Evidence map›Paper›PMID 38062181›Full record

SynthesisSurgical endoscopy2024

Robot-assisted laparoscopy does not have demonstrable advantages over conventional laparoscopy in endometriosis surgery: a systematic review and meta-analysis.

Ádám Csirzó, Dénes Péter Kovács, Anett Szabó, Péter Fehérvári, Árpád Jankó, Péter Hegyi, Péter Nyirády, Zoltán Sipos, Levente Sára, Nándor Ács and 2 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  6. Observational
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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

12 authors.

Ádám CsirzóCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1082, Budapest, Hungary.
Dénes Péter KovácsCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1082, Budapest, Hungary.
Anett SzabóCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1082, Budapest, Hungary.
Péter FehérváriCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1082, Budapest, Hungary.
Árpád JankóCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1082, Budapest, Hungary.
Péter HegyiCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1082, Budapest, Hungary.
Péter NyirádyCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1082, Budapest, Hungary.
Zoltán SiposMedical School, Institute for Translational Medicine, University of Pécs, Pecs, Hungary.
Levente SáraCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1082, Budapest, Hungary.
Nándor ÁcsCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1082, Budapest, Hungary.
István SzabóDepartment of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary.
Sándor ValentCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1082, Budapest, Hungary. valent.sandor@gmail.com.ORCID 0000-0003-1098-1861

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndometriosis is a chronic condition affecting 6-10% of women of reproductive age, with endometriosis-related pain and infertility being the leading symptoms. Currently, the gold standard treatment approach to surgery is conventional laparoscopy (CL); however, the increasing availability of robot-assisted surgery is projected as a competitor of CL. This study aimed to compare the perioperative outcomes of robot-assisted laparoscopy (RAL) and CL in endometriosis surgery.

objectivesWe aimed to compare the effectiveness and safety of these two procedures.

methodsA systematic search was conducted in three medical databases. Studies investigating different perioperative outcomes of endometriosis-related surgeries were included. Results are presented as odds ratios (OR) or mean differences (MD) with 95% confidence intervals (CI).

resultsOur search yielded 2,014 records, of which 13 were eligible for data extraction. No significant differences were detected between the CL and RAL groups in terms of intraoperative complications (OR = 1.07, CI 0.43-2.63), postoperative complications (OR = 1.3, CI 0.73-2.32), number of conversions to open surgery (OR = 1.34, CI 0.76-2.37), length of hospital stays (MD = 0.12, CI 0.33-0.57), blood loss (MD = 16.73, CI 4.18-37.63) or number of rehospitalizations (OR = 0.95, CI 0.13-6.75). In terms of operative times (MD = 28.09 min, CI 11.59-44.59) and operating room times (MD = 51.39 min, CI 15.07-87.72;), the RAL technique remained inferior.

conclusionRAL does not have statistically demonstrable advantages over CL in terms of perioperative outcomes for endometriosis-related surgery.

Indexed as

EndometriosisLaparoscopyRoboticsRobotic Surgical ProceduresFemaleHumansIntraoperative ComplicationsDa Vinci Surgical SystemDeep infiltrating endometriosisDIEMultiportrASRMSingle-port

Identifiers

PMID38062181
PMCPMC10830624

What OpenQuestion holds

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Registered trials

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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.