Updates in Surgery最新文献

{"title":"Predicting conversion to tailor patient expectations and perioperative pain management in ileocecal resection for Crohn's disease.","authors":"Michele Carvello, Annalisa Maroli, Dakshita Wickramasinghe, Francesca Di Candido, Arianna Dal Buono, Alessandro Armuzzi, Janindra Warusavitarne, Antonino Spinelli","doi":"10.1007/s13304-025-02171-8","DOIUrl":"10.1007/s13304-025-02171-8","url":null,"abstract":"<p><p>This study aims to identify risk factors of conversion to open surgery for patients undergoing minimally invasive surgery for their CD and to develop a predictive scoring system. Data from patients undergoing minimally invasive resection for their CD were collected in two European referral centers. The scoring system was developed from a logistic regression model including clinical and operative variables and its performance was evaluated using receiver operating characteristics (ROC) area under the curve (AUC). The study included 309 patients including surgery for recurrence. Conversion to open surgery occurred in 21% (65/309) of patients. The logistic regression analysis identified male sex, BMI, preoperative evidence of multiple disease localizations and abscess or perforation, and previous surgery for CD as independent risk factors for conversion. The risk score values in the converted group were significantly higher compared to non-converted group (MD = - 20.40; 95%CI - 14.12 to - 26.69; p < 0.0001). In the ROC analysis, the score achieved an AUC of 0.80 (SE = 0.03; 95%CI 0.74-0.86; p < 0.0001). Male sex, BMI, preoperative evidence of multiple disease localizations and abscess or perforation, and previous surgery for CD were associated with an increased risk of conversion to open surgical approach in patients undergoing minimally invasive surgery and were used to develop a predictive score. The results of this study might be useful to tailor patient expectations and perioperative pain management in ileocecal resection for Crohn's disease.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":"1391-1399"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Volume replacement procedure adopting biomaterial: early considerations from a multicentric study.","authors":"Andrea Vittorio Emanuele Lisa, Manuela Bottoni, Matteo Ghilli, Maria Donatella Mariniello, Mattia Intra, Laura Maria Belloni, Denise Mattar, Maria Cristina Cossu, Sabrina Montrone, Margherita Tamplenizza, Irini Gerges, Alessandro Tocchio, Benigno Acea, Manuela Roncella, Mario Rietjens","doi":"10.1007/s13304-025-02212-2","DOIUrl":"10.1007/s13304-025-02212-2","url":null,"abstract":"<p><p>Breast cancer remains the most prevalent female cancer, affecting 2.3 million women worldwide in 2022 (WHO). Breast-conserving surgery aims to remove cancerous tissue while preserving the breast, often incorporating oncoplastic techniques for better cosmetic outcomes. The use of biomaterials for volume replacement, such as the REGENERA^™ biomimetic polyurethane-based patented scaffold, could make these procedures less invasive, with faster recovery and shorter operative times. This article presents preliminary data from a multicentric trial exploring the use of REGENERA^™ in breast reconstruction after breast-conserving surgery. This study included patients operated from 14^th June 2023 to 15^th May 2024. The involved centers are: Breast Surgery Unit, Santa Chiara Hospital, Pisa (Italy, ITA01), European Institute of Oncology, Milan (Italy, ITA02), and Hospital A Coruña, A Coruña (Spain, ESP01). For each patient, we evaluated the incidence of adverse events, changes in breast appearance (using photographs and anthropomorphic measurements), interference with ultrasounds and MRI, investigator's satisfaction, patient's pain (through VAS scale), and quality of life (using BREAST-Q questionnaire). Our early experience included 16 patients meeting the inclusion/exclusion criteria from the 3 centers (3 patients from ESP01, 7 from ITA01, and 6 from ITA02). No complications or allergies related to the device were observed, with a mean follow-up of 3 months. The only complication observed was 3 seromas accounting for 18.75% of patients, justifying the use of drains when REGENERA^™ is used. BREAST-Q questionnaire results at 1-month follow-up showed no statistical significant improvements except for the Psychosocial Well-Being Chest section, which moved from a pre-operative score of 23 to a post-operative score of 52.33. The REGENERA^™ scaffold shows promise as a novel biomaterial for volume replacement in breast-conserving surgery, with high patient satisfaction and minimal complications. Further research and long-term follow-up are necessary to fully evaluate its efficacy and safety. Trial registration: ClinicalTrials.gov (NCT05941299).</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":"1665-1671"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of predictive factors for lymph node metastasis in thyroid microcarcinoma: a two-year experience from two high-volume centers.","authors":"Giovanni Tacchi, Francesco Pedicini, Pierfilippo Crucitti, Massimo Carlini","doi":"10.1007/s13304-025-02211-3","DOIUrl":"10.1007/s13304-025-02211-3","url":null,"abstract":"<p><p>Papillary thyroid carcinoma incidence has increased rapidly in recent decades with microcarcinoma (maximum diameter ≤ 10 mm) representing the majority of new diagnoses. Being its prognosis excellent and mortality steady after surgery, some authors suggested active surveillance for microcarcinoma. However, microcarcinomas with lymph node metastasis at diagnosis are not uncommon. We aimed to assess independent risk factors for lymph node metastasis in patients with microcarcinoma. From January 2022 to December 2023, 234 papillary thyroid carcinomas from Fondazione Policlinico Universitario Campus Bio-Medico of Rome and Sant'Eugenio Hospital in Rome were retrospectively analyzed. Age, sex, maximum diameter, lymph node metastasis, Hashimoto's Thyroiditis, multifocality, capsule invasion and histological subtype were considered. Papillary carcinomas were stratified according to size and lymph node metastasis. Microcarcinoma were 145 (62.5%) and lymph node metastasis occurred in 16.6% of them. Multivariate regression revealed that young age (OR 0.90; 95% CI 0.86-0.95; p < 0.001) and capsular invasion (OR \"presence\" = 3.36; 95% CI 1.16-9.76; p = 0.026) resulted as independent risk factors for lymph node metastasis in patients with microcarcinoma. Being younger than 40 years old emerged as a significant cutoff for risk stratification of lymph node metastasis. Lymph node metastasis rate in microcarcinoma is considerable. A more careful evaluation is required for young patients with peripheral microcarcinoma where a more aggressive surgical approach (e.g. prophylactic central lymph node dissection) may be theorized. New tools are essential for the pre-surgical detection of high risk papillary thyroid microcarcinoma.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":"1581-1591"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SICOB Italian clinical practice guidelines for the surgical treatment of obesity and associated diseases using GRADE methodology on bariatric and metabolic surgery.","authors":"Maurizio De Luca, Monica Zese, Giulia Bandini, Marco Antonio Zappa, Ugo Bardi, Maria Grazia Carbonelli, Francesco Maria Carrano, Giovanni Casella, Marco Chianelli, Sonja Chiappetta, Angelo Iossa, Alessandro Martinino, Fausta Micanti, Giuseppe Navarra, Giacomo Piatto, Marco Raffaelli, Eugenia Romano, Simone Rugolotto, Roberto Serra, Emanuele Soricelli, Antonio Vitiello, Luigi Schiavo, Iris Caterina Maria Zani, Benedetta Ragghianti, Valentina Lorenzoni, Gerardo Medea, Valentina Antognozzi, Rosario Bellini, Giovanna Berardi, Fabio Cesare Campanile, Enrico Facchiano, Mirto Foletto, Paolo Gentileschi, Stefano Olmi, Massimiliano Petrelli, Vincenzo Pilone, Giuliano Sarro, Donatella Ballardini, Dario Bettini, Andrea Costanzi, Francesco Frattini, Giovanni Lezoche, Barbara Neri, Debora Porri, Andrea Rizzi, Roberto Rossini, Luca Sessa, Rossella D'Alessio, Gianluca Di Mauro, Salvatore Tolone, Paolo Bernante, Ludovico Docimo, Diego Foschi, Luigi Angrisani, Nicola Basso, Luca Busetto, Nicola Di Lorenzo, Olga Disoteo, Pietro Forestieri, Mario Musella, Barbara Paolini, Gianfranco Silecchia, Matteo Monami","doi":"10.1007/s13304-024-01996-z","DOIUrl":"10.1007/s13304-024-01996-z","url":null,"abstract":"<p><p>Obesity is a chronic disease associated with increased morbidity and mortality and reduced quality of life. Pharmacotherapy can be associated with life style changes in increasing and maintaining weight loss and ameliorating obesity-related complications and comorbidities. In patients affected by obesity and uncontrolled obesity-associated complications or high degrees of BMI (> 40 Kg/m²), metabolic bariatric surgery can be a valid therapeutic option. Many different types of surgical procedures have been developed in last decades, mainly performed via laparoscopic approaches. However, clinical indications for metabolic and bariatric surgery (MBS) and the choice of the most appropriate type of procedure have not been clarified so far.The Italian Society of Bariatric and Metabolic Surgery for Obesity (Società Italiana di Chirurgia dell'Obesità e delle Malattie Metaboliche-SICOB) decided to design and develop the updated version of the Italian guidelines aimed at assisting healthcare professionals in the choice of the surgical option for the treatment of obesity and related conditions. Between June and October 2022, a panel of 24 experts and an evidence review team (ERT, 10 members), participated in the definition of clinical questions, outcomes, and recommendations and collected and analyzed all the available evidence on the basis of pre-specified search strategies. GRADE methodology and PICO (Patient, Intervention, Comparison, Outcome) conceptual framework have been adopted for the development of the present guidelines. Aim of the present guideline is to verify indications to surgery with respect to the presence of comorbid conditions, evaluate the different types of surgical approaches and endoscopic bariatric procedure and revise indication to revision surgery and postoperative procedures.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":"1603-1625"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the surgical approach affect the incidence of postoperative atrial fibrillation after thoracic surgery? A systematic review and meta-analysis.","authors":"Debora Brascia, Giuseppe Mangiameli, Veronica Maria Giudici, Emanuela Re Cecconi, Matilde Luppichini, Giuseppe Marulli","doi":"10.1007/s13304-025-02164-7","DOIUrl":"10.1007/s13304-025-02164-7","url":null,"abstract":"<p><p>Postoperative atrial fibrillation (PAF) is a common complication after lung resection, since surgical stress may act as a trigger. The VATS approach reduces surgical stress and alleviates inflammation and oxidative stress commonly associated with open lung surgery. However, only a few studies have investigated the possible impact of the surgical approach on the incidence of PAF. A literature review was performed through PubMed, EMBASE, and Google Scholar in March 2024, to identify any study published since 2000 evaluating the role of the VATS vs the open approach to perform lung resections as a risk factor for postoperative atrial fibrillation. Pooled odds ratio (OR) estimates with 95% confidence intervals (CIs) were calculated. Twenty-one studies, including 59,101 patients, met the criteria for inclusion. Both propensity-matched and non-matched data showed that VATS was associated with a significant reduction in PAF compared to open thoracotomy (OT) (OR 0.73; 95% CI 0.58-0.91; I2 = 10.1%, p = 0.349). A meta-regression was conducted to explore contributing factors, showing the geographic regions in which the studies were conducted may be a significant source of heterogeneity. Subgroup analyses revealed less heterogeneity in studies conducted in Europe and on those focused solely on lobectomy. Postoperative atrial fibrillation risk following VATS is significantly lower than OT. Further prospective randomized controlled trials with large sample sizes are needed to confirm these findings.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":"1279-1288"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic-assisted vascular bypass for celiac trunk occlusion: expanding the horizons of minimally invasive surgery.","authors":"Allegra Ripolli, Michael Ginesini, Virginia Viti, Ugo Boggi","doi":"10.1007/s13304-025-02246-6","DOIUrl":"10.1007/s13304-025-02246-6","url":null,"abstract":"<p><p>Robotic-assisted vascular bypass for celiac trunk occlusion offers a minimally invasive alternative to traditional open surgery, utilizing the DaVinci Surgical System for precise vascular anastomosis. This technical note describes the successful application of this technique in two patients, detailing the procedural steps, including port placement and aortic cross-clamping. Both patients had favorable outcomes with unremarkable postoperative courses, demonstrating the feasibility and potential benefits of robotic-assisted celiac trunk revascularization.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":"1693-1698"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A foreword.","authors":"Fulvio Calise, Ugo Boggi","doi":"10.1007/s13304-025-02359-y","DOIUrl":"10.1007/s13304-025-02359-y","url":null,"abstract":"","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":"1275"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A SICE (Società Italiana di Chirurgia Endoscopica e Nuove Tecnologie) observational prospective multicenter study on lymphadenectomy during right hemicolectomy: Should anatomical variability of the right colic artery influence the surgical strategy?-CoDIG 2 database (ColonDx Italian Group).","authors":"G Anania, A Campagnaro, G Resta, S Pedon, G Silecchia, D Cuccurullo, J Randolph, A De Troia, M Chiozza, S Marino, R Cirocchi","doi":"10.1007/s13304-025-02312-z","DOIUrl":"10.1007/s13304-025-02312-z","url":null,"abstract":"<p><p>Colon cancer is a worldwide common disease in both gender. Surgery is the best option for the treatment of advanced colon cancer without distant metasisis, but some aspects are still debated, such as the extent of lymphadenectomy. In Japanese guidelines the gold standard was D3 dissection to remove the central lymphonodes (203,213,223), but in 2009 Hoenberger et al. introduced the concept of complete mesocolic excision (CME) in which surgical dissection should follow the embryological planes in order to remove mesentery entirely. This way to prevent leakege of cancer cells and collect more lymphonodes. However, it is not possibile to verify that CME has improved onclogical survival, so our tudy shows how lymphadenectomy is currently performed in major italian centers against an unclear indication on the type of lymphadenectomy that should be performed during right hemicolectomy (RH). CoDIG2 is observational multicenter national study that involves 76 italian general surgery ward highly specialized in colorectal surgery. Each centers was asked not to modify their traditional surgical and clinical practice. Exclusion criteria were: aged < 18 years old, emergency surgery, laparotomic RH, ASA > IV and pregnant women. The aim of study was comparing the risk of postoperative complicationd during RH related to lymphadenectomy performed and the differences between CoDIG 1 study coducted 4 years ago. 788 patients was enrolled. The most used surgical technique was laparoscopic (82.1%) with intracorporeal (73.4%) side-to-side (98.7%) isoperistaltic (96.0%) anastomosis. Comparison between CoDIG1 and CoDIG2 shows a stable trend in surgical technique and complications, with the exception of the robotic approach which has been increasing in recent years (7.7% vs 12.3%). About lymphadenectomy the integrity of mesocolic sail has been in 88.3% of cases and the average lymph nodes harvest was 23, more frequently collected along colic vessels. Instead, sampling of lymph nodes at the origin of the colic vessels was more difficult and associated with more complications, even if the robotic surgery was most used. This analysis show a promising trend regarding how lymphadenectomy is performed in Italy to achieve the oncological outcomes in the RH, even if the technique to achieve a higher lymph nodes count has not been standardized yet.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":"1363-1373"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic vs laparoscopic resection for hepatocellular carcinoma: multicentric propensity-score matched analysis of surgical and oncologic outcomes in 647 patients.","authors":"Stefano Di Sandro, Leonardo Centonze, Francesca Ratti, Nadia Russolillo, Simone Conci, Enrico Gringeri, Francesco Ardito, Marco Colasanti, Carlo Sposito, Riccardo De Carlis, Mario Giuffrida, Pasquale Bonsignore, Matteo Zanello, Samuele Frassoni, Roberta Odorizzi, Vincenzo Bagnardi, Elio Jovine, Salvatore Gruttadauria, Maurizio Iaria, Andrea Lauterio, Vincenzo Mazzaferro, Giuseppe Maria Ettorre, Felice Giuliante, Umberto Cillo, Andrea Ruzzenente, Alessandro Ferrero, Luca Aldrighetti, Fabrizio Di Benedetto","doi":"10.1007/s13304-025-02293-z","DOIUrl":"10.1007/s13304-025-02293-z","url":null,"abstract":"<p><strong>Background and objectives: </strong>Laparoscopic liver resection (LLR) for hepatocellular carcinoma (HCC) has been linked to several advantages compared to open approach, but the actual benefit of robotic liver resection (RLR) over LLR in HCC needs further investigation.</p><p><strong>Methods: </strong>We performed a multicentric propensity-score matched (PSM) analysis comparing perioperative and oncologic outcomes of LLR vs. RLR for HCC. The PSM model was estimated using a multivariable logistic regression, with type of surgery as dependent variable and age, BMI, clinically-significant portal hypertension, αFP, size of principal lesion, number of nodules and Kawaguchi difficulty score as covariates. Overall (OS) and recurrence-free (RFS) survivals were estimated using the Kaplan-Meier method.</p><p><strong>Results: </strong>Six-hundred-forty-seven HCC patients from 12 IGoMILS registry centers treated by LLR (553 patients) or RLR (94 patients) were included. After PSM, RLR resulted in wider surgical margins (median: 10 vs 5 mm; p = 0.002) with higher prevalence of R0 resection (98.9 vs 93.1%; p = 0.037), lower conversion rate (2.1 vs. 8.5%; p = 0.039) and shorter hospital stay (median: 4 vs 5 days; p = 0.025), with no significant difference in postoperative complication rate. We observed similar OS among RLR and LLR cohorts [5-y OS: 68.7 vs 65.0%; univariable HR = 0.95 (95% CI: 0.60-1.49); p = 0.82], with significantly better RFS in RLR cohort [5-y RFS: 46.8 vs 24.0%; univariable HR = 0.71 (95% CI: 0.52-0.98); p = 0.04].</p><p><strong>Conclusions: </strong>Perioperative outcomes were significantly better in the RLR cohort, with a lower conversion rate and shorter hospital stay, although the latter may be influenced by the multi-institutional study design. Notably, we observed wider resection margins in the RLR group, which were associated with significantly improved RFS.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":"1451-1462"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training in the use of basic functions of the daVinci Xi^® robot: a comparative study of residents' skills.","authors":"Gaspare Cannata, Nicola Leone, Antonio Salzano, Fabrizio Rebecchi, Mario Morino","doi":"10.1007/s13304-025-02150-z","DOIUrl":"10.1007/s13304-025-02150-z","url":null,"abstract":"<p><p>The rapid spread of the robotic surgical system has not been accompanied by an equally rapid creation of standardized training courses for the use of this technology.The purpose of our study was to evaluate skill acquisition in the handling and use of the daVinci Xi by comparing two groups of surgical residents. Surgical residents from the University of Turin were enrolled. The participants were divided into two groups: Group A: residents who had participated in at least 8 robotic surgical procedures, and Group B: residents who had never attended robotic surgery. All were administered two instructional videos on the patient cart and console exercises to be performed. Subsequently, the residents were tested and recorded to be evaluated by a senior surgeon experienced in robotic surgery, according to a previously assessed evaluation score. The time of the procedure was also recorded for each test. Patient cart exercises were completed by all participants. We found statistically significant differences between two groups for the first (p = 0.0000) and third (p = 0.0002) patient cart tests and for every test on the surgeon's console except the endoscope handling exercise. Group A scored higher on the patient cart exercises, and the difference reached statistical significance (p = 0.0001). The placement of a single hand-sewn knot on the silicone suture pad was the only exercise that was not fully completed by all participants and showed no statistical difference. The correlation analysis between surgical experience and final score was significant in Group A. The daVinci Xi robotic platform can be properly operated in its basic functions by young surgeons after a short training program even in the absence of previous exposure to robotic clinical procedure.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":"1673-1682"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}