SynthesisBMC surgery2017
Robotic versus laparoscopic distal pancreatectomy: an up-to-date meta-analysis.
Synthesis in BMC surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 9 of them syntheses that pooled it.
What it found
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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
63 citing papers in PubMed, 9 syntheses or guidelines pooled it, 111 citations in OpenAlex.
- Robotic distal pancreatectomy: a comparative systematic review and meta-analysis of classic, Kimura, and Warshaw techniques.Journal of robotic surgery · 2025Pooled it
- Robotic vs laparoscopic approaches of pancreatic resection: a systematic review and meta-analysis.Journal of robotic surgery · 2025Pooled it
- Clinical effectiveness of robotic versus laparoscopic and open surgery: an overview of systematic reviews.BMJ open · 2024Pooled it
- Robot-assisted laparoscopy does not have demonstrable advantages over conventional laparoscopy in endometriosis surgery: a systematic review and meta-analysis.Surgical endoscopy · 2024Pooled 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
- Is robotic distal pancreatectomy better than laparoscopic distal pancreatectomy after the learning curve? A systematic review and meta-analysis.Frontiers in oncology · 2022Pooled it
- RoboticFrontiers in oncology · 2021Pooled it
- Laparoscopic versus open liver resection for intrahepatic cholangiocarcinoma: the first meta-analysis.Langenbeck's archives of surgery · 2020Pooled it
- Robotic-assisted versus open non-reconstructive pancreatic surgery in children with benign and low-grade malignant pancreatic tumors: a two-center preliminary study.Journal of robotic surgery · 2026Article
- 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 · 2026Article
- Scientific growth and research impact in robotic hepatobiliary and pancreatic surgery: evidence from almost 1,000 publications and top- 100 most cited literature.Journal of robotic surgery · 2026Article
- Trends in robotic upper gastrointestinal and hepatopancreatobiliary surgery in Australia: a private sector-based analysis.Journal of robotic surgery · 2026Article
- Effectiveness and feasibility of short-course simulator training for robotic surgery novices - a randomized controlled trial (FastSim trial).Innovative surgical sciences · 2026Article
- Quadruple reinforcement technique for pancreatic stump during robotic distal pancreatectomy.Surgical endoscopy · 2026Article
- A comparison of laparoscopic and robotic distal pancreatectomy with spleen and Splenic vessels preservation: an intention-based evaluation in a single-center retrospective study.Surgery today · 2026Article
- Superiority of robotic over laparoscopic distal pancreatectomy in surgical outcomes evaluated by textbook outcome.Surgical endoscopy · 2026Article
- The Hidden Cost of Precision: Financial, Training, and Environmental Trade-Offs in Robotic HPB Surgery.Journal of robotic surgery · 2026Review
- When should the robot step aside?-conversion in robotic distal pancreatectomy: lessons from an international multicenter study.Gland surgery · 2026Article
- From diagnosis to treatment: navigating the course for pancreatic neuroendocrine neoplasms.Annals of medicine · 2025Review
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic distal pancreatectomy (LDP) reduces postoperative morbidity, hospital stay and recovery as compared with open distal pancreatectomy. Many authors believe that robotic surgery can overcome the difficulties and technical limits of LDP thanks to improved surgical manipulation and better visualization. Few studies in the literature have compared the two methods in terms of surgical and oncological outcome. The aim of this study was to compare the results of robotic (RDP) and laparoscopic distal pancreatectomy.
methodsA systematic review and meta-analysis was conducted of control studies published up to December 2016 comparing LDP and RDP. Two Reviewers independently assessed the eligibility and quality of the studies. The meta-analysis was conducted using either the fixed-effect or the random-effect model.
resultsTen studies describing 813 patients met the inclusion criteria. This meta-analysis shows that the RDP group had a significantly higher rate of spleen preservation [OR 2.89 (95% confidence interval 1.78-4.71, p < 0.0001], a lower rate of conversion to open OR 0.33 (95% CI 0.12-0.92), p = 0.003] and a shorter hospital stay [MD -0.74; (95% CI -1.34 -0.15), p = 0.01] but a higher cost than the LDP group, while other surgical outcomes did not differ between the two groups.
conclusionThis meta-analysis suggests that the RDP procedure is safe and comparable in terms of surgical results to LDP. However, even if the RDP has a higher cost compared to LDP, it increases the rate of spleen preservation, reduces the risk of conversion to open surgery and is associated to shorter length of hospital stay.
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What OpenQuestion holds
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.