Peter MacCallum Cancer Centre, Melbourne, VIC, 3000, Australia.
Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland.
J Robot Surg. 2023 Aug;17(4):1181-1192. doi: 10.1007/s11701-023-01526-w. Epub 2023 Jan 23.
Lateral pelvic lymph node dissection (LPLND) in rectal cancer has gained increasing traction worldwide. Robotic LPLND is an emerging technique. Utilising the IDEAL (idea, development, exploration, assessment and long-term follow-up) framework for surgical innovation, robotic LPLND is currently at the IDEAL 2A stage (development) mainly limited to case reports, case series and videos. A systematic literature review was performed for videographic robotic LPLND. Pubmed, Ovid and Web of Science were searched with a predefined search strategy. The LapVEGAS score for peer review of video surgery was adapted for the robotic approach (RoVEGAS) and applied to measure video quality. Two reviewers independently reviewed videos and consensus reached on technical steps and learning points. Data are presented as a narrative synthesis of results. The IDEAL 2A framework was applied to videos to assess their content at the present stage of innovation. A total of 83 abstracts were identified. In accordance with the PRISMA statement, nine videos were analysed. Adherence to the complete IDEAL 2a framework was low. All videos demonstrated LPLND; however, reporting of clinical outcomes was heterogeneous and completed in six of nine videos. Histopathology was reported in six videos, with other outcomes variably reported. No videos presented patient-reported outcome measures. Two videos reported presence or absence of recurrence on follow-up. Video articles provide a valuable educational resource in dissemination and adoption of robotic techniques. Standardisation of reporting objectives are needed. Complete reporting of pathology and oncologic outcomes is required in videographic procedural-based publications to meet the IDEAL 2A framework criteria.
直肠侧向淋巴结清扫术（LPLND）在全球范围内越来越受到关注。机器人 LPLND 是一种新兴技术。利用 IDEAL（理念、发展、探索、评估和长期随访）手术创新框架，机器人 LPLND 目前处于 IDEAL 2A 阶段（发展），主要限于病例报告、病例系列和视频。对录像机器人 LPLND 进行了系统的文献复习。使用预定义的搜索策略在 Pubmed、Ovid 和 Web of Science 上进行了搜索。为了测量视频质量，适应了用于视频手术同行评审的 LapVEGAS 评分（RoVEGAS）来评估机器人方法。两位审阅者独立审查视频，并就技术步骤和学习要点达成共识。数据以结果的叙述性综合呈现。在目前的创新阶段，应用 IDEAL 2A 框架对视频进行评估。共确定了 83 篇摘要。根据 PRISMA 声明，分析了 9 个视频。完全遵守 IDEAL 2a 框架的情况很低。所有视频均显示了 LPLND；然而，临床结果的报告是异构的，仅在 9 个视频中的 6 个中完成。在 6 个视频中报告了组织病理学，其他结果则不同程度地报告。没有视频报告患者报告的结果测量。有 2 个视频报告了随访时是否存在复发。视频文章在机器人技术的传播和采用方面提供了有价值的教育资源。需要报告目标的标准化。录像程序出版物需要完整报告病理和肿瘤学结果，以满足 IDEAL 2A 框架标准。
