Evidence map›Paper›PMID 30285780›Full record

SynthesisWorld journal of surgical oncology2018

Robotic versus laparoscopic surgery for rectal cancer in male urogenital function preservation, a meta-analysis.

Xiaoli Tang, Zheng Wang, Xiaoqing Wu, Meiyuan Yang, Daorong Wang

Abstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in World journal of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 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

12 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. Urogenital dysfunction in patients after miniinvasive restorative low anterior resection with total mesorectal excision.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022
    Article
  8. Article
  9. Low anterior resection syndrome: can it be prevented?International journal of colorectal disease · 2021
    Review
  10. Article
  11. Optimising functional outcomes in rectal cancer surgery.Langenbeck's archives of surgery · 2021
    Review
  12. How robotics is changing and will change the field of colorectal surgery.World journal of gastrointestinal surgery · 2019
    Article
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

5 authors.

Xiaoli TangDepartment of General Surgery, The Second Xiangya Hospital of Central South University, Renmin Road No.139, Changsha, 410001, China.
Zheng WangDepartment of General Surgery, Medical College of Yangzhou University, Huaihai Road No.7, Yangzhou, 225001, China.
Xiaoqing WuDepartment of General Surgery, Medical College of Yangzhou University, Huaihai Road No.7, Yangzhou, 225001, China.
Meiyuan YangDepartment of General Surgery, The Second Xiangya Hospital of Central South University, Renmin Road No.139, Changsha, 410001, China.
Daorong WangDepartment of General Surgery, The northern Jiangsu people's Hospital, Nantong Road No.98, Yangzhou, 225001, China. wdaorong666@sina.com.

Funding

Jiangsu Science and Technology Department BE2015664
6 · The paper itself

Abstract

backgroundUrogenital dysfunction after rectal cancer surgery can largely affect patients' postoperative quality of life. Whether robotic surgery can be a better option when comparing with laparoscopic surgery is still not well-known.

methodsComprehensive search in PubMed, Embase, Cochrane Library, and Clinical Trials was conducted to identify relevant studies in March 2018. Studies comparing robotic surgery with laparoscopic surgery were included. Measurement of urogenital function was through the International Prostate Symptom Score and International Index of Erectile Function.

resultsSix studies with 386 patients in robotic group and 421 patients in laparoscopic group were finally included. Pooled analysis indicated that bladder function was better at 12 months in the robotic group after the procedures (mean difference, - 0.30, 95% CI, - 0.52 to - 0.08). No significant difference was found at 3 and 6 months postoperatively (mean difference, - 0.37, 95% CI, - 1.48 to 0.73; mean difference, - 1.21, 95% CI, - 2.69 to 0.28). Sexual function was better at 3 months in the robotic group after surgery (mean difference, - 3.28, 95% CI, - 6.08 to - 0.49) and not significantly different at 6 and 12 months. (mean difference, 3.78, 95% CI, - 7.37 to 14.93; mean difference, - 2.82, 95% CI, - 8.43 to 2.80).

conclusionRobotic surgery may offer faster recovery in urogenital function compared to laparoscopic surgery for rectal cancer.

Indexed as

Postoperative ComplicationsQuality of LifeRecovery of FunctionHumansLaparoscopyMalePrognosisRectal NeoplasmsRobotic Surgical ProceduresSexual Dysfunction, PhysiologicalUrination Disorders

Identifiers

PMID30285780
PMCPMC6169007

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.