Evidence map›Paper›PMID 26902129›Full record

SynthesisHPB : the official journal of the International Hepato Pancreato Biliary Association2016

Robot-assisted laparoscopic liver resection: a systematic review and pooled analysis of minor and major hepatectomies.

Carolijn L Nota, Inne H Borel Rinkes, Izaak Q Molenaar, Hjalmar C van Santvoort, Yuman Fong, Jeroen Hagendoorn

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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.

Carolijn L NotaDepartment of Surgery, University Medical Center Utrecht, The Netherlands.
Inne H Borel RinkesDepartment of Surgery, University Medical Center Utrecht, The Netherlands.
Izaak Q MolenaarDepartment of Surgery, University Medical Center Utrecht, The Netherlands.
Hjalmar C van SantvoortDepartment of Surgery, University Medical Center Utrecht, The Netherlands; Department of Surgery, St. Antonius Ziekenhuis Nieuwegein, The Netherlands.
Yuman FongDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Jeroen HagendoornDepartment of Surgery, University Medical Center Utrecht, The Netherlands. Electronic address: J.Hagendoorn-3@umcutrecht.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic surgery has been introduced to overcome the limitations of conventional laparoscopy. A systematic review and meta-analysis were performed to assess the safety and feasibility for three subgroups of robot-assisted laparoscopic liver resection: (i) minor resections of easily accessible segments: 2/3, 4B, 5, 6, (ii) minor resections of difficult located segments: 1, 4A, 7, 8 and (iii) major resections: ≥ 4 segments.

methodsA systematic search was performed in PubMed, EMBASE and Cochrane Library.

resultsTwelve observational, mostly retrospective studies reporting on 363 patients were included. Data were pooled and analyzed. For subgroup (i) (n = 81) the weighted mean operative time was 215 ± 65 min. One conversion (1%) to laparotomy was needed. Weighted mean operative time for subgroup (ii) (n = 17) was 220 ± 60 min. No conversions were needed. For subgroup (iii) (n = 99) the weighted mean operative time was 405 ± 100 min. In this subgroup 8 robotic procedures (8%) were converted to open surgery.

conclusionData show that robot-assisted laparoscopic liver resection is feasible in minor resections of all segments and major resections. Larger, prospective studies are warranted to compare the possible advantages of robot-assisted surgery with conventional laparoscopy and open surgery.

Indexed as

LaparoscopyRobotic Surgical ProceduresAdultAgedAged, 80 and overFemaleHepatectomyHumansMaleMiddle AgedOperative TimePostoperative ComplicationsRisk FactorsTreatment OutcomeYoung Adult

Identifiers

PMID26902129
PMCPMC4814602

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.