Evidence map›Paper›PMID 26674518›Full record

Observational studyWorld journal of gastroenterology2015

Totally robotic vs 3D laparoscopic colectomy: A single centers preliminary experience.

Mario Guerrieri, Roberto Campagnacci, Pierluigi Sperti, Giulio Belfiori, Rosaria Gesuita, Roberto Ghiselli

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 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

18 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Review
  7. Article
  8. Review
  9. Artificial intelligence: revolutionizing robotic surgery: review.Annals of medicine and surgery (2012) · 2024
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Basic performance of domestic surgical robot and the safety and effectiveness of integrated energy equipment.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  15. Review
  16. Review
  17. Article
  18. A review on robotic surgery in rectal cancer.Translational gastroenterology and hepatology · 2016
    Review
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

6 authors.

Mario GuerrieriMario Guerrieri, Roberto Campagnacci, Pierluigi Sperti, Giulio Belfiori, Roberto Ghiselli, Department of General Surgery, Clinica Chirurgica, Ospedali Riuniti, Polytechnic University of Marche, 60121 Ancona, Italy.
Roberto CampagnacciMario Guerrieri, Roberto Campagnacci, Pierluigi Sperti, Giulio Belfiori, Roberto Ghiselli, Department of General Surgery, Clinica Chirurgica, Ospedali Riuniti, Polytechnic University of Marche, 60121 Ancona, Italy.
Pierluigi SpertiMario Guerrieri, Roberto Campagnacci, Pierluigi Sperti, Giulio Belfiori, Roberto Ghiselli, Department of General Surgery, Clinica Chirurgica, Ospedali Riuniti, Polytechnic University of Marche, 60121 Ancona, Italy.
Giulio BelfioriMario Guerrieri, Roberto Campagnacci, Pierluigi Sperti, Giulio Belfiori, Roberto Ghiselli, Department of General Surgery, Clinica Chirurgica, Ospedali Riuniti, Polytechnic University of Marche, 60121 Ancona, Italy.
Rosaria GesuitaMario Guerrieri, Roberto Campagnacci, Pierluigi Sperti, Giulio Belfiori, Roberto Ghiselli, Department of General Surgery, Clinica Chirurgica, Ospedali Riuniti, Polytechnic University of Marche, 60121 Ancona, Italy.
Roberto GhiselliMario Guerrieri, Roberto Campagnacci, Pierluigi Sperti, Giulio Belfiori, Roberto Ghiselli, Department of General Surgery, Clinica Chirurgica, Ospedali Riuniti, Polytechnic University of Marche, 60121 Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare robotic and three-dimensional (3D) laparoscopic colectomy based on the literature and our preliminary experience.

methodsThis retrospective observational study compared operative measures and postoperative outcomes between laparoscopic 3D and robotic colectomy for cancer. From September 2013 to September 2014, 24 robotic colectomies and 23 3D laparoscopic colectomy were performed at our Department. Data were analyzed and reported both by approach and by colectomy side. Robotic left colectomy (RL) vs laparoscopic 3D left colectomy (LL 3D) and Robotic right colectomy (RR) vs laparoscopic 3D (LR 3D). Rectal cancer procedures were not included.

resultsThere were 18 RR and 11 LR 3D, 6 RL and 12 LL 3D. As regards LR 3D, extracorporeal anastomosis (EA) was performed in 7 patients and intracorporeal anastomosis (IA) in 4; the RR group included 14 IA and 4 EA. There was no mortality. Median operative time was higher for the robotic group while conversion rate (12.5% vs 13%) and lymph nodes removed (14 vs 13) were similar for both. First flatus time was 1 d for RR and 2 d the other patient groups. Oral intake was resumed in 1 d by LR and in 2 d by the other patients (P = 0.012). Overall cost was €4950 and €1950 for RL and LL 3D, and €4450 and €1450 for RR and LR 3D, respectively.

conclusionThere were no differences between RR and LR 3D, except that IA was easier with RR, and probably contributed with the learning curve to the longer operative time recorded. Both techniques offer similar advantages for the patient with significantly different costs. In left colectomies robotic colectomy provided better outcomes, especially in resections approaching the rectum.

Indexed as

LaparoscopyRobotic Surgical ProceduresAgedClinical CompetenceColectomyColonic NeoplasmsCost-Benefit AnalysisFemaleHospital CostsHumansLearning CurveLymphatic MetastasisLymph Node ExcisionMaleMiddle AgedOperative TimeColectomyCostsLaparoscopic surgeryRobotic surgeryShort-term outcomesThree-dimensional vision systems

Identifiers

PMID26674518
PMCPMC4674734

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.