Evidence map›Paper›PMID 31254202›Full record

SynthesisTechniques in coloproctology2019

Robotic vs. laparoscopic ventral mesh rectopexy for external rectal prolapse and rectal intussusception: a systematic review.

S Albayati, P Chen, M J Morgan, J W T Toh

Abstract readComparative StudySystematic Review
PubMed Publisher
In one paragraph

Synthesis in Techniques in coloproctology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. External rectal prolapse: more than meets the eye.Techniques in coloproctology · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Update on Robotic Rectal Prolapse Treatment.Journal of personalized medicine · 2021
    Review
  15. Article
  16. Redo ventral rectopexy: is it worthwhile?Techniques in coloproctology · 2021
    Article
  17. Article
  18. Article
  19. Fecal incontinence and rectal prolapse.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019
    Review
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

4 authors at 2 institutions in 1 country.

S AlbayatiDepartment of Surgery, Bankstown-Lidcombe Hospital, Sydney, NSW, Australia. salbayati@gmail.com.ORCID http://orcid.org/0000-0002-7834-1767
P ChenDepartment of Surgery, Bankstown-Lidcombe Hospital, Sydney, NSW, Australia.
M J MorganDepartment of Surgery, Bankstown-Lidcombe Hospital, Sydney, NSW, Australia.
J W T TohDepartment of Surgery, Westmead Hospital, Sydney, NSW, Australia.
Bankstown Lidcombe Hospital · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic ventral mesh rectopexy (LVR) is a treatment with promising results in external rectal prolapse, rectal intussusception, and rectocele. Because of the emergence of robotic-assisted surgery and the technical advantage it provides, we examined the potential role and place of robotic surgery in ventral rectopexy.

methodsMEDLINE, PubMed, and other databases were searched, by two independent reviewers, to identify studies comparing robotic to laparoscopic ventral mesh rectopexy. The primary outcome was the rate of unplanned conversion to open. The secondary outcomes were morbidity, length of hospital stay and recurrence rate.

resultsFive studies (4% male, n = 259) met the inclusion criteria. All 5 studies reported on conversion rate and showed no significant difference between the conversion rate of robotic and laparoscopic groups [OR 0.58 (95% CI 0.09-3.77)]. Robotic surgery was also similar to laparoscopic surgery for both morbidity [OR 0.71 (95% CI 0.34-1.48)] and recurrence rate [OR 0.56 (95% CI 0.18-1.75)]. Operative time was longer in the robotic group with a MWD of 22.88 minutes (CI 5.73-40.04, p < 0.0007). There was a statistically significant reduction in length of stay with robotic surgery [mean difference - 0.36 days (95% CI - 0.66 to - 0.07)].

conclusionsThis systematic review shows that robotic-assisted ventral rectopexy requires longer operative time with no significant added benefit over laparoscopic ventral rectopexy. The conversion rate was low in both groups and the trends to benefit did not reach statistical significance. More studies are required to clarify whether the potential technical advantage of robotic surgery in ventral rectopexy translates to an improvement in clinical outcome.

Indexed as

Surgical MeshAdultAgedConversion to Open SurgeryFemaleHumansIntussusceptionLaparoscopyLength of StayMiddle AgedOperative TimeRectal DiseasesRectal ProlapseRectumRecurrenceRobotic Surgical ProceduresLaparoscopic surgeryRectal prolapseRobotic surgeryVentral mesh rectopexy

Identifiers

PMID31254202
OpenAlexW2953571384

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.