Evidence map›Paper›PMID 42576083›Full record

ArticleSurgical endoscopy2026

Robotics on the rise: an Eastern Association for the Surgery of Trauma multicenter trial of robotic versus laparoscopic cholecystectomy in acute care surgery.

Lillian M Jones, V Christian Sanderfer, Bryce C Lambert, Cynthia Lauer, Bradley Thomas, Tamara Mrad, Julia Brake, Hongmei Yang, Kaushik Mukherjee, Marilia Montenegro and 40 more

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 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

50 authors.

Lillian M JonesAtrium Health Carolinas Medical Center, Charlotte, NC, USA. lillian.jones@advocatehealth.org.ORCID http://orcid.org/0009-0008-4247-1720
V Christian SanderferAtrium Health Carolinas Medical Center, Charlotte, NC, USA.
Bryce C LambertAtrium Health Carolinas Medical Center, Charlotte, NC, USA.
Cynthia LauerAtrium Health Carolinas Medical Center, Charlotte, NC, USA.
Bradley ThomasAtrium Health Carolinas Medical Center, Charlotte, NC, USA.
Tamara MradAtrium Health Carolinas Medical Center, Charlotte, NC, USA.
Julia BrakeAtrium Health Carolinas Medical Center, Charlotte, NC, USA.
Hongmei YangAtrium Health Carolinas Medical Center, Charlotte, NC, USA.
Kaushik MukherjeeLoma Linda University, Loma Linda, CA, USA.
Marilia MontenegroLoma Linda University, Loma Linda, CA, USA.
Michael S FarrellLehigh Valley Health Network, Allentown, PA, USA.
Pranali KamatLehigh Valley Health Network, Allentown, PA, USA.
Patrick MurphyMedical College of Wisconsin, Milwaukee, WI, USA.
Danielle WilsonMedical College of Wisconsin, Milwaukee, WI, USA.
Corey AmbroseLA General Medical Center, Los Angeles, CA, USA.
Matthew J MartinLA General Medical Center, Los Angeles, CA, USA.
Lindsay Howe, Scott, and White Health, Temple, TX, USA.
James Spriggs, Scott, and White Health, Temple, TX, USA.
Stephanie Eosten JoyceLawrence and Memorial Hospital, New London, CT, USA.
Jonathan BlancaflorLawrence and Memorial Hospital, New London, CT, USA.
Shreyus KulkarniLuminis Health, Annapolis, MD, USA.
Scott RehrigLuminis Health, Annapolis, MD, USA.
Michal RadomskiOhio Health, Mansfield, OH, USA.
Tanisha KashikarOhio Health, Mansfield, OH, USA.
Nicholas TruongUniversity of California, Irvine, CA, USA.
Jeffry NahmiasUniversity of California, Irvine, CA, USA.
SaeRam OhEast Carolina University, Greenville, NC, USA.
Caitlin FitzgeraldEast Carolina University, Greenville, NC, USA.
Evert ErikssonMedical University of South Carolina, Charleston, SC, USA.
Steadman WangMedical University of South Carolina, Charleston, SC, USA.
Robert DespainCooper University Health, Camden, NJ, USA.
Leor AlkadaaCooper University Health, Camden, NJ, USA.
Uzer KhanTexas Health Harris Methodist Hospital, Fort Worth, TX, USA.
Carlos RodriguezTexas Health Harris Methodist Hospital, Fort Worth, TX, USA.
Graciela FuentesMedical City Healthcare, Dallas, TX, USA.
Luis TaverasMedical City Healthcare, Dallas, TX, USA.
Mohamed ArafehAtrium Health Wake Forest Baptist, Winston Salem, NC, USA.
Matthew PainterAtrium Health Wake Forest Baptist, Winston Salem, NC, USA.
Dale ButlerAtrium Health Wake Forest Baptist, Winston Salem, NC, USA.
Hillary PrinceUniversity of Texas Southwestern, Dallas, TX, USA.
Justin VaughanUniversity of Texas Southwestern, Dallas, TX, USA.
Mark GaoTexas Tech University, Lubbock, TX, USA.
Robin CarlsonUniversity of Arizona, Tucson, AZ, USA.
Christina ColosimoUniversity of Arizona, Tucson, AZ, USA.
A Britton ChristmasAtrium Health Carolinas Medical Center, Charlotte, NC, USA.
Robert LimAtrium Health Carolinas Medical Center, Charlotte, NC, USA.
Brent D MatthewsAtrium Health Carolinas Medical Center, Charlotte, NC, USA.
Joseph SakranJohns Hopkins University, Baltimore, MD, USA.
Bruce CrookesMedical University of South Carolina, Charleston, SC, USA.
Samuel Wade RossAtrium Health Carolinas Medical Center, Charlotte, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of robotic surgery is increasing in acute care surgery (ACS), especially in patients presenting with acute biliary pathology. This study aimed to evaluate utilization of robotic cholecystectomy (RC) in ACS and compare clinical outcomes to laparoscopic cholecystectomy (LC). We hypothesized that there would be increased utilization of RC over the study period with decreased rates of conversion to open compared to LC, while suspecting RC would have longer operative times.

methodsWe conducted a retrospective multicenter (15 institutions) study of adult patients undergoing robotic or laparoscopic procedures performed by ACS from 2018 - 2023. Annual case volumes were reviewed for modality (RC vs. LC), operative characteristics, length of stay (LOS), and readmission rates. Multivariate logistic and propensity score matching analyses were performed, controlling for multiple confounders.

resultsA total of 1342 cases were identified (RC = 335, LC = 1007). RC volume increased over time (20 in 2018 to 158 in 2023), while the proportion of urgent/emergent RC cases performed also increased (emergent or urgent: 20% to 55.7%, p = 0.002); On adjusted analyses compared to LC, RC patients had a significantly longer operative duration, though only by 20 min (106 vs. 86 min, p < 0.001). However, the RC group had similar LOS (1.72 vs. 1.78, p = 0.572), and no significant difference in odds of converting to open (0.697, p = 0.565), 30-day ER visit (1.105, p = 0.683), and 10-day readmission (1.189, p = 0.661) compared to LC.

conclusionRobotic cholecystectomy increased significantly in the ACS population over the study period, with increased use for urgent/emergent biliary surgery. There was no difference between RC and LC in rate of conversion to open when adjusted for confounders. These results demonstrate increased adoption of RC in ACS without increased complication risk, despite a higher-risk population.

Indexed as

Acute care surgeryRoboticsSurgical outcomes

Identifiers

PMID42576083

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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.