Evidence map›Paper›PMID 23216773›Full record

SynthesisHPB : the official journal of the International Hepato Pancreato Biliary Association2013

Robot-assisted pancreatic surgery: a systematic review of the literature.

Marin Strijker, Hjalmar C van Santvoort, Marc G Besselink, Richard van Hillegersberg, Inne H M Borel Rinkes, Menno R Vriens, I Quintus Molenaar

Abstract readSystematic Review
In one paragraph

Synthesis in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. [Robots in visceral and thoracic surgery-Quo vadis?]Chirurgie (Heidelberg, Germany) · 2023
    Review
  8. Article
  9. Robotic Total Pancreatectomy: A Novel Pancreatic Head-First Approach (with Video).Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. [Evidence for robotic surgery in oncological visceral surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019
    Review
  17. Article
  18. Article
  19. Article
  20. [Robot-assisted pancreatic resection].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017
    Article
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

7 authors.

Marin StrijkerDepartment of Surgery, University Medical Centre, Utrecht, the Netherlands.
Hjalmar C van Santvoort
Marc G Besselink
Richard van Hillegersberg
Inne H M Borel Rinkes
Menno R Vriens
I Quintus Molenaar

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo potentially improve outcomes in pancreatic resection, robot-assisted pancreatic surgery has been introduced. This technique has possible advantages over laparoscopic surgery, such as its affordance of three-dimensional vision and increased freedom of movement of instruments. A systematic review was performed to assess the safety and feasibility of robot-assisted pancreatic surgery.

methodsThe literature published up to 30 September 2011 was systematically reviewed, with no restrictions on publication date. Studies reporting on over five patients were included. Animal studies, studies not reporting morbidity and mortality, review articles and conference abstracts were excluded. Data were extracted and weighted means were calculated.

resultsA total of 499 studies were screened, after which eight cohort studies reporting on a total of 251 patients undergoing robot-assisted pancreatic surgery were retained for analysis. Weighted mean operation time was 404 ± 102 min (510 ± 107 min for pancreatoduodenectomy only). The rate of conversion was 11.0% (16.4% for pancreatoduodenectomy only). Overall morbidity was 30.7% (n = 77), most frequently involving pancreatic fistulae (n = 46). Mortality was 1.6%. Negative surgical margins were obtained in 92.9% of patients. The rate of spleen preservation in distal pancreatectomy was 87.1%.

conclusionsRobot-assisted pancreatic surgery seems to be safe and feasible in selected patients and, in left-sided resections, may increase the rate of spleen preservation. Randomized studies should compare the respective outcomes of robot-assisted, laparoscopic and open pancreatic surgery.

Indexed as

RoboticsSurgery, Computer-AssistedAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPancreatectomyPancreatic FistulaPancreatic NeoplasmsPancreaticoduodenectomyPancreaticojejunostomyRisk FactorsTime Factors

Identifiers

PMID23216773
PMCPMC3533705

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.