Evidence map›Paper›PMID 35762219›Full record

SynthesisThe Journal of urology2022

A Decade of Robotic-Assisted Radical Nephrectomy with Inferior Vena Cava Thrombectomy: A Systematic Review and Meta-Analysis of Perioperative Outcomes.

Harshit Garg, Sarah P Psutka, Abraham Ari Hakimi, Hyung L Kim, Ahmed M Mansour, Deepak K Pruthi, Michael A Liss, Hanzhang Wang, Christine S Gaspard, Chethan Ramamurthy and 2 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  4. Article
  5. Article
  6. [Preliminary clinical experience of domestic robot-assisted laparoscopic radical nephrectomy with venous tumor thrombectomy].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
    Article
  7. Review
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  9. Article
  10. Review
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  14. Article
  15. Article
  16. Robotic-Assisted Vascular Surgery: A Clinical Perspective.Methodist DeBakey cardiovascular journal · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Harshit GargDepartment of Urology, University of Texas Health, San Antonio, Texas.ORCID 0000-0002-4762-2523
Sarah P PsutkaDepartment of Urology, University of Washington, Seattle, Washington.
Abraham Ari HakimiDepartment of Urology, Memorial Sloan Kettering Cancer Center, New York, New York.
Hyung L KimDepartment of Surgery/Division of Urology, Cedars-Sinai Medical Center, Los Angeles, California.
Ahmed M MansourDepartment of Urology, University of Texas Health, San Antonio, Texas.
Deepak K PruthiDepartment of Urology, University of Texas Health, San Antonio, Texas.
Michael A LissDepartment of Urology, University of Texas Health, San Antonio, Texas.
Hanzhang WangDepartment of Urology, University of Texas Health, San Antonio, Texas.
Christine S GaspardDolph Briscoe Jr Library, University of Texas Health, San Antonio, Texas.
Chethan RamamurthyDepartment of Medical Oncology, Mays Cancer Centre, San Antonio, Texas.
Robert S SvatekDepartment of Urology, University of Texas Health, San Antonio, Texas.
Dharam KaushikDepartment of Urology, University of Texas Health, San Antonio, Texas.ORCID 0000-0002-1942-2743

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeOpen radical nephrectomy with inferior vena cava thrombectomy (O-CT) is standard management for renal cell carcinoma with inferior vena cava thrombus. First reported a decade ago, robotic-assisted radical nephrectomy with inferior vena cava thrombectomy (R-CT) is a minimally invasive option for this disease. W MATERIALS AND

methodsThe PubMed®, Scopus®, Cochrane Central Register of Controlled Trials and Web of Science

resultsThe search retrieved 28 articles describing R-CT, including 7 comparative studies. This systematic review included 1,375 patients, out of which 329 patients were in single-arm studies and 1,046 patients were in comparative studies. Of the 329 patients who underwent R-CT, 14.7% were level I, 60.9% level II, 20.4% level III and 2.5% level IV thrombus. Operative time ranged from 150 to 530 minutes; blood transfusion was administered in 38.2% (126). The overall complication rate was 30.3% (99). R-CT, in comparison to O-CT, was associated with a lower blood transfusion rate (18.4% vs 64.3%, p=0.002) and a lower complication rate (14.5% vs 36.7%, p=0.005). Major complication and 30-day mortality rates were similar in both groups.

conclusionsR-CT has acceptable perioperative outcomes in carefully selected patients. Compared with O-CT, R-CT is associated with a lower blood transfusion rate and fewer overall complications. In experienced hands with carefully selected patients, R-CT is feasible and safe, with acceptable outcomes; however, selection bias limits definitive inference of these results, and optimal patient selection criteria remain to be described.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsRobotic Surgical ProceduresThrombosisHumansNephrectomyRetrospective StudiesThrombectomyVena Cava, Inferiorcarcinoma, renal cellnephrectomyrobotic surgical proceduresthrombectomyvena cava, inferior

Identifiers

PMID35762219
PMCPMC10663084

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.