SynthesisHPB : the official journal of the International Hepato Pancreato Biliary Association2016
Robotic versus laparoscopic distal pancreatectomy - The first meta-analysis.
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 45 papers, 4 of them syntheses that pooled it.
What it found
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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.
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Who cites it
45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- A comprehensive analysis of robotic assisted vs. laparoscopic distal pancreatectomy using propensity score matching.Journal of robotic surgery · 2025Pooled it
- Systematic review and meta-analysis of cost-effectiveness of minimally invasive versus open pancreatic resections.Langenbeck's archives of surgery · 2023Pooled it
- Robot-assisted versus laparoscopic distal pancreatectomy: a systematic review and meta-analysis including patient subgroups.Surgical endoscopy · 2023Pooled it
- RoboticFrontiers in oncology · 2021Pooled it
- Effect of pre-operative warm-up on trainee intraoperative performance during robot-assisted hysterectomy: a randomized controlled trial.International urogynecology journal · 2023Trial
- Robotic versus laparoscopic distal pancreatectomy: a French prospective single-center experience and cost-effectiveness analysis.Surgical endoscopy · 2018Trial
- Superiority of robotic over laparoscopic distal pancreatectomy in surgical outcomes evaluated by textbook outcome.Surgical endoscopy · 2026Article
- Article
- Minimally Invasive Distal Pancreatectomy as the Standard of Care in the US: Are We There Yet?Cancers · 2025Article
- Analysis of hospital costs for robotic and open pancreatectomy incurred during the implementation of a robotic pancreatectomy program at a cancer center.Annals of gastroenterological surgery · 2025Article
- The Blood Supply of the Human Pancreas: Anatomical and Surgical Considerations.Journal of clinical medicine · 2025Review
- Surgical and Oncological Outcomes of Minimally Invasive Left Pancreatectomy for Pancreatic Cancer: Robotic vs. Laparoscopic Approach.Current oncology (Toronto, Ont.) · 2025Article
- Exploring the landscape of minimally invasive pancreatic surgery: Progress, challenges, and future directions.World journal of gastrointestinal surgery · 2024Article
- A comparative analysis of robotic versus laparoscopic total pancreatectomy: insights from the National Cancer Database.Journal of robotic surgery · 2024Article
- Nationwide cost-effectiveness and quality of life analysis of minimally invasive distal pancreatectomy.Surgical endoscopy · 2024Article
- Study International Multicentric Pancreatic Left Resections (SIMPLR): Does Surgical Approach Matter?Cancers · 2024Article
- Robotic-assisted organ-preserving or parenchymal-sparing pancreatectomy in pancreatic benign or low-grade malignant tumors: a single institute's experience.Journal of robotic surgery · 2024Article
- Endoscopic Transmural Therapy of Pancreatic Fistulas in an Interdisciplinary Setting-A Retrospective Data Analysis.Journal of clinical medicine · 2023Article
- State-of-the-Art and Upcoming Innovations in Pancreatic Cancer Care: A Step Forward to Precision Medicine.Cancers · 2023Review
- Preoperative nutritional support in patients undergoing pancreatic surgery affects PREPARE score accuracy.Frontiers in surgery · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMinimally invasive pancreaticoduodenectomy is considered hazardous for the majority of authors and minimally distal pancreatectomy is still a debated topic. The aim of this study was to compare robotic distal pancreatectomy (RDP) versus laparoscopic distal pancreatectomy (LDP) using meta-analysis.
methodEMBASE, Medline and PubMed were searched systematically to identify full-text articles comparing robotic and laparoscopic distal pancreatectomies. The meta-analysis was performed by using Review Manager 5.3.
resultsNine studies fulfilled the inclusion criteria and included 637 patients (246 robotic and 391 laparoscopic). RDP had a shorter hospital length of stay by 1 day (P = 0.01). On the other hand, LDP had shorter operative time by 30 min, although this was statistically nonsignificant (P = 0.12). RDP showed a significantly increased readmission rate (P = 0.04). There was no difference in the conversion rate, incidence of postoperative pancreatic fistula, International Study Group of Pancreatic Fistula grade B-C rate, major morbidity, spleen preservation rate and perioperative mortality. All surgical specimens of RDP reported R0 negative margins, whereas 7 specimens in the LDP group had affected margins.
conclusionsIn terms of feasibility, safety and oncological adequacy, there is no essential difference between the two techniques so far. The 30 min longer operative time of the RDP is due to the docking and undocking of the robot. The shorter length of stay by 1 day should be judged in combination with the increased 90-day readmission rate.
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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.