Evidence map›Paper›PMID 34022914›Full record

ArticleWorld journal of surgical oncology2021

Improved perioperative outcomes and reduced inflammatory stress response in malignant robot-assisted colorectal resections: a retrospective cohort study of 298 patients.

Pedja Cuk, Randi Maria Simonsen, Mirjana Komljen, Michael Festersen Nielsen, Per Helligsø, Andreas Kristian Pedersen, Christian Backer Mogensen, Mark Bremholm Ellebæk

Open access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  14. [Robotic rectal surgery].Chirurgie (Heidelberg, Germany) · 2024
    Review
  15. Assistance by adaptative damping on a complex bimanual task in laparoscopic surgery.International journal of computer assisted radiology and surgery · 2024
    Article
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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

8 authors at 3 institutions in 1 country.

Pedja CukDepartment of Surgery, Hospital of Southern Jutland, Aabenraa, Denmark. pedja.cuk@rsyd.dk.ORCID http://orcid.org/0000-0003-0582-604X
Randi Maria SimonsenDepartment of Surgery, Hospital of Southern Jutland, Aabenraa, Denmark.
Mirjana KomljenDepartment of Surgery, Hospital of Southern Jutland, Aabenraa, Denmark.
Michael Festersen NielsenDepartment of Surgery, Hospital of Southern Jutland, Aabenraa, Denmark.
Per HelligsøDepartment of Surgery, Hospital of Southern Jutland, Aabenraa, Denmark.
Andreas Kristian PedersenDepartment of Regional Health Research, Hospital of Southern Jutland, University of Southern Denmark, Odense, Denmark.
Christian Backer MogensenDepartment of Regional Health Research, Hospital of Southern Jutland, University of Southern Denmark, Odense, Denmark.
Mark Bremholm EllebækResearch Unit for Surgery, Surgical Department, Odense University Hospital, Odense, Denmark.
University of Southern Denmark · DKSygehus Sønderjylland · DKOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobot-assisted surgery is increasingly implemented for the resection of colorectal cancer, although the scientific evidence for adopting this technique is still limited. This study's main objective was to compare short-term complication rates, oncological outcomes, and the inflammatory stress response after colorectal resection for cancer performed laparoscopic or robot-assisted.

methodsWe conducted a retrospective cohort study comparing the robot-assisted approach to laparoscopic surgery for elective malignant colorectal neoplasm. Certified colorectal and da Vinci ® robotic surgeons performed resections at a Danish tertiary colorectal high volume center from May 2017 to March 2019. We analyzed the two surgical groups using uni- and multivariate regression analyses to detect differences in intra- and postoperative clinical outcomes and the inflammatory stress response.

resultsTwo hundred and ninety-eight patients were enrolled in the study. Significant differences favoring robot-assisted surgery was demonstrated for; length of hospital stay (4 days, interquartile range (4, 5) versus 5 days, interquartile range (4-7), p < 0.001), and intraoperative blood loss (50 mL, interquartile range (20-100) versus 100 mL, interquartile range (50-150), p < 0.001) compared to laparoscopic surgery. The inflammatory stress response was significantly higher after laparoscopic compared to robot-assisted surgery reflected by an increase in C-reactive protein concentration (exponentiated coefficient = 1.23, 95% confidence interval (1.06-1.46), p = 0.008). No differences between the two groups were found concerning mortality, microradical resection rate, conversion to open surgery, and surgical or medical short-term complication rates.

conclusionRobot-assisted surgery is feasible and can be safely implemented for colorectal resections. The robot-assisted approach, when compared to laparoscopic surgery, was associated with improved intra- and postoperative outcomes. Extensive prospective studies are needed to determine the short- and long-term outcomes of robotic surgery for colorectal cancer.

Indexed as

Colorectal NeoplasmsLaparoscopyRoboticsRobotic Surgical ProceduresHumansPostoperative ComplicationsPrognosisProspective StudiesRetrospective StudiesTreatment OutcomeColorectal cancerLaparoscopic colorectal surgeryMinimally invasive surgeryPostoperative inflammatory stress responseRobot-assisted colorectal surgerySurgical oncology

Identifiers

PMID34022914
PMCPMC8141231
OpenAlexW3135903291

What OpenQuestion holds

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LicenceCC BY
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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.