Evidence map›Paper›PMID 35610541›Full record

ArticleJournal of robotic surgery2023

Comparison of robotic vs laparoscopic left-sided colorectal cancer resections.

T S Hettiarachchi, A Askari, E Rudge, L T Hao, S Sarwar, D Dowsett, A El Hadi, Irshad Shaikh

Open access · hybridAbstract read
In one paragraph

Article in Journal of robotic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Review
  7. Robotic surgery in emergency general surgery: an overview of UK practice.World journal of emergency surgery : WJES · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Optimizing Anesthetic Management for Laparoscopic Surgery: A Comprehensive Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
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 2 institutions in 1 country.

T S HettiarachchiNorfolk and Norwich University NHS Foundation Trust, Norwich, UK.
A AskariCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
E RudgeNorfolk and Norwich University NHS Foundation Trust, Norwich, UK.
L T HaoNorfolk and Norwich University NHS Foundation Trust, Norwich, UK.
S SarwarNorfolk and Norwich University NHS Foundation Trust, Norwich, UK.
D DowsettNorfolk and Norwich University NHS Foundation Trust, Norwich, UK.
A El HadiNorfolk and Norwich University NHS Foundation Trust, Norwich, UK.
Irshad ShaikhNorfolk and Norwich University NHS Foundation Trust, Norwich, UK. Irshad.shaikh@nnuh.nhs.uk.
Norfolk and Norwich University Hospitals NHS Foundation Trust · GBCambridge University Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic assisted surgery (RAS) has become increasingly adopted in colorectal cancer surgery. This study aims to compare robotic and laparoscopic approaches to left sided colorectal resections in terms of surgical outcomeswith no formal enhanced recovery programme. All patients undergoing robotic or laparoscopic left sided or rectal (high and low anterior resection) cancer surgery at a single tertiary referral centre over 3 years were included.A total of 184 consecutive patients from July 2017 to December 2020 were included in this study, with 40.2% (n=74/184) undergoing RAS. The median age at time of surgery was 68 years (IQR 60-73 years). RAS had a significantly shorter length of median stay of 3 days, compared to 5 days in the conventional laparoscopic surgery (CLS) group (p<0.001). RAS had a significantly lower rate of conversion to open surgery (0% vs 16.4%, p<0.001). The median operative time was also shorter in RAS (308 minutes), compared to CLS (326 minutes, p=0.019). The overall rate of any complication was 16.8%, with the RAS experiencing a lower complication rate (12.2% vs 20.0%, p=0.041). There was no significant difference in anastomotic leak rates between the two groups (4.0% vs 5.5%, p=0.673), or in terms of complete resection (R0) (robotic 98.6%, laparoscopic 100%, p=0.095). Robotic left sided colorectal surgery delivers equivalent oncological resection compared to laparoscopic approaches, with the added benefits of reduced length of stay and lower rates of conversion to open surgery. This has both clinical and healthcare economic benefits.

Indexed as

Colorectal NeoplasmsDigestive System Surgical ProceduresLaparoscopyRobotic Surgical ProceduresAgedHumansMiddle AgedPostoperative ComplicationsRectumRetrospective StudiesTreatment OutcomeBowel resectionCancerColon cancerColorectal surgeryLaparoscopic surgeryRobotic surgery

Identifiers

PMID35610541
PMCPMC9129896
OpenAlexW4281382289

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.