Evidence map›Paper›PMID 32367439›Full record

ArticleJournal of robotic surgery2021

Robotic-assisted right colectomy versus laparoscopic approach: case-matched study and cost-effectiveness analysis.

Valentina Ferri, Yolanda Quijano, Javier Nuñez, Riccardo Caruso, Hipolito Duran, Eduardo Diaz, Isabel Fabra, Luisi Malave, Roberta Isernia, Angelo d'Ovidio and 4 more

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05457426 (Robotic Versus Laparoscopic Right Hemicolectomy With Complete Mesocolic Excision), which is not on this map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
1.6field-weighted citation impact, top 14% 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.

NCT05457426 completednot on this mapstarted 2022, after this paper: background citation

Robotic Versus Laparoscopic Right Hemicolectomy With Complete Mesocolic Excision: a Retrospective Multicenter Study With Propensity Score Matching

TypeobservationalSponsorThird Military Medical UniversityRan2022 to 2022Enrolled382ConditionsPerioperative Outcomes, Oncological OutcomesArmsrobotic right hemicolectomy with CME
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  8. Central vascular ligation and complete mesocolon excisionWorld journal of gastrointestinal surgery · 2025
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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

14 authors at 4 institutions in 2 countries.

Valentina FerriDivision of General Surgery, HM-Sanchinarro University Hospital, San Pablo University, calle oña 10, Madrid, Spain. valenpeglio@gmail.com.ORCID http://orcid.org/0000-0001-8971-3493
Yolanda QuijanoDivision of General Surgery, HM-Sanchinarro University Hospital, San Pablo University, calle oña 10, Madrid, Spain.
Javier NuñezIVEC (Instituto de Validación de la Eficiencia Clínica), Fundación de Investigación HM Hospitales, Madrid, Spain.
Riccardo CarusoDivision of General Surgery, HM-Sanchinarro University Hospital, San Pablo University, calle oña 10, Madrid, Spain.
Hipolito DuranDivision of General Surgery, HM-Sanchinarro University Hospital, San Pablo University, calle oña 10, Madrid, Spain.
Eduardo DiazDivision of General Surgery, HM-Sanchinarro University Hospital, San Pablo University, calle oña 10, Madrid, Spain.
Isabel FabraDivision of General Surgery, HM-Sanchinarro University Hospital, San Pablo University, calle oña 10, Madrid, Spain.
Luisi MalaveDivision of General Surgery, HM-Sanchinarro University Hospital, San Pablo University, calle oña 10, Madrid, Spain.
Roberta IserniaDivision of General Surgery, Faculty of Medicine and Surgery, University of Bari, Bari, Italy.
Angelo d'OvidioDivision of General Surgery, Faculty of Medicine and Surgery, University of Pavia, Pavia, Italy.
Ruben AgresottDivision of General Surgery, HM-Sanchinarro University Hospital, San Pablo University, calle oña 10, Madrid, Spain.
Patricio GomezDivision of General Surgery, HM-Sanchinarro University Hospital, San Pablo University, calle oña 10, Madrid, Spain.
Rigoberto IsojoDivision of General Surgery, HM-Sanchinarro University Hospital, San Pablo University, calle oña 10, Madrid, Spain.
Emilio VicenteDivision of General Surgery, HM-Sanchinarro University Hospital, San Pablo University, calle oña 10, Madrid, Spain.
Hospital Universitario HM Sanchinarro · ESHM Hospitales · ESUniversity of Bari Aldo Moro · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study is to compare clinical and oncological outcomes of robot-assisted right colectomy with those of conventional laparoscopy-assisted right colectomy, reporting for the first time in literature, a cost-effectiveness analysis.

methodsThis is a case-matched prospective non-randomized study conducted from October 2013 to October 2017 at Sanchinarro University Hospital, Madrid. Patients with right-sided colonic adenocarcinoma or adenoma, not suitable endoscopic resection were treated with robot-assisted right colectomy and a propensity score-matched (1:1) was used to balance preoperative characteristics of a laparoscopic control group. Perioperative, postoperative, long-term oncological results and costs were analysed, and quality-adjusted life years (QALY), and the cost-effectiveness ratio (ICER) were calculated. The primary end point was to compare the cost-effectiveness differences between both groups. A willingness-to-pay of 20,000 and 30,000 per QALY was used as a threshold to recognize which treatment was most cost effective.

resultsThirty-five robot-assisted right colectomies were included and a group of 35 laparoscopy-assisted right colectomy was selected. Compared with the laparoscopic group, the robotic group was associated with longer operation times (243 min vs. 179 min, p < 0.001). No significant difference was observed in terms of total costs between the robotic and laparoscopic groups (9455.14 vs 8227.50 respectively, p = 0.21). At a willingness-to-pay threshold of 20,000 and 30,000, there was a 78.78-95.04% probability that the robotic group was cost effective relative to laparoscopic group.

conclusionRobot-assisted right colectomy is a safe and feasible technique and is a cost-effective procedure.

Indexed as

Cost-Benefit AnalysisAdenocarcinomaAdenomaAdultAgedAged, 80 and overColectomyColonic NeoplasmsFeasibility StudiesFemaleHumansLaparoscopyMaleMiddle AgedOperative TimePropensity ScoreCost analysisCost-effectiveness analysisOncological outcomesRobotic right colectomy

Identifiers

PMID32367439
OpenAlexW3021089362

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.