Evidence map›Paper›PMID 31473878›Full record

ArticleJournal of robotic surgery2020

Robotic-assisted versus open pancreaticoduodenectomy: the results of a case-matched comparison.

Marco Vito Marino, Mauro Podda, Marcos Gomez Ruiz, Carmen Cagigas Fernandez, Domenico Guarrasi, Manuel Gomez Fleitas

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 6 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

18 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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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

6 authors.

Marco Vito MarinoDepartment of Surgery, Palermo University, Palermo, Italy. marco.vito.marino@gmail.com.ORCID http://orcid.org/0000-0002-0466-4467
Mauro PoddaDepartment of General, Emergency and Minimally Invasive Surgery, Cagliari University Hospital "Policlinico D. Casula", Cagliari, Italy.
Marcos Gomez RuizDepartment of General and Digestive Surgery, Hospital Universitario Marquès de Valdecilla, Av. De Valdecilla 25, Santander, Cantabria, Spain.
Carmen Cagigas FernandezDepartment of General and Digestive Surgery, Hospital Universitario Marquès de Valdecilla, Av. De Valdecilla 25, Santander, Cantabria, Spain.
Domenico GuarrasiDepartment of Emergency Surgery, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy.
Manuel Gomez FleitasDepartment of General and Digestive Surgery, Hospital Universitario Marquès de Valdecilla, Av. De Valdecilla 25, Santander, Cantabria, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted pancreaticoduodenectomy (RPD) is progressively gaining momentum. It seems to provide some potential advantages over open approach. Unfortunately, only few studies investigated the impact of RPD on the oncologic outcomes. We performed a 1:1 case-matched comparison between two groups of 35 patients affected by a malignant tumor who underwent RPD and open (OPD) pancreaticoduodenectomy from August 2014 to April 2016. Operative time was longer in the RPD group compared to OPD (355 vs 262 min, p = 0.023), whereas median blood loss (235 vs 575 ml, p = 0.016) and length of hospitalization (6.5 vs 8.9 days, p = 0.041) were lower for RPD. A significant reduction of overall postoperative morbidity rate was found in the RPD group compared to the OPD group (31.4% vs 48.6% p = 0.034). No statistically significant difference was found between the two groups in terms of overall pancreatic fistula rate, R0 resection rate, and number of harvested lymph nodes. The overall and disease-free survival at 1 and 3 years were similar. RPD is a safe and effective technique. It reduces the estimated blood loss, the length hospital of stay and the rate of complications after pancreaticoduodenectomy, while preserving a good oncologic adequacy.

Indexed as

AdenocarcinomaAdultAgedBlood Loss, SurgicalFemaleHumansLength of StayMaleMiddle AgedOperative TimePancreatic FistulaPancreatic NeoplasmsPancreaticoduodenectomyPostoperative ComplicationsRobotic Surgical ProceduresSurvival RateOncologic adequacyOpen pancreaticoduodenectomyPancreatic FistulaPostoperative ComplicationsRobotic-assisted pancreaticoduodenectomy

Identifiers

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.