Evidence map›Paper›PMID 41553416›Full record

Observational studyJournal of robotic surgery2026

Intraoperative outcomes of robotic surgery across multiple multimodal systems.

Antonio Fioccola, Ilaria Angioni, Isabella Fratti, Alessandro Monte, Maria Chiara Sighinolfi, Bernardo Rocco, Paolo Pietro Bianchi, Davide Chiumello

Abstract readObservational Study
In one paragraph

Observational study 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.

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. 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

8 authors.

Antonio FioccolaDepartment of Health Sciences, University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0003-4443-1905
Ilaria AngioniDepartment of Health Sciences, University of Milan, Milan, Italy.
Isabella FrattiDepartment of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital, Via Di Rudinì 9, Milan, Italy.
Alessandro MonteDepartment of Health Sciences, University of Milan, Milan, Italy.
Maria Chiara SighinolfiDepartment of Health Sciences, General Surgery Unit, University of Milan, Milan, Italy.
Bernardo RoccoDepartment of Health Sciences, General Surgery Unit, University of Milan, Milan, Italy.
Paolo Pietro BianchiUniversità Cattolica del Sacro Cuore, Rome, Italy.
Davide ChiumelloDepartment of Health Sciences, University of Milan, Milan, Italy. davide.chiumello@unimi.it.ORCID http://orcid.org/0000-0001-9260-3930

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe emergence of new multi-modular robotic surgical systems, such as Hugo RAS and Versius, introduces architectural and ergonomic variations compared with the established Da Vinci platform. While their surgical performance has been widely investigated, limited data exist regarding anesthesiological outcomes. This study aimed to compare intraoperative anesthetic parameters across three robotic platforms in a tertiary academic center.

methodsA retrospective observational analysis was conducted on 258 consecutive patients who underwent robotic abdominal, urological, or gynecological surgery between January 2024 and June 2025. Patients were stratified according to the robotic platform used-Da Vinci, Hugo RAS, or Versius. Intraoperative variables, including Trendelenburg angle, anesthesia duration, pneumoperitoneum time, urine output, and fluid balance, were compared among groups.

resultsThe Da Vinci system was used in 68.6% of cases, followed by Versius (15.9%) and Hugo RAS (15.5%). No major differences were observed in anesthesiological or postoperative outcomes across platforms, except for a higher intraoperative urine output with Versius in gynecological surgery. Minor variations included a steeper Trendelenburg position in colorectal surgeries performed with Da Vinci and shorter operative and pneumoperitoneum times with Versius in abdominal wall procedures.

conclusionDespite structural and ergonomic differences, the Hugo RAS and Versius systems demonstrated anesthesiological safety and intraoperative performance comparable to the Da Vinci platform, supporting their safe integration into clinical practice.

Indexed as

Robotic Surgical ProceduresAdultAgedAnesthesiaFemaleGynecologic Surgical ProceduresHead-Down TiltHumansIntraoperative PeriodMaleMiddle AgedOperative TimeRetrospective StudiesUrologic Surgical ProceduresAnesthesiaKidney functionMechanical ventilationMulti-modular systemsRobotic surgery

Identifiers

PMID41553416
PMCPMC12816085

What OpenQuestion holds

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LicenceCC BY
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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.