Evidence map›Paper›PMID 26974961›Full record

SynthesisPloS one2016

Robotic versus Laparoscopic Distal Pancreatectomy: A Meta-Analysis of Short-Term Outcomes.

Jia-Yu Zhou, Chang Xin, Yi-Ping Mou, Xiao-Wu Xu, Miao-Zun Zhang, Yu-Cheng Zhou, Chao Lu, Rong-Gao Chen

Abstract readComparative StudyMeta-AnalysisReview
In one paragraph

Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 7 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

45 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  9. Short-Term Outcomes and Cost of Robotic Versus Open Distal Pancreatectomy During the Initial Phase of a Robotic Pancreatectomy Program.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
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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

8 authors.

Jia-Yu ZhouDepartment of General Surgery, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
Chang XinDepartment Of Hepatobiliary Surgery, Yinzhou Hospital Affiliated to Medical School of Ningbo University, Ningbo 315040, Zhejiang Province, China.
Yi-Ping MouDepartment of Gastroenterology & Pancreatic Surgery, Zhejiang Provincial People Hospital, Hangzhou 310016, Zhejiang Province, China.
Xiao-Wu XuDepartment of Gastroenterology & Pancreatic Surgery, Zhejiang Provincial People Hospital, Hangzhou 310016, Zhejiang Province, China.
Miao-Zun ZhangDepartment of General Surgery, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
Yu-Cheng ZhouDepartment of Gastroenterology & Pancreatic Surgery, Zhejiang Provincial People Hospital, Hangzhou 310016, Zhejiang Province, China.
Chao LuDepartment of General Surgery, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
Rong-Gao ChenDepartment of General Surgery, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare the safety and efficacy of robotic-assisted distal pancreatectomy (RADP) and laparoscopic distal pancreatectomy (LDP).

methodsA literature search of PubMed, EMBASE, and the Cochrane Library database up to June 30, 2015 was performed. The following key words were used: pancreas, distal pancreatectomy, pancreatic, laparoscopic, laparoscopy, robotic, and robotic-assisted. Fixed and random effects models were applied. Study quality was assessed using the Newcastle-Ottawa Scale.

resultsSeven non-randomized controlled trials involving 568 patients met the inclusion criteria. Compared with LDP, RADP was associated with longer operating time, lower estimated blood loss, a higher spleen-preservation rate, and shorter hospital stay. There was no significant difference in transfusion, conversion to open surgery, R0 resection rate, lymph nodes harvested, overall complications, severe complications, pancreatic fistula, severe pancreatic fistula, ICU stay, total cost, and 30-day mortality between the two groups.

conclusionRADP is a safe and feasible alternative to LDP with regard to short-term outcomes. Further studies on the long-term outcomes of these surgical techniques are required. CORE TIP: To date, there is no consensus on whether laparoscopic or robotic-assisted distal pancreatectomy is more beneficial to the patient. This is the first meta-analysis to compare laparoscopic and robotic-assisted distal pancreatectomy. We found that robotic-assisted distal pancreatectomy was associated with longer operating time, lower estimated blood loss, a higher spleen-preservation rate, and shorter hospital stay. There was no significant difference in transfusion, conversion to open surgery, overall complications, severe complications, pancreatic fistula, severe pancreatic fistula, ICU stay, total cost, and 30-day mortality between the two groups.

Indexed as

Clinical Trials as TopicHumansLaparoscopyPancreatectomyRobotic Surgical Procedures

Identifiers

PMID26974961
PMCPMC4790929

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.