ReviewCancers2023
Outcomes of Robot-Assisted Surgery in Rectal Cancer Compared with Open and Laparoscopic Surgery.
Review in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 8 of them syntheses that pooled 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.
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.
Who cites it
43 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Robotic vs. laparoscopic rectal cancer surgery in high BMI patients: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026Pooled it
- Robotic Beyond Total Mesorectal Excision (bTME) for locally advanced and recurrent anorectal cancer: a systematic review.Journal of robotic surgery · 2025Pooled it
- Comparison of surgical outcomes between robotic and laparoscopic surgery for mid-low rectal cancer: a meta-analysis of randomized controlled trials.Journal of robotic surgery · 2025Pooled it
- The outcomes of robotic ileocolic resection in Crohn's disease compared with laparoscopic and open surgery: a meta-analysis and systematic review.Techniques in coloproctology · 2025Pooled it
- Clinical effectiveness of robotic versus laparoscopic and open surgery: an overview of systematic reviews.BMJ open · 2024Pooled it
- Evaluation of objective tools and artificial intelligence in robotic surgery technical skills assessment: a systematic review.The British journal of surgery · 2024Pooled it
- Robotic colorectal surgery in Latin America: a systematic review on surgical outcomes.Frontiers in surgery · 2024Pooled it
- Robotic-Assisted Surgery for Rectal Cancer: An Expedited Summary of the Clinical Evidence.Ontario health technology assessment series · 2024Pooled it
- Article
- Circumferential resection margin status and longterm survival outcomes following robotic-assisted versus laparoscopic surgical resection for locally-advanced rectal cancer: a National Cancer Database (NCDB) study.Surgical endoscopy · 2026Article
- Robotic Intracorporeal Single-Stapled Anastomosis (RiSSA): Indications, Technical Benefits, and Current Limitations.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Review
- Short-term outcomes of robotic versus laparoscopic surgery for colon cancer: A multicenter propensity score-matched study.Surgery today · 2026Article
- Global trends in robotic-assisted laparoscopic surgery (RALS): a bibliometric analysis (2000-2024).Updates in surgery · 2026Article
- Initial experience in colorectal robotic surgery in a university hospital: the first 100 consecutive cases using Hugo™ RAS platform.Techniques in coloproctology · 2026Article
- The Impact of Time Interval to Surgery After Neoadjuvant Chemoradiotherapy on Oncological Outcomes: A Long-Term Follow-Up Study on Rectal Cancer Patients.Cancer reports (Hoboken, N.J.) · 2026Article
- Machine learning-based risk modeling for safety-focused learning curve assessment in robotic left-sided colorectal cancer surgery.Journal of robotic surgery · 2026Article
- Comparative outcomes of laparoscopic and robotic anterior rectal resection for cM0 mid-low rectal adenocarcinoma: A 10-year retrospective analysis of patients with a minimum 5-year follow-up.Journal of robotic surgery · 2026Article
- Benchmarking to validate the implementation of a robotic colorectal cancer surgery program. Proposal for a new method to createbenchmarks.Journal of robotic surgery · 2025Observational
- IDEAL-compliant implementation of the DexterInnovative surgical sciences · 2025Article
- Robotic Versus Laparoscopic Versus Open Surgery for Rectal Cancer.Journal of clinical medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
With increasing trends for the adoption of robotic surgery, many centers are considering changing their practices from open or laparoscopic to robot-assisted surgery for rectal cancer. We compared the outcomes of robot-assisted rectal resection with those of open and laparoscopic surgery. We searched Medline, Web of Science, and CENTRAL databases until October 2022. All randomized controlled trials (RCTs) and prospective studies comparing robotic surgery with open or laparoscopic rectal resection were included. Fifteen RCTs and 11 prospective studies involving 6922 patients were included. The meta-analysis revealed that robotic surgery has lower blood loss, less surgical site infection, shorter hospital stays, and higher negative resection margins than open resection. Robotic surgery also has lower conversion rates, lower blood loss, lower rates of reoperation, and higher negative circumferential margins than laparoscopic surgery. Robotic surgery had longer operation times and higher costs than open and laparoscopic surgery. There were no differences in other complications, mortality, and survival between robotic surgery and the open or laparoscopic approach. However, heterogeneity between studies was moderate to high in some analyses. The robotic approach can be the method of choice for centers planning to change from open to minimally invasive rectal surgery. The higher costs of robotic surgery should be considered as a substitute for laparoscopic surgery (PROSPERO: CRD42022381468).
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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.