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The Study

First Annual Report for Robot‐Assisted Surgery Based on the National Clinical Database 2019 in Japan: Report on Three Major Gastrointestinal Fields

In simple terms

This study is like taking a photo of all robot surgeries done in Japan in one year. It shows what happened — how long surgeries took, how much blood was lost, and how many people had complications — but it doesn’t compare them to other types of surgery. So we can’t say if robot surgery is better or worse, just what the results were for these patients.

44%

Analysis score

44/ 44

Maximum 44 for a cross-sectional study.

Where the score came from

Reporting75
Methodology25
Publication100
Statistical0
Study type (basis of the score)
Cross-Sectional Study
Level 4 - Case series
What’s the bottom line?

In Japan, doctors used robot helpers to do tough stomach and bowel surgeries in 2019. Almost all were done by super-trained surgeons using a top robot model.

Where does this study sit?

Systematic Reviews & Meta-analyses

Max 100

Randomized Trials

Max 90

Cohort Studies

Max 72

Case-Control

Max 58

Cross-Sectional

Max 44

Case Reports & Series

Max 30

Expert Opinion

Max 5
StrongerWeaker
Case Reports & Series
Level 4
44

44 / 100

Quality score

Detailed descriptions of individual patients or small groups. Valuable for identifying new conditions or side effects, but cannot establish generalizable conclusions.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Even though robot surgeries took a long time, they were safe and precise, but some types still led to more complications than others.
  2. 2Robots helped remove tumors completely in over 90% of cases.
  3. 3Blood loss was low.
  4. 4But 1 in 4 had serious issues after esophagus surgery, while fewer had problems after stomach or rectal surgery.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Asian Journal of Endoscopic Surgery

Year

2026

Authors

I. Takemasa, Hiroyuki Yamamoto, T. Nishigori, Takeo Fujita, T. Makino, Yusuke Taniyama, Masanori Terashima, Masanori Tokunaga, T. Matsuyama, Tomohiro Yamaguchi, Noriko Iwata, H. Katsuno, Koichi Suda, Yusuke Kinugasa, K. Obama, Takashi Kamei, I. Uyama, Masahiko Watanabe, Yoshiharu Sakai, Yuko Kitagawa

Open Access
1 citations
Analysis v3
Fit Body Science verdict — we translate health studies into clear verdicts backed by peer-reviewed research.

Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.