Evidence map›Paper›PMID 42138769›Full record

ArticleJournal of robotic surgery2026

Transition to robotic adrenalectomy: a surgeon-specific learning curve evaluation.

Sezer Akbulut, Tugba Matlim Ozel, Aykut Celik, Gorkem Yildiz, Emrecan Deniz, Serkan Sari

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

6 authors.

Sezer AkbulutDepartment of General Surgery, Division of Endocrine Surgery, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey. drsezerakbulut@gmail.com.ORCID http://orcid.org/0000-0003-4362-2240
Tugba Matlim OzelDepartment of General Surgery, Division of Endocrine Surgery, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-6305-2957
Aykut CelikDepartment of General Surgery, Division of Endocrine Surgery, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-0478-7723
Gorkem YildizDepartment of General Surgery, Division of Endocrine Surgery, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.ORCID http://orcid.org/0009-0003-5453-6935
Emrecan DenizDepartment of General Surgery, Division of Endocrine Surgery, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.ORCID https://orcid.org/0009-0000-2351-4467
Serkan SariDepartment of General Surgery, Division of Endocrine Surgery, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey. serkan.sari@sbu.edu.tr.ORCID http://orcid.org/0000-0003-2918-1776

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic adrenalectomy is increasingly used in selected centers; however, surgeon-specific learning patterns remain unclear. This retrospective single-center cohort study included adult patients who underwent robotic transabdominal adrenalectomy between March 2024 and December 2025. Total operative time and surgeon-dependent console time were analyzed sequentially using LOESS smoothing and learning curve cumulative sum (LC-CUSUM) analysis with predefined thresholds. Fifty-six patients were included. Mean operative time was 137.8 ± 41.3 min, and mean console time was 91.0 ± 34.4 min. Learning curve analyses showed rapid early improvement followed by stabilization, with a plateau after approximately 32 cases. LC-CUSUM analysis indicated early proficiency for operative time at the 10th-12th case, whereas proficiency based on stricter console thresholds was achieved at approximately the 36th case. Robotic transabdominal adrenalectomy achieves early proficiency, while stabilization of surgeon-dependent console performance requires a longer learning period, supporting a multiphase learning curve model.

Indexed as

AdrenalectomyLearning CurveRobotic Surgical ProceduresSurgeonsAdultClinical CompetenceFemaleHumansMaleMiddle AgedOperative TimeRetrospective StudiesAdrenal gland surgeryLearning curveMinimally invasive surgeryRobotic adrenalectomyRobotic surgery

Identifiers

PMID42138769
PMCPMC13179154

What OpenQuestion holds

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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.