Evidence map›Paper›PMID 41894053›Full record

ArticleJournal of robotic surgery2026

The dexter robotic system in gynecological surgery: preliminary clinical data from routine use.

Huy Duc Le, Zino Ruchay, Julian Pape, Anna-Christina Rambow, Veronika Günther, Pernilla Virginia Conrad, Julius Pochhammer, Nicolai Maass, Ibrahim Alkatout

Abstract read
In one paragraph

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.

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. 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

9 authors.

Huy Duc LeDepartment of Gynecology and Obstetrics, University Hospital of Schleswig-Holstein, 24105, Kiel, Germany.
Zino RuchayDepartment of Gynecology and Obstetrics, University Hospital of Schleswig-Holstein, 24105, Kiel, Germany.
Julian PapeDepartment of Gynecology and Obstetrics, University Hospital of Schleswig-Holstein, 24105, Kiel, Germany.
Anna-Christina RambowDepartment of Gynecology and Obstetrics, University Hospital of Schleswig-Holstein, 24105, Kiel, Germany.
Veronika GüntherDepartment of Gynecology and Obstetrics, University Hospital of Schleswig-Holstein, 24105, Kiel, Germany.
Pernilla Virginia ConradDepartment of General, Visceral, Thoracic, Transplantation and Pediatric Surgery, University Hospital of Schleswig-Holstein, Kiel, Germany.
Julius PochhammerDepartment of General, Visceral, Thoracic, Transplantation and Pediatric Surgery, University Hospital of Schleswig-Holstein, Kiel, Germany.
Nicolai MaassDepartment of Gynecology and Obstetrics, University Hospital of Schleswig-Holstein, 24105, Kiel, Germany.
Ibrahim AlkatoutDepartment of Gynecology and Obstetrics, University Hospital of Schleswig-Holstein, 24105, Kiel, Germany. ibrahim.alkatout@uksh.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Dexter robotic surgery system is a novel approach combining conventional laparoscopic and robotic surgery through an on-demand hybrid concept. Following its clinical approval in 2022, it has been used in a variety of surgical fields, but data on routine gynecological application remain limited. This study reports the first consecutive case series evaluating technical feasibility and early outcomes of the Dexter system in routine gynecological surgery. This retrospective consecutive case series included all gynecological procedures performed with the Dexter system at a single academic center between November 2022 and March 2024. Primary outcome was operative time (skin-to-skin). A total of 47 patients underwent nine different types of gynecological procedures. Benign hysterectomies were the most common (n = 28/47, 59.6%). Mean operative times varied between procedures, with the longest duration observed for hysterectomy combined with cervicosacropexy (161.0 min ± 26.0 min), followed by total hysterectomy (139.8 min ± 33.1 min) and myomectomy (131.0 ± 42.7 min). Blood loss was < 50 ml in all cases. No intraoperative complications were observed and no conversions to laparotomy or conventional laparoscopy occurred. This study demonstrates the technical feasibility of the Dexter robotic system for routine minimally invasive procedures in gynecological procedures. The on-demand hybrid concept was successfully integrated into clinical workflow. These findings provide foundational data for future comparative studies evaluating the Dexter system in gynecological surgery.

Indexed as

Gynecologic Surgical ProceduresLaparoscopyRobotic Surgical ProceduresAdultFeasibility StudiesFemaleHumansHysterectomyMiddle AgedOperative TimeRetrospective StudiesDexterGynecologyHysterectomyOperative timeRobotic surgery

Identifiers

PMID41894053
PMCPMC13031215

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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.