Evidence map›Paper›PMID 41398468›Full record

ArticleSurgical endoscopy2026

Standardized porcine robotic transversus abdominis release training: the SPORT model.

Francesco Brucchi, Annabelle De Troyer, Maaike Vierstraete, Filip Muysoms

Abstract read
In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Diastasis recti in male patients: a literature review and proposed management.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Review
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

4 authors.

Francesco BrucchiUniversity of Milan, Via Festa del Perdono, 7, Milan, Italy. francesco.brucchi@unimi.it.ORCID 0000-0003-3191-4369
Annabelle De TroyerDepartment of General Surgery, Ziekenhuis Aan de Stroom (ZAS) Antwerp, Antwerp, Belgium.
Maaike VierstraeteDepartment of Plastic, Reconstructive and Aesthetic Surgery, ZAS Antwerp, Antwerp, Belgium.
Filip MuysomsDepartment of General Surgery, AZ Maria Middelares, Ghent, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic platforms are increasingly adopted for complex abdominal wall reconstruction, yet transversus abdominis release (TAR) remains technically demanding with a steep learning curve. Structured training models are therefore essential to ensure safe implementation. Building on the experience of a previous model for inguinal hernia repair, the SPORT (Standardized POrcine Robotic Transversus abdominis release Training) model was developed as a stepwise, high-fidelity platform for robotic TAR.

methodsEthical approval was obtained (EC2021/067) under the Belgian Animal Use Act. Crossbred pigs (Landrace × Large White, 14-16 weeks, ~ 50 kg) underwent open and laparoscopic dissections to assess abdominal wall anatomy. Based on these findings, a structured stepwise rTAR protocol was developed and tested on standard robotic platforms (da Vinci Xi, da Vinci X, Hugo RAS, Versius). This study does not include quantitative or qualitative performance data; rather, it provides a methodological description and validation of a standardized, reproducible training framework for robotic transversus abdominis release using a live porcine model.

resultsThe SPORT model reproduces key anatomical features of the human abdominal wall, including the arcuate line, the watershed zone at the costal margin, and the cranial extension of the transversus abdominis. A structured step-by-step description is provided, emphasizing critical landmarks, technical pitfalls, and system-specific docking maneuvers.

conclusionsThe SPORT model offers a realistic and reproducible training framework for robotic TAR, allowing surgeons to practice both classical and modified techniques before performing them in human patients. By bridging the gap between synthetic or cadaveric training and live surgery, SPORT represents an essential component of structured curricula for robotic abdominal wall reconstruction.

Indexed as

Abdominal MusclesAbdominal WallHerniorrhaphyLaparoscopyRobotic Surgical ProceduresAnimalsModels, AnimalSwineAbdominal wall reconstructionPorcine modelRobotic surgerySurgical trainingTransversus abdominis release

Identifiers

PMID41398468
PMCPMC12823681

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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.