SynthesisJournal of minimally invasive gynecology2016
Robotic Versus Laparoscopic Hysterectomy for Benign Disease: A Systematic Review and Meta-Analysis of Randomized Trials.
Synthesis in Journal of minimally invasive gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 6 of them syntheses that pooled 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.
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.
Who cites it
64 citing papers in PubMed, 6 syntheses or guidelines pooled it, 138 citations in OpenAlex.
- Robotic versus conventional laparoscopic total hysterectomy for benign gynecologic disease: an RCT-only, GRADE-assessed systematic review and meta-analysis of operative outcomes and perioperative morbidity.Journal of robotic surgery · 2026Pooled it
- Robotic-assisted benign hysterectomy compared with laparoscopic, vaginal, and open surgery: a systematic review and meta-analysis.Journal of robotic surgery · 2023Pooled it
- Robotic Single-Site Hysterectomy in Gynecologic Benign Pathology: A Systematic Review of the Literature.Medicina (Kaunas, Lithuania) · 2023Pooled it
- Update of Robotic Surgery in Benign Gynecological Pathology: Systematic Review.Medicina (Kaunas, Lithuania) · 2022Pooled it
- Robotic versus laparoendoscopic single-site hysterectomy: a systematic review and meta-analysis.Journal of robotic surgery · 2020Pooled it
- Pooled it
- Robotic Surgery in Australasian Gynaecology: Results of a 2025 Cross-Sectional Survey.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- Robotic versus open (or laparoscopic) hysterectomy: a comprehensive review of clinical, surgical, and economic outcomes.Journal of robotic surgery · 2026Review
- Learning curve and perioperative outcomes of four-port assistant-independent robot-assisted total laparoscopic hysterectomy according to uterine size.Journal of robotic surgery · 2026Article
- Impact of age on postoperative outcomes in laparoscopic hysterectomy for endometriosis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Two strategies to reduce costs of robotic-assisted surgery in benign gynaecological cases: a German model for intraoperative cost minimisation and counteracting the shortage of physicians.Journal of robotic surgery · 2026Article
- Trends and comparative study of robotic-assisted benign hysterectomy among morbidly obese patients in united States.Journal of robotic surgery · 2026Article
- Clinical Outcomes of Robotic-Assisted Gynecologic Surgery: A Single-Center 70-Case Series Experience.Cureus · 2026Article
- Bridging perception and reality: understanding Chinese women's behavioral intentions toward robot-assisted gynecologic surgery.Frontiers in public health · 2026Article
- Robotic-assisted hysterectomy using DEXTERFacts, views & vision in ObGyn · 2025Article
- Robotic versus open hysterectomy for very large uterus (more than 1000 g): A bicentric retrospective study of 150 patients.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Pioneering robotic surgery for complex gynecologic conditions: implementation beyond cancer care.Journal of robotic surgery · 2025Article
- Research trends of global artificial intelligence application in obstetrics and gynecology from 1999 to 2025: a bibliometric analysis based on web of science.Journal of robotic surgery · 2025Review
- Association of body mass index with surgical complications after minimally invasive hysterectomy.Archives of gynecology and obstetrics · 2025Article
- Safety and Efficacy of Robotic Hysterectomy Using an Indigenous Robotic System: A Retrospective Study.Cureus · 2025Article
4 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
We conducted a systematic review and meta-analysis to assess the safety and effectiveness of robotic vs laparoscopic hysterectomy in women with benign uterine disease, as determined by randomized studies. We searched MEDLINE, EMBASE, the Cochrane Library, ClinicalTrials.gov, and Controlled-Trials.com from study inception to October 9, 2014, using the intersection of the themes "robotic" and "hysterectomy." We included only randomized and quasi-randomized controlled trials of robotic vs laparoscopic hysterectomy in women for benign disease. Four trials met our inclusion criteria and were included in the analyses. We extracted data, and assessed the studies for methodological quality in duplicate. For meta-analysis, we used random effects to calculate pooled risk ratios (RRs) and weighted mean differences. For our primary outcome, we used a modified version of the Expanded Accordion Severity Grading System to classify perioperative complications. We identified 41 complications among 326 patients. Comparing robotic and laparoscopic hysterectomy, revealed no statistically significant differences in the rate of class 1 and 2 complications (RR, 0.66; 95% confidence interval [CI], 0.23-1.89) or in the rate of class 3 and 4 complications (RR, 0.99; 95% CI, 0.22-4.40). Analyses of secondary outcomes were limited owing to heterogeneity, but showed no significant benefit of the robotic technique over the laparoscopic technique in terms of length of hospital stay (weighted mean difference, -0.39 day; 95% CI, -0.92 to 0.14 day), total operating time (weighted mean difference, 9.0 minutes; 95% CI, -31.27 to 47.26 minutes), conversions to laparotomy, or blood loss. Outcomes of cost, pain, and quality of life were reported inconsistently and were not amenable to pooling. Current evidence demonstrates neither statistically significant nor clinically meaningful differences in surgical outcomes between robotic and laparoscopic hysterectomy for benign disease. The role of robotic surgery in benign gynecology remains unclear.
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Registered trials
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.