Evidence map›Paper›PMID 41741915›Full record

SynthesisJournal of robotic surgery2026

Simulation in robotic-assisted thoracic surgery: a systematic review.

Hasanali David Walji, Pablo Gomes-da Silva de Rosenzweig, Hannah Jesani, Antonio Martin-Ucar, Luis Hernandez-Arenas

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of robotic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Hasanali David WaljiDepartment of Cardio-Thoracic Surgery, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK. hasanali.walji@nhs.net.
Pablo Gomes-da Silva de RosenzweigDepartment of Cardio-Thoracic Surgery, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK.
Hannah JesaniDepartment of Cardio-Thoracic Surgery, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK.
Antonio Martin-UcarDepartment of Cardio-Thoracic Surgery, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK.
Luis Hernandez-ArenasDepartment of Cardio-Thoracic Surgery, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Method: A literature search was conducted across three databases using terms: robot* AND simulat* AND thora* OR chest* from January 2010 to December 2025. Themes regarding development of a robotic surgical program were identified. The papers were critically appraised and scored using the MMERSQI tool. Results: Out of 455 articles, 24 full-text articles were reviewed, and ten included in the final review. Three themes emerged: competency assessment, skills development, and MDT education. Studies indicated minimally invasive surgery skills can predict robotic skill acquisition. There is conflicting evidence on whether simulation sets a benchmark for competency or enhances surgical skills. Translation of improvements from simulation to clinical practice remains unclear. Simulation was also highlighted as a method to ensure team members develop together and offer organisations learning opportunities. Conclusion: Recommendations on incorporating simulation into a RATS program include: prioritize surgeons experienced in minimally invasive techniques for early introduction to RATS via simulation; avoid using simulation benchmarking as the sole marker of competence; use virtual simulation-based learning for familiarity with robotic systems but do not accept it as surgical experience for certification; and emphasize MDT simulation for improved teamwork and organizational learning.

Indexed as

Computer SimulationRobotic Surgical ProceduresSimulation TrainingThoracic Surgical ProceduresClinical CompetenceHumansMinimally Invasive Surgical ProceduresCardiothoracic surgeryLung cancerMedical educationRobotic-assisted thoracic surgeryRobotic surgerySimulation

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.