ArticleJournal of robotic surgery2026
Transition to total robotic colorectal practice: feasibility and outcomes in a UK colorectal unit.
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.
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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.
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.
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Who cites it
1 citing paper in PubMed.
- The diet-microbiota-inflammation axis and colorectal cancer.Frontiers in oncology · 2026Review
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Robotic surgery uptake is increasing rapidly, with the anticipation that most laparoscopic procedures will eventually be performed robotically. Multiple benefits have been demonstrated: reduced conversion rates, stoma rates, complications, post-operative pain and length of stay, and improved primary anastomosis rate, oncological outcomes and gastrointestinal recovery. This study aimed to assess the feasibility and outcomes of a full departmental transition to total robotic colorectal practice, in line with the National Health Service robotic surgery strategic vision. This single-centre retrospective cohort study was performed in a UK centre from 2018 to 2024, including the three-year transition period from laparoscopic to total robotic colorectal practice. The primary outcome was conversion rate. Secondary outcomes were post-operative complications, anastomotic leak, stoma rates, resection margins, lymph node harvest, intra-operative blood loss, post-operative pain, return to theatre and length of stay. 1479 operations were analysed: 584 robotic (39.4%), 807 laparoscopic (54.6%) and 88 open (5.9%). 1085 (73.4%) operations were for colorectal cancer, 394 (26.6%) for benign pathologies. All robotic surgery outcomes were non-inferior to laparoscopy. Statistically significant differences were found in conversion rate (2% vs. 12%, p = 0.001), intra-operative blood loss (p = 0.01), length of stay (4 vs. 5 days, p = 0.001), lymph node harvest (21 vs. 20, p = 0.006), R0 resection rates ( 90% vs. 87%, p = 0.0001) and median PCA volume (38 vs. 67 mls, p = 0.001). Full departmental change to total robotic colorectal practice is achievable in both colorectal cancer and benign disease with an improvement upon laparoscopic outcomes.
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Registered trials
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