Evidence map›Paper›PMID 29956028›Full record

SynthesisSurgical endoscopy2018

Robotic-assisted versus laparoscopic cholecystectomy for benign gallbladder diseases: a systematic review and meta-analysis.

Caiwen Han, Xinyi Shan, Liang Yao, Peijing Yan, Meixuan Li, Lidong Hu, Hongwei Tian, Wutang Jing, Binbin Du, Lixia Wang and 2 more

Abstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 6 pooled it
4.8field-weighted citation impact, top 4% of its field
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

31 citing papers in PubMed, 6 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Caiwen HanDepartment of General Surgery, Gansu Provincial Hospital, 204 Donggang West Road, Lanzhou, 730000, People's Republic of China.
Xinyi ShanDepartment of General Surgery, Gansu Provincial Hospital, 204 Donggang West Road, Lanzhou, 730000, People's Republic of China.
Liang YaoInstitution of Clinical Research and Evidence Based Medicine, Gansu Provincial Hospital, Lanzhou, 730000, People's Republic of China.
Peijing YanInstitution of Clinical Research and Evidence Based Medicine, Gansu Provincial Hospital, Lanzhou, 730000, People's Republic of China.
Meixuan LiSchool of Public Health, Lanzhou University, Lanzhou, 730000, People's Republic of China.
Lidong HuDepartment of General Surgery, Gansu Provincial Hospital, 204 Donggang West Road, Lanzhou, 730000, People's Republic of China.
Hongwei TianDepartment of General Surgery, Gansu Provincial Hospital, 204 Donggang West Road, Lanzhou, 730000, People's Republic of China.
Wutang JingDepartment of General Surgery, Gansu Provincial Hospital, 204 Donggang West Road, Lanzhou, 730000, People's Republic of China.
Binbin DuDepartment of General Surgery, Gansu Provincial Hospital, 204 Donggang West Road, Lanzhou, 730000, People's Republic of China.
Lixia WangInstitution of Clinical Research and Evidence Based Medicine, Gansu Provincial Hospital, Lanzhou, 730000, People's Republic of China.
Kehu YangEvidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, 199 Donggang West Road, Lanzhou, 730000, People's Republic of China. kehuyangebm2006@126.com.
Tiankang GuoDepartment of General Surgery, Gansu Provincial Hospital, 204 Donggang West Road, Lanzhou, 730000, People's Republic of China. TiankangGuo2018@163.com.ORCID 0000-0001-6679-8674
Gansu Provincial Hospital · CNGansu University of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic surgery, an emerging technology, has some potential advantages in many complicated endoscopic procedures compared with laparoscopic surgery. But robot-assisted cholecystectomy (RAC) is still a controversial issue on its comparative merit compared with conventional laparoscopic cholecystectomy (LC). The aim of this study was to evaluate the safety and efficacy of RAC compared with LC for benign gallbladder disease.

methodsA systematic literature search was conducted using the PubMed, EMBASE, and Cochrane Library databases (from their inception to December 2017) to obtain comparative studies assessing the safety and efficacy between RAC and LC. The quality of the literature was assessed, and the data analyzed using R software, random effects models were applied.

resultsTwenty-six studies, including 5 RCTs and 21 NRCSs (3 prospective plus 18 retrospective), were included. A total of 4004 patients were included, of which 1833 patients (46%) underwent RAC and 2171 patients (54%) underwent LC. No significant differences were found in intraoperative complications, postoperative complications, readmission rate, hospital stay, estimated blood loss, and conversion rate between RAC and LC groups. However, RAC was related to longer operative time compared with LC (MD = 12.04 min, 95% CI 7.26-16.82) in RCT group, which was consistent with NRCS group; RAC also had a higher rate of incisional hernia in NRCS group (RR = 3.06, 95% CI 1.42-6.57), and one RCT reported that RAC was similar to LC (RR = 7.00, 95% CI 0.38-129.84).

conclusionsThe RAC was not found to be more effective or safer than LC for benign gallbladder diseases, which indicated that RAC is a developing procedure instead of replacing LC at once. Given the higher costs, the current evidence is in favor of LC in cholecystectomy.

Indexed as

Cholecystectomy, LaparoscopicDatabases, FactualGallbladder DiseasesHumansIntraoperative ComplicationsLength of StayModels, StatisticalOperative TimePostoperative ComplicationsRobotic Surgical ProceduresTreatment OutcomeCholecystectomy robotic-assistedLaparoscopicMeta-analysis

Identifiers

PMID29956028
OpenAlexW2810882380

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.