Evidence map›Paper›PMID 41261249›Full record

SynthesisSurgical endoscopy2026

Robotic surgery for Crohn's disease: educational value and quality of online video resources.

Georgios Giannos, Ayesha Unadkat, Christos Kontovounisios, Nicola de'Angelis, Valerio Celentano

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Article
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

5 authors.

Georgios GiannosInflammatory Bowel Disease and Ileoanal Pouch Surgery Centre, Chelsea and Westminster Hospital NHS Foundation Trust London, London, UK. georgios.giannos@yahoo.com.ORCID 0000-0003-4546-6624
Ayesha UnadkatInflammatory Bowel Disease and Ileoanal Pouch Surgery Centre, Chelsea and Westminster Hospital NHS Foundation Trust London, London, UK.
Christos Kontovounisios2nd Surgical Department, Evangelismos General Hospital, Ipsilantou 45-47, 106 76, Athens, Greece.
Nicola de'AngelisUnit of Robotic and Minimally Invasive Surgery, Department of Surgery, Ferrara University Hospital, Ferrara, Italy.
Valerio CelentanoInflammatory Bowel Disease and Ileoanal Pouch Surgery Centre, Chelsea and Westminster Hospital NHS Foundation Trust London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo qualitatively assess surgical technique in robotic ileocecal resection (ICR) for Crohn's disease (CD) and evaluate the educational quality of procedural videos.

methodsA systematic search was conducted across surgical video platforms (YouTube, Medtube, AIS Channel, WebSurg) using the terms "Robotic ileocecal resection" and "Robotic Crohn's disease." Inclusion criteria were (1) robotic ICR for CD; (2) uploaded between 2005 and 2025; (3) produced by medical professionals; (4) English language. Collected data including surgical indication, port placement, extraction site, anastomotic technique, and extent of mesenteric excision. Video content quality and training value was assessed with the Global Evaluative Assessment of Robotic Skills (GEARS) and LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) video assessment tool. A LAP-VEGaS score of ≥ 11 was defined as the educational pass mark.

resultsTwenty-eight videos were included. Surgical indication was reported in 17 videos (60.7%): stricture (n = 7, 41.2%), fistula (n = 9, 52.9%), both (n = 1, 5.9%). Port positioning and extraction site were shown in 13 (46.4%) and 14 (50.0%) videos, respectively. Mesenteric excision was described in 19 videos (67.9%): extended (n = 5, 26.3%), limited (n = 10, 52.6%) and neither extended nor limited (n = 4, 21.1%). Anastomoses included Kono-S (n = 7, 29.2%), side-to-side (n = 16, 66.7%), side-to-end (n = 1, 4.1%). All the demonstrated anastomoses were performed intracorporeally. LAP-VEGaS scores ranged from 2 to 17 (median = 11), with only 57.14% receiving a score of 11 or higher, whilst GEARS showed novice (n = 7, 25.0%), intermediate (n = 15, 53.6%), expert (n = 6, 21.4%). Video quality was good in 7.1%, moderate in 64.3% and poor in 28.6%. Educational value for surgeons in training was ranked as good in 7.1%, moderate in 25.0% and poor in 67.9%.

conclusionVideos of robotic ICR for Crohn's disease can support surgical education, although currently only half meet minimum quality standards. Greater standardisation and adherence to validated frameworks are required to optimise their educational value.

Indexed as

Crohn DiseaseLaparoscopyRobotic Surgical ProceduresVideo RecordingClinical CompetenceHumansIleumCrohn’s diseaseEducational qualityGEARS scoreLAP-VEGaS scoreRobotic ileocecal resectionSurgical video assessment

Identifiers

PMID41261249

What OpenQuestion holds

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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.