Evidence map›Paper›PMID 31748885›Full record

ArticleWorld journal of surgery2020

Long-Term and Oncologic Outcomes of Robotic Versus Laparoscopic Liver Resection for Metastatic Colorectal Cancer: A Multicenter, Propensity Score Matching Analysis.

Rachel E Beard, Sidrah Khan, Roberto I Troisi, Roberto Montalti, Aude Vanlander, Yuman Fong, T Peter Kingham, Thomas Boerner, Eren Berber, Bora Kahramangil and 7 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 5 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

37 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

17 authors.

Rachel E BeardDepartment of Surgery, Rhode Island Hospital, Providence, RI, USA.
Sidrah KhanDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Roberto I TroisiDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Roberto MontaltiDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Aude VanlanderDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Yuman FongDepartment of Surgery, City of Hope National Medical Center, Duarte, CA, USA.
T Peter KinghamDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Thomas BoernerDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Eren BerberDepartment of General Surgery, Cleveland Clinic, Cleveland, OH, USA.
Bora KahramangilDepartment of General Surgery, Cleveland Clinic, Cleveland, OH, USA.
Joseph F BuellDepartment of Surgery, Tulane University, New Orleans, LA, USA.
John B MartinieDepartment of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Dionisios VrochidesDepartment of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Chengli ShenDivision of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, N924 Doan Hall, 410 West 10th Ave, Columbus, OH, 43210, USA.
Michele MolinariDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
David A GellerDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Allan TsungDivision of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, N924 Doan Hall, 410 West 10th Ave, Columbus, OH, 43210, USA. allan.tsung@osucmc.edu.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Pittsburgh Liver Research CenterP30DK120531 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DAVID A GELLER · 2019 to 2026
$10.9M
Surgery triggered immune response and liver metastasesR01CA214865 · NCI · UNIVERSITY OF VIRGINIA · PI Allan Tsung · 2018 to 2026
$3.4M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA214865NIDDK NIH HHS P30 DK120531
6 · The paper itself

Abstract

backgroundTo assess long-term oncologic outcomes of robotic-assisted liver resection (RLR) for colorectal cancer (CRC) metastases as compared to a propensity-matched cohort of laparoscopic liver resections (LLR). Although safety and short-term outcomes of RLR have been described and previously compared to LLR, long-term and oncologic data are lacking.

methodsA retrospective study was performed of all patients who underwent RLR and LLR for CRC metastases at six high-volume centers in the USA and Europe between 2002 and 2017. Propensity matching was used to match baseline characteristics between the two groups. Data were analyzed with a focus on postoperative and oncologic outcomes, as well as long-term recurrence and survival.

resultsRLR was performed in 115 patients, and 514 patients underwent LLR. Following propensity matching 115 patients in each cohort were compared. Perioperative outcomes including mortality, morbidity, reoperation, readmission, intensive care requirement, length-of-stay and margin status were not statistically different. Both prematching and postmatching analyses demonstrated similar overall survival (OS) and disease-free survival (DFS) between RLR and LLR at 5 years (61 vs. 60% OS, p = 0.87, and 38 vs. 31% DFS, p = 0.25, prematching; 61 vs. 60% OS, p = 0.78, and 38 vs. 44% DFS, p = 0.62, postmatching).

conclusionsPropensity score matching with a large, multicenter database demonstrates that RLR for colorectal metastases is feasible and safe, with perioperative and long-term oncologic outcomes and survival that are largely comparable to LLR.

Indexed as

LaparoscopyRobotic Surgical ProceduresAgedColorectal NeoplasmsCritical CareDisease-Free SurvivalFemaleHepatectomyHumansLength of StayLiver NeoplasmsMaleMargins of ExcisionMiddle AgedNeoplasm Recurrence, LocalPatient Readmission

Identifiers

PMID31748885
PMCPMC7700440

What OpenQuestion holds

Textmetadata
LicenceTDM
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.