learning curve of robotic-assisted transabdominal preperitoneal inguinal hernia repair (r-TAPP): a scoping review of CUSUM-based studies.Journal of robotic surgery · 2026Article
- Predicting operative time in robotic ventral hernia repair using machine learning: a retrospective pilot study.Langenbeck's archives of surgery · 2026Article
- Standardized porcine robotic transversus abdominis release training: the SPORT model.Surgical endoscopy · 2026Article
- Reply to "Ensuring clinical translation of the Hernia ASCEND Hugo™ RAS training pathway: the need for outcome validation and anatomical accuracy".Journal of robotic surgery · 2025Article
- Reply to "Critical appraisal of "Proposal for the Hernia ASCEND Hugo™ RAS training pathway: acquisition of skills by comprehensive exercise‑based nimbleness and dexterity training"".Journal of robotic surgery · 2025Article
- Robotic inguinal and umbilical hernia repair: clinical outcomes, costs, and future perspectives: a narrative review.Journal of robotic surgery · 2025Review
- Proposal for the Hernia ASCEND Hugo™ RAS training pathway: acquisition of skills by comprehensive exercise-based nimbleness and dexterity training.Journal of robotic surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Robotic-assisted abdominal wall surgery demands advanced technical proficiency. The advent of robotic platforms has driven the development of various training approaches, including simulation-based modules, animal models, and structured curricula. This systematic review critically assesses current training strategies and models, comparing their effectiveness in skill acquisition through validated assessment tools and evaluating their implementation from a cost-effectiveness perspective. Methods: A comprehensive search of the scientific literature was conducted across three major databases (PubMed, Embase, Cochrane, Google Scholar) up to April 2025. The study was registered in PROSPERO (CRD420251027155) and conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were selected based on inclusion of robotic training programs related to abdominal wall surgery. Results: Out of 3,038 records identified, 8 studies were included. The overall methodological quality was acceptable, with all studies showing moderate risk of bias. Training models varied and included virtual reality simulation (n = 4), inanimate models (n = 3), porcine models (n = 2), and intraoperative training (n = 4). Three studies described integrated, proficiency-based curricula. Skill acquisition was reported using validated tools such as GEARS, OSATS, or the Zwisch scale in only two studies. Reported costs ranged from €40 for silicone models to €600 for porcine models; one study demonstrated $1,207 in cost savings per case post-training. Conclusion: Current training models for robotic-assisted abdominal wall surgery are heterogeneous in design, assessment methods, and cost. While integrated curricula show promise, few studies employ validated tools to evaluate skill acquisition. Further high-quality research is needed to standardize training approaches and assess their cost-effectiveness.
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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.