Evidence map›Paper›PMID 36684197›Full record

SynthesisFrontiers in surgery2022

Comparison of Robotic-Assisted vs. Conventional Laparoscopy for Para-aortic Lymphadenectomy in Gynecological Malignancies: A Systematic Review and Meta-Analysis.

Zhengli Zhou, Jing Ge, Kefan Ye, Yifeng Zhang, Qian Hu, Limei Wang, Yiwen Chen

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Palpation sensing for robotic-assisted surgery.Orthopadie (Heidelberg, Germany) · 2026
    Review
  5. Article
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 2 institutions in 1 country.

Zhengli ZhouThe First People's Hospital of Yunnan Province Gynecology Department (Affiliated Hospital of Kunming University of Science and Technology), Kunming, China.
Jing GeThe First People's Hospital of Yunnan Province Gynecology Department (Affiliated Hospital of Kunming University of Science and Technology), Kunming, China.
Kefan YeThe First People's Hospital of Yunnan Province Gynecology Department (Affiliated Hospital of Kunming University of Science and Technology), Kunming, China.
Yifeng ZhangThe First People's Hospital of Yunnan Province Gynecology Department (Affiliated Hospital of Kunming University of Science and Technology), Kunming, China.
Qian HuThe First People's Hospital of Yunnan Province Gynecology Department (Affiliated Hospital of Kunming University of Science and Technology), Kunming, China.
Limei WangThe First People's Hospital of Yunnan Province Gynecology Department (Affiliated Hospital of Kunming University of Science and Technology), Kunming, China.
Yiwen ChenThe First People's Hospital of Yunnan Province Gynecology Department (Affiliated Hospital of Kunming University of Science and Technology), Kunming, China.
First People's Hospital of Yunnan Province · CNKunming University of Science and Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Robotic-assisted surgery is one of the novel minimally invasive surgical techniques for the treatment of gynecological malignancies. The aim of this systematic review and meta-analysis was to compare the outcomes of robot-assisted vs. conventional laparoscopy for para-aortic lymphadenectomy (PAL) in patients with gynecological malignancies. Methods: An electronic search in PubMed, Scopus, Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar databases was performed for articles, published up to 01 Results: A total of nine studies (7 non-RCTs and 2 RCTs) involving 914 participants were included. Of them, 332 patients underwent robotic laparoscopy (robotic group) and 582-conventional laparoscopy (conventional laparoscopy group). A significant decrease in TBL (MD = -149.1; 95% CI: -218.4 to -79.91) [ml] was observed in the robotic group as compared to the conventional laparoscopy group. However, no significant difference was noted for OT, CR, and LOS in the overall findings. Further subgroup analysis showed that the robotic group had a lower OT in mixed histological populations and studies reporting on the extraperitoneal approach. The lower chance of TBL was observed in mixed histological populations and studies involving extraperitoneal approach, Caucasian population, and non-RCTs design. Conclusions: Robotic laparoscopy has a significant advantage over the conventional laparoscopy approach for PAL in gynecological malignancies. Further prospective observational studies embedded with a large sample size are needed to validate our findings.

Indexed as

cervical cancerconventional laparoscopyextraperitoneal paraaortic lymphadenectomygynecological malignanciesrobotic-assisted laparoscopy

Identifiers

PMID36684197
PMCPMC9845261
OpenAlexW4313585608

What OpenQuestion holds

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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.