Evidence map›Paper›PMID 26214845›Full record

SynthesisPloS one2015

Robotic versus Laparoscopic Approach in Colonic Resections for Cancer and Benign Diseases: Systematic Review and Meta-Analysis.

Stefano Trastulli, Roberto Cirocchi, Jacopo Desiderio, Andrea Coratti, Salvatore Guarino, Claudio Renzi, Alessia Corsi, Carlo Boselli, Alberto Santoro, Liliana Minelli and 1 more

Open access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 9 pooled it
2.7field-weighted citation impact, top 8% 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

65 citing papers in PubMed, 9 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
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  9. Simultaneous Robot Assisted Colon and Liver Resection for Metastatic Colon Cancer.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Pooled it
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  14. Review
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  19. Review
  20. Morphogenesis and Topography of the Mesorectal Fascia.Journal of clinical medicine · 2026
    Article

5 more citing papers are in PubMed but not listed here.

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

11 authors at 4 institutions in 1 country.

Stefano TrastulliDepartment of Gastrointestinal Surgery and Liver Unit, St. Maria Hospital, Terni, Italy.
Roberto CirocchiDepartment of Gastrointestinal Surgery and Liver Unit, St. Maria Hospital, Terni, Italy.
Jacopo DesiderioDepartment of Gastrointestinal Surgery and Liver Unit, St. Maria Hospital, Terni, Italy.
Andrea CorattiDepartment of Oncology, Division of Oncological and Robotic Surgery, Careggi University Hospital, Florence, Italy.
Salvatore GuarinoDepartment of Surgical Science, "Sapienza" University, Rome, Italy.
Claudio RenziDepartment of General and Oncologic Surgery, University of Perugia, Perugia, Italy.
Alessia CorsiDepartment of General and Oncologic Surgery, University of Perugia, Perugia, Italy.
Carlo BoselliDepartment of General and Oncologic Surgery, University of Perugia, Perugia, Italy.
Alberto SantoroDepartment of Surgical Science, "Sapienza" University, Rome, Italy.
Liliana MinelliDepartment of Experimental Medicine, Public Health Section, University of Perugia. Perugia, Italy.
Amilcare ParisiDepartment of Gastrointestinal Surgery and Liver Unit, St. Maria Hospital, Terni, Italy.
Santa Maria Nuova Hospital · ITUniversity of Perugia · ITSapienza University of Rome · ITAzienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this systematic review and meta-analysis is to compare robotic colectomy (RC) with laparoscopic colectomy (LC) in terms of intraoperative and postoperative outcomes. MATERIALS AND

methodsA systematic literature search was performed to retrieve comparative studies of robotic and laparoscopic colectomy. The databases searched were PubMed, Embase and the Cochrane Central Register of Controlled Trials from January 2000 to October 2014. The Odds ratio, Risk difference and Mean difference were used as the summary statistics.

resultsA total of 12 studies, which included a total of 4,148 patients who had undergone robotic or laparoscopic colectomy, were included and analyzed. RC demonstrated a longer operative time (MD 41.52, P<0.00001) and higher cost (MD 2.42, P<0.00001) than did LC. The time to first flatus passage (MD -0.51, P = 0.003) and the length of hospital stay (MD -0.68, P = 0.01) were significantly shorter after RC. Additionally, the intraoperative blood loss (MD -16.82, P<0.00001) was significantly less in RC. There was also a significantly lower incidence of overall postoperative complications (OR 0.74, P = 0.02) and wound infections (RD -0.02, P = 0.03) after RC. No differences in the postoperative ileus, in the anastomotic leak, or in the conversion to open surgery rate and in the number of harvested lymph nodes outcomes were found between the approaches.

conclusionsThe present meta-analysis, mainly based on observational studies, suggests that RC is more time-consuming and expensive than laparoscopy but that it results in faster recovery of bowel function, a shorter hospital stay, less blood loss and lower rates of both overall postoperative complications and wound infections.

Indexed as

Colonic NeoplasmsFemaleHumansLaparoscopyMaleObservational Studies as TopicPubMedRecovery of FunctionRobotic Surgical Procedures

Identifiers

PMID26214845
PMCPMC4516360
OpenAlexW936291531

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.