ArticleJournal of robotic surgery2026
Phased active warming protocol for prevention of intraoperative hypothermia in Da Vinci robot-assisted radical resection of rectal cancer.
Article in Journal of robotic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 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.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Robotic versus laparoscopic low anterior resection for rectal cancer: an updated systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To evaluate the effectiveness of a phased active warming protocol in preventing intraoperative hypothermia during Da Vinci robot-assisted radical resection for rectal cancer. A single-center retrospective cohort analysis examined patients undergoing Da Vinci robot-assisted rectal cancer resection from January 1, 2022, through December 31, 2024. Using 1:1 propensity score matching, patients receiving phased active warming protocol were matched with those under routine thermal care. Variables for matching encompassed age, sex, body mass index, American Society of Anesthesiologists classification, surgical duration, and anesthesia time. Primary outcome measured was intraoperative hypothermia incidence (core temperature below 36 °C). Secondary outcomes covered mean core temperature, postoperative shivering evaluated through Bedside Shivering Assessment Scale, surgical site infection rates, blood transfusion needs, hospital stay duration, and perioperative costs. Following propensity score matching, each group contained 144 patients (total n = 288). Hypothermia occurrence dropped markedly in the intervention cohort (26 cases [18.1%] versus 70 cases [48.6%], p < 0.001). End-of-surgery core temperature showed higher values in the intervention cohort (36.4 ± 0.5 °C compared to 35.8 ± 0.6 °C, p < 0.001). Shivering after surgery (BSAS score of 1 or greater) demonstrated reduced frequency in the intervention cohort (18 patients [12.5%] versus 50 patients [34.7%], p < 0.001). Wound infection rates decreased in the intervention cohort (6 cases [4.2%] versus 17 cases [11.8%], p = 0.022). Hospital stays shortened for the intervention cohort (8.2 ± 2.1 days compared to 10.5 ± 3.4 days, p < 0.001). The phased active warming approach substantially decreased hypothermia occurrence and enhanced perioperative outcomes in Da Vinci robot-assisted rectal cancer resection patients, demonstrating clinical value warranting widespread adoption.
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Identifiers
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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.