Evidence map›Paper›PMID 41968183›Full record

ArticleJournal of robotic surgery2026

Resuscitation during robotic-assisted pelvic surgery: impact of simulation training and system-specific factors.

Anke Hübler, Fabian Hensel, Felix Niebhagen, Roman Herout, Sherif Mehralivand, Robert Benedikt Hoeh, Anne Weber, Thea Koch, Christian Thomas, Martin Baunacke

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. 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

10 authors.

Anke HüblerDepartment of Anaesthesiology and Intensive Care Medicine, Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany.
Fabian HenselDepartment of Anaesthesiology and Intensive Care Medicine, Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany.
Felix NiebhagenDepartment of Anaesthesiology and Intensive Care Medicine, Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany.
Roman HeroutDepartment of Urology, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Sherif MehralivandDepartment of Urology, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Robert Benedikt HoehDepartment of Urology, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Anne WeberDepartment of Urology, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Thea KochDepartment of Anaesthesiology and Intensive Care Medicine, Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany.
Christian ThomasDepartment of Urology, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Martin BaunackeDepartment of Urology, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany. martin.baunacke@ukdd.de.ORCID http://orcid.org/0000-0002-5601-7587

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intraoperative cardiac arrest during robotic-assisted surgery is rare but poses challenges due to limited patient access and the need for undocking. Evidence on structured team training and system-specific factors affecting time to cardiopulmonary resuscitation (CPR) remains limited. This prospective single-center simulation study evaluated six multidisciplinary teams managing standardized cardiac arrest scenarios with the daVinci® and HugoRAS® system. Teams completed three simulations: an unannounced baseline scenario, a second scenario following structured debriefing and introduction of a standardized emergency flowchart, and a third scenario after 3–5 months to assess skill retention. Primary endpoint was time to CPR initiation. Secondary endpoints were protocol adherence and undocking time. Repeated training significantly reduced time to CPR (58.2 ± 26.2 s vs. 31.8 ± 8.9 s; p = 0.03) and improved compliance with the emergency flowchart (p = 0.03). While overall time to CPR initiation did not differ between robotic systems (daVinci®: 48.0 ± 23.5 vs. HugoRAS®: 43.2 ± 16.1, p = 0.6), undocking time was significantly shorter with the daVinci® compared to the HugoRAS® system (20.8 ± 2.4 s vs. 41.0 ± 7.5 s; p < 0.001). Undocking phase accounted for 48.9 ± 14.0% of the time leading up to the CPR in DaVinci® and 69.8 ± 13.1% in HugoRAS®. Simulation-based multidisciplinary team training may improve resuscitation performance during robotic-assisted surgery. Undocking was the main source of delay with system-specific differences. Standardized emergency protocols and regular simulation training should be implemented to enhance patient safety in robotic operating rooms.

Indexed as

Cardiopulmonary ResuscitationHeart ArrestIntraoperative ComplicationsPelvisRobotic Surgical ProceduresSimulation TrainingClinical CompetenceHumansPatient Care TeamProspective StudiesTime FactorsCPREmergency managementResuscitationRobotic-assisted surgerySimulation

Identifiers

PMID41968183
PMCPMC13070981

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.