Evidence map›Paper›PMID 36380262›Full record

SynthesisJournal of robotic surgery2023

Role of robotic approach in ileal pouch-anal anastomosis (IPAA): A systematic review of the literature.

Zeeshan Khawaja, Zohaib Jamal, Nowera Zafar, Naqqash Adnan, Muhammad Ijlal Haider, Ahmad Zafar, Najaf Nawaz Siddiqi

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
1.3field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  5. Review
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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

7 authors at 3 institutions in 1 country.

Zeeshan KhawajaWrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.
Zohaib JamalWrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK. drzohaibjamal@gmail.com.
Nowera ZafarEast Lancashire Hospitals NHS Trust, Blackburn, UK.
Naqqash AdnanWrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.
Muhammad Ijlal HaiderWrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.
Ahmad ZafarAgha Khan Medical University, Karachi, Pakistan.
Najaf Nawaz SiddiqiUniversity Hospitals Dorset NHS Foundation Trust, Poole, UK.
Wrightington, Wigan and Leigh NHS Foundation Trust · GBEast Lancashire Hospitals NHS Trust · GBPoole Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) has become standard surgical treatment of choice in patients with ulcerative colitis (UC) and familial adenomatous polyposis (FAP) in which the medical management fails. Despite the wide use of laparoscopic method, the enhanced and innovative features that come with the robotic platform, such as endo-wrist technology, 3D visualization, surgeon-controlled camera and motion scaling, make it an appealing choice. This study aims to investigate the feasibility and safety of robotic approach for proctectomy or proctocolectomy with IPAA as compared to conventional laparoscopic approach. A systematic review was completed for studies done between 2010 and 2022 comparing the robotic approach with the laparoscopic approach. Nine studies were found to be feasible to be included in this review. In terms of the outcomes, although the mean operating time was slightly higher than the laparoscopic approach, the other outcomes, such as mean blood loss, return of the bowel movement, mean hospital stay, and conversion to open, were found to be significantly lower in the robotic approach as compared to both laparoscopic and conventional open techniques. Despite the overall increased rate of complications combined from all the studies, the rate of significant complications such as anastomotic leaks requiring readmission and return to theater was also found to be substantially less. This study concludes that although robotic approach is in its initial stages for pelvic surgeries, it can be safely employed due to improved dexterity and visibility.

Indexed as

Colonic PouchesProctocolectomy, RestorativeRobotic Surgical ProceduresAnastomosis, SurgicalHumansPostoperative ComplicationsRetrospective StudiesTreatment OutcomeFamilial adenomatous polyposisIleal pouch–anal anastomosesRestorative proctocolectomyRobotic surgeryUlcerative colitis

Identifiers

PMID36380262
OpenAlexW4309158002

What OpenQuestion holds

Textmetadata
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.