Evidence map›Paper›PMID 26092018›Full record

ArticleSurgical endoscopy2016

Robotic single-site versus laparoendoscopic single-site hysterectomy: a propensity score matching study.

Jiheum Paek, Jung-Dong Lee, Tae Wook Kong, Suk-Joon Chang, Hee-Sug Ryu

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 6 pooled it
3.2field-weighted citation impact, top 9% of its field
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

20 citing papers in PubMed, 6 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  17. [Advances in Surgical Treatment of Early Stage Non-small Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2016
    Review
  18. Robotics in Colorectal Surgery.F1000Research · 2016
    Review
  19. Article
  20. Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

5 authors at 1 institution in 1 country.

Jiheum PaekDepartment of Obstetrics and Gynecology, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, 443-380, Korea. paek.md@gmail.com.ORCID http://orcid.org/0000-0003-3964-5925
Jung-Dong LeeOffice of Biostatistics, Ajou University School of Medicine, Suwon, Korea.
Tae Wook KongDepartment of Obstetrics and Gynecology, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, 443-380, Korea.
Suk-Joon ChangDepartment of Obstetrics and Gynecology, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, 443-380, Korea.
Hee-Sug RyuDepartment of Obstetrics and Gynecology, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, 443-380, Korea. hsryu@aumc.ac.kr.
Ajou University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to compare the surgical outcomes of robotic single-site (RSS-H) and laparoendoscopic single-site total hysterectomy (LESS-H) and to evaluate the feasibility of RSS-H in patients with benign gynecologic disease.

methodsThe RSS-H was performed using the da Vinci single-site surgical platform, and the LESS-H using a single multi-channel port system at the umbilicus. Among 467 consecutive patients who had undergone total hysterectomy for benign gynecologic disease, surgical outcomes were compared between RSS-H group (n = 25) and LESS-H group (n = 442) after propensity score matching.

resultsAll operations were completed robotically and laparoscopically without conversion to laparotomy, respectively. The RSS-H group had longer operating times and less operative bleeding compared to the LESS-H group. While the LESS-H showed 1.4% of major complication rate, the RSS-H had no perioperative complication. Even after propensity score matching, the RSS-H still showed longer operating times (170.9 vs 94.1 min, p < 0.0001) and less operative bleeding (median estimated blood loss, 20 vs 50 ml, p = 0.009; mean hemoglobin drop, 1.6 vs 2.0 g/dl, p = 0.038) than the LESS-H.

conclusionsThe RSS-H could be a feasible and safe procedure in appropriately selected patients with benign gynecologic disease, and further experience and technical refinements will continue to improve operative results. Prospective randomized trials will permit the evaluation of the potential benefits of the RSS surgery as a minimally invasive surgical approach.

Indexed as

AdultFeasibility StudiesFemaleHumansHysterectomyLaparoscopyMiddle AgedOperative TimePropensity ScoreRetrospective StudiesRobotic Surgical ProceduresTreatment OutcomeUterine DiseasesHysterectomyLaparoscopyRobotics

Identifiers

PMID26092018
PMCPMC4757622
OpenAlexW637138919

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.