ArticleScientific reports2025
Learning curve for robotic-assisted hiatal hernia repair determined by cumulative analysis of adjusted operative times.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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
3 citing papers in PubMed.
- Transition from laparoscopic to robotic hepatectomy within a minimally invasive liver surgery program: risk-adjusted learning curve assessment by multiple continuous outcomes.Journal of robotic surgery · 2026Article
- Operative Efficiency and Short-Term Outcomes of Robotic Transabdominal Preperitoneal Inguinal Hernia Repair: A Prospective Single-Surgeon Cohort Study.ANZ journal of surgery · 2026Article
- Robot-Assisted Antireflux Surgery in Gastro-Oesophageal Reflux Disease and Hiatal Hernia: Beyond Platform Comparison Towards Selective Clinical Value.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to assess the learning curve of robotic-assisted hiatal hernia repair. Patients undergoing robotic-assisted hiatal hernia repair from May 2018 to April 2024 were retrospectively included. Clinical characteristics, operative times, and postoperative data were collected. A cumulative summation (CUSUM) analysis of operative times, adjusted for surgical complexity, was conducted. We selected 101 patients who underwent robotic-assisted hiatal hernia repair performed by three surgeons. The mean age was 65.7 ± 14.3 years, with 69 (68.3%) female patients. Adjusted operative times were calculated based on hernia type, age, sex, BMI, and American Society of Anesthesiologists (ASA) score. The CUSUM analysis estimated the learning curve to be between 15 and 21 cases. Only one minor intraoperative complication occurred. Postoperatively, 19 (18.8%) complications were observed, with only 3 (3.0%) classified as grade 3 according to the Clavien-Dindo classification. Complications were evenly distributed between the learning and post-learning phases. After a mean follow-up of 26.5 ± 18.0 months, 13 (12.9%) cases of recurrence were recorded, none of which required surgical revision. Experienced surgeons performing robotic-assisted hiatal hernia repair seem to have a rapid learning curve. A significant reduction in operative time was observed after 15 to 21 cases.
Indexed as
Identifiers
What OpenQuestion holds
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.