Trial reportJournal of robotic surgery2025
Prospective study of a structured robotic surgery training program in a public cancer hospital in Brazil.
Trial report in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02292914 (Prospective Analysis of Robot-Assisted Surgery), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Prospective Analysis of Robot-Assisted Surgery
Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The learning curve of robotic esophagectomy: a systematic review with a proposed training and competency assessment framework.Frontiers in oncology · 2026Pooled it
- Robotic surgery in gastrointestinal cancers: short-term clinical outcomes and micro-costing analysis from a reference oncologic center.Clinics (Sao Paulo, Brazil) · 2026Article
- Usability of an independent arm modular robotic system in abdominal wall surgery: supraumbilical midline closure.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The implementation of robotic surgery represents a major advance for oncological surgical care, particularly in public health systems, but requires robust training and proctorship for established surgeons. To assess surgeon performance and clinical outcomes following a structured, proctored training program for robotic surgery in a Brazilian public cancer hospital. This prospective, randomized trial (ClinicalTrials.gov: NCT02292914, https://clinicaltrials.gov/ct2/show/NCT02292914 ) recruited 564 cancer patients (2014-2020) for either robotic (n = 326) or control (laparoscopic/open, n = 238) procedures. Sixteen surgeons (> 10 years oncology experience) underwent a standardized four-stage laboratory and perioperative proctored curriculum. Outcomes included operative duration, blood loss, lymph node yield, and intraoperative complications. Data were analyzed in IBM-SPSS v20.0 (chi-square, Fisher's exact, Mann-Whitney, paired t-test, GEE; p < 0.05). All surgeons completed the laboratory curriculum; eight met full operative certification criteria. Robotic procedures took longer than controls (mean 304.9 vs 259.1 min; p < 0.001), with significantly less blood loss (mean 266.2 vs 598.2 mL; p < 0.001). Lymph node yields and complication rates did not differ. Operative durations decreased with experience. Structured, proctored training enabled safe transition to robotic surgery in this high-volume public cancer center. The model is scalable and adaptable to other institutions and innovations in public hospitals.
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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.