Evidence map›Paper›PMID 34599362›Full record

SynthesisInternational journal of colorectal disease2022

Robotic versus conventional laparoscopic technique for the treatment of left-sided colonic diverticular disease: a systematic review with meta-analysis.

Giuseppe Giuliani, Francesco Guerra, Diego Coletta, Antonio Giuliani, Lucia Salvischiani, Angela Tribuzi, Giuseppe Caravaglios, Alfredo Genovese, Andrea Coratti

Erratum issued Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of colorectal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05829343 (RObotic vs LAparoscopic Colectomy for DIverticulitis. A Multicenter Observational Prospective Study.), which is not on this map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
4.2field-weighted citation impact, top 5% 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.

NCT05829343 recruitingnot on this mapstarted 2023, after this paper: background citation

RObotic vs LAparoscopic Colectomy for DIverticulitis. A Multicenter Observational Prospective Study.

TypeobservationalSponsorS.M. Misericordia HospitalRan2023 to 2025Enrolled1,450ConditionsDiverticular Diseases, DiverticulitisArmsLaparoscopic Left colectomy, Robotic left colectomy
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Giuseppe GiulianiDepartment of General and Urgency Surgery, Misericordia Hospital, Via Senese, 161, 58100, Grosseto, Italy. giu.giuliani86@gmail.com.ORCID http://orcid.org/0000-0001-9232-398X
Francesco GuerraDepartment of General and Urgency Surgery, Misericordia Hospital, Via Senese, 161, 58100, Grosseto, Italy.
Diego ColettaDepartment of Surgical Sciences, Emergency Department - Emergency and Trauma Surgery Unit, Umberto I University Hospital, Sapienza University of Rome, Rome, Italy.
Antonio GiulianiDepartment of Biotechnological and Applied Clinical Sciences, Department of General Surgery, University of L'Aquila, San Salvatore Hospital, L'Aquila, Italy.
Lucia SalvischianiDepartment of General and Urgency Surgery, Misericordia Hospital, Via Senese, 161, 58100, Grosseto, Italy.
Angela TribuziDepartment of General and Urgency Surgery, Misericordia Hospital, Via Senese, 161, 58100, Grosseto, Italy.
Giuseppe CaravagliosDepartment of General and Urgency Surgery, Misericordia Hospital, Via Senese, 161, 58100, Grosseto, Italy.
Alfredo GenoveseDepartment of General and Urgency Surgery, Misericordia Hospital, Via Senese, 161, 58100, Grosseto, Italy.
Andrea CorattiDepartment of General and Urgency Surgery, Misericordia Hospital, Via Senese, 161, 58100, Grosseto, Italy.
Ospedale Misericordia - Grosseto · ITPoliclinico Umberto I · ITUniversity of L'Aquila · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMinimally invasive surgery has been universally accepted as a valid option for the treatment of diverticular disease, provided specific expertise is available. Over the last decade, there has been a growing interest in the application of robotic approaches for diverticular disease. We aimed at evaluating whether robotic colectomy may offer some advantages over the laparoscopic approach for surgical treatment of diverticular disease by meta-analyzing the available data from the medical literature.

methodsThe PubMed/Medline, EMBASE, and Web Of Sciences electronic databases were searched for literature up to December 2020. Inclusion criteria considered all comparative studies evaluating robotic versus laparoscopic colectomy for diverticulitis eligible. The conversion rate to the open approach was evaluated as the primary outcome.

resultsThe data of 4177 patients from nine studies were included in the analysis. There were no significant differences in the baseline characteristics. Patients undergoing laparoscopic colectomy compared to those who underwent surgery with a robotic approach had a significantly higher risk of conversion into an open procedure (12.5% vs. 7.4%, p < 0.00001) and abbreviated hospital stay (p < 0.0001) at the price of a longer operating time (p < 0.00001).

conclusionCompared with conventional laparoscopic surgery, the robotic approach offers significant advantages in terms of conversion rate and shortened hospital stay for the treatment of diverticular disease. However, because of the lack of available evidence, it is impossible to draw definitive conclusions.

Indexed as

Diverticular DiseasesLaparoscopyRobotic Surgical ProceduresColectomyHumansLength of StayPostoperative ComplicationsTreatment OutcomeBenign diseaseColorectal surgeryDiverticular diseaseLaparoscopic surgeryMinimally invasive surgeryRobotic surgery

Identifiers

PMID34599362
OpenAlexW3202461242

What OpenQuestion holds

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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.