Evidence map›Paper›PMID 37310528›Full record

SynthesisJournal of robotic surgery2023

Robotic right versus left colectomy for colorectal neoplasia: a systemic review and meta-analysis.

Paola Solis-Pazmino, Kimberly Oka, Kristina La, Orly Termeie, Oscar Ponce, Luis Figueroa, Antonio Weston, Mayara Machry, Jason Cohen, Moshe Barnajian and 1 more

Abstract readMeta-AnalysisSystematic 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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

11 authors at 5 institutions in 3 countries.

Paola Solis-PazminoSurgery Group Los Angeles, Los Angeles, CA, USA. paosolpaz18@gmail.com.ORCID http://orcid.org/0000-0003-1725-232X
Kimberly OkaSurgery Group Los Angeles, Los Angeles, CA, USA.
Kristina LaSurgery Group Los Angeles, Los Angeles, CA, USA.
Orly TermeieSurgery Group Los Angeles, Los Angeles, CA, USA.
Oscar PonceKnowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, 55905, USA.
Luis FigueroaCaTaLiNA-Cancer de Tiroides en Latino America, Quito, Ecuador.
Antonio WestonSurgery Department, Santa Casa de Porto Alegre, Porto Alegre, RS, Brazil.
Mayara MachrySurgery Department, Santa Casa de Porto Alegre, Porto Alegre, RS, Brazil.
Jason CohenSurgery Group Los Angeles, Los Angeles, CA, USA.
Moshe BarnajianSurgery Group Los Angeles, Los Angeles, CA, USA.
Yosef NasseriSurgery Group Los Angeles, Los Angeles, CA, USA.
Santa Casa Hospital · BRCedars-Sinai Medical Center · USCentral University of Ecuador · ECFacultad Latinoamericana de Ciencias Ecuador · ECMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies comparing right and left colectomies have shown variable short-term outcomes. Despite the rapid adoption of robotics in colorectal operations, few studies have addressed outcome differences between robotic right (RRC) and left (RLC) colectomies. Therefore, we sought to compare the short-term outcomes of RRC and RLC for neoplasia. This is a systematic review and meta-analysis of articles published from the time of inception of the datasets to May 1, 2022. The electronic databases included English publications in Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE, Ovid EMBASE, and Scopus. A total of 13,514 patients with colon neoplasia enrolled in 9 comparative studies were included. The overall mean age was 64.1 years (standard deviation [SD] ± 9.8), and there was a minor female predominance (52% female vs. 48% male). 8656 (64.0%) underwent RRC and 4858 (36.0%) underwent RLC. The ASA score 1 of - 2 in the LRC group was 37% vs. 21% in the R. Whereas the ASA score 3-4 was 62% in the LRC vs. 76% in RRC. Moreover, the mean of the Charlson Comorbidity Score in the LRC was 4.3 (SD 1.9) vs. 3.1 (SD 2.3) in the RRC. Meta-analysis revealed a significantly higher rate of ileus in RRC (10%) compared to RLC (7%) (OR 1.46, 95% CI 1.27-1.67). Additionally, operative time was significantly shorter by 22.6 min in RRC versus LRC (95% CI - 37.4-7.8; p < 0.001). There were no statistically significant differences between RRC and RLC in conversion to open operation, estimated blood loss, wound infection, anastomotic leak, reoperation, readmission, and hospital length of stay. In this only meta-analysis comparing RRC and LRC for colon neoplasia, we found that RRC was independently associated with a shorter operative time but increased risk of ileus.

Indexed as

Colonic NeoplasmsColorectal NeoplasmsIleusLaparoscopyRobotic Surgical ProceduresColectomyFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsTreatment OutcomeColon neoplasmIleusLeft colectomyRight colectomyRobotic colectomy

Identifiers

PMID37310528
OpenAlexW4380421915

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.