Evidence map›Paper›PMID 38177611›Full record

ArticleSurgical endoscopy2024

Perioperative outcomes for single-port robotic versus single-incision laparoscopic surgery: a comparative analysis in colorectal cancer surgery.

Deborah S Keller, Thais Reif de Paula, Taylor P Ikner, Hela Saidi, Henry Schoonyoung, John H Marks

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07237126 (Efficacy and Safety Assessment of Single-port Robotic Radical Gastrectomy for Gastric Cancer), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% 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.

NCT07237126 narecruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy and Safety Assessment of Single-port Robotic Radical Gastrectomy for Gastric Cancer: a Phase 2a Trial Based on the IDEAL Framework

TypeinterventionalSponsorDaping Hospital and the Research Institute of Surgery of the Third Military Medical UniversityRan2026 to 2027Enrolled20ConditionsGastric Cancer Patients Undergoing GastrectomyArmsSingle-port Robotic Radical Gastrectomy for Gastric Cancer
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

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  11. Early Single-Center Experience of DaVinciJournal of clinical medicine · 2024
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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

6 authors at 1 institution in 1 country.

Deborah S KellerLankenau Institute for Medical Research, Marks Colorectal Surgical Associates, Department of Surgery, Lankenau Medical Center, Wynnewood, PA, 19096, USA.ORCID 0000-0002-8645-6206
Thais Reif de PaulaLankenau Institute for Medical Research, Marks Colorectal Surgical Associates, Department of Surgery, Lankenau Medical Center, Wynnewood, PA, 19096, USA.ORCID 0000-0002-2569-5019
Taylor P IknerLankenau Institute for Medical Research, Marks Colorectal Surgical Associates, Department of Surgery, Lankenau Medical Center, Wynnewood, PA, 19096, USA.
Hela SaidiLankenau Institute for Medical Research, Marks Colorectal Surgical Associates, Department of Surgery, Lankenau Medical Center, Wynnewood, PA, 19096, USA.
Henry SchoonyoungLankenau Institute for Medical Research, Marks Colorectal Surgical Associates, Department of Surgery, Lankenau Medical Center, Wynnewood, PA, 19096, USA.
John H MarksLankenau Institute for Medical Research, Marks Colorectal Surgical Associates, Department of Surgery, Lankenau Medical Center, Wynnewood, PA, 19096, USA. crresearch@mlhs.org.ORCID 0000-0002-5977-0603
Lankenau Institute for Medical Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSingle-incision laparoscopic surgery (SILS) may offer improved cosmesis, reduced postoperative pain and faster recovery than conventional platforms, but widespread implementation was limited by technical demands. A single-port robotic platform was recently introduced, with components that further enhance SILS benefits without the technical challenges. No study to date has compared the two platforms to validate benefits. Our goal was to compare outcomes of SP robotics and SILS in colorectal cancer (CRC).

methodsA prospective cancer registry was reviewed for CRC patients undergoing curative resection through a SILS or SP robotic approach from 2010 to 2022. Patient and cancer demographics, intraoperative, and postoperative outcomes were compared in a 1:1 propensity score-matched cohort, adjusting for baseline characteristics. The main outcome measures were complications, operative time, and oncologic quality measures.

resultsMatching resulted 50 SP robotic and 50 SILS patients. Cohorts were well matched in all demographics, but SP robotic rectal cancer cases were significantly closer to the anorectal ring than SILS (1.8 cm vs. 3.4 cm, p = 0.018). SP robotic and SILS platforms had similar operative times. Intraoperative conversions was comparable, but more SILS cases required additional ports to be placed (p = 0.040). The intraoperative complications rate, complete total mesorectal excision rates, and lymph node yield were not statistically significantly different. There were no positive margins in either group. Postoperatively, groups had analogous day of return of bowel function, comparable morbidity, and discharge destination. There was no mortality in either group. The length of stay was significantly shorter with SP robotics than SILS (mean 4.135 vs. 5.282 days, median 4 (2-8) vs. 5 (2-14) days; p = 0.045).

conclusionsSingle-port robotics provided high quality oncologic surgery, adding the technical benefits of robotics to clinical and cosmetic benefits of single-port surgery. There were comparable operative time, complication rates, and oncologic outcomes in CRC cases, with shorter hospital stays with SP robotics. This early data is encouraging for expansion SP robotic technology.

Indexed as

LaparoscopyRectal NeoplasmsColectomyHumansLength of StayPostoperative PainTreatment OutcomeColorectal surgeryMinimally invasive surgeryRectal cancerRobotic surgerySingle incision laparoscopic surgerySingle port robot

Identifiers

PMID38177611
OpenAlexW4390576612

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.