Evidence map›Paper›PMID 39476069›Full record

SynthesisActa cirurgica brasileira2024

Robotic surgery versus conventional laparoscopy in colon cancer patients: a systematic review and meta-analysis.

Giuliana Fulco Gonçalves, Pedro Vilar de Oliveira Villarim, Vitória Ribeiro Dantas Marinho, Clarissa Amaral Abreu, Luiz Henrique Moreira Pereira, Luiz Henrique Moreira Pereira, Sofia Emerenciano Gurgel, Amália Cínthia Meneses Rêgo, Kleyton Santos de Medeiros, Irami Araújo-Filho

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Acta cirurgica brasileira, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Review
  3. Review
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

10 authors.

Giuliana Fulco GonçalvesInstituto de Ensino, Pesquisa e Inovação Liga Contra o Câncer - Natal (RN) - Brazil.ORCID http://orcid.org/0000-0002-9112-1769
Pedro Vilar de Oliveira VillarimInstituto de Ensino, Pesquisa e Inovação Liga Contra o Câncer - Natal (RN) - Brazil.ORCID http://orcid.org/0000-0002-9504-8589
Vitória Ribeiro Dantas MarinhoInstituto de Ensino, Pesquisa e Inovação Liga Contra o Câncer - Natal (RN) - Brazil.ORCID http://orcid.org/0000-0002-8514-1560
Clarissa Amaral AbreuInstituto de Ensino, Pesquisa e Inovação Liga Contra o Câncer - Natal (RN) - Brazil.ORCID http://orcid.org/0000-0002-1278-3116
Luiz Henrique Moreira PereiraInstituto de Ensino, Pesquisa e Inovação Liga Contra o Câncer - Natal (RN) - Brazil.ORCID http://orcid.org/0000-0002-2724-7842
Luiz Henrique Moreira PereiraInstituto de Ensino, Pesquisa e Inovação Liga Contra o Câncer - Natal (RN) - Brazil.ORCID http://orcid.org/0000-0002-1985-1984
Sofia Emerenciano GurgelInstituto de Ensino, Pesquisa e Inovação Liga Contra o Câncer - Natal (RN) - Brazil.ORCID http://orcid.org/0009-0006-0422-9779
Amália Cínthia Meneses RêgoInstituto de Ensino, Pesquisa e Inovação Liga Contra o Câncer - Natal (RN) - Brazil.ORCID http://orcid.org/0000-0002-0575-3752
Kleyton Santos de MedeirosInstituto de Ensino, Pesquisa e Inovação Liga Contra o Câncer - Natal (RN) - Brazil.ORCID http://orcid.org/0000-0002-4105-7535
Irami Araújo-FilhoInstituto de Ensino, Pesquisa e Inovação Liga Contra o Câncer - Natal (RN) - Brazil.ORCID http://orcid.org/0000-0003-2471-7447

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare robotic versus laparoscopic colectomies in colon cancer patients in general complications.

methodsNine databases were searched for randomized controlled trials (RCT) investigating patients with colon cancer, submitted to robotic surgery (RS) compared to a laparoscopic (LC) approach. The risk of bias was assessed using RoB 2.0 tool, and certainty of the evidence was evaluated by Grading of Recommendations, Assessment, Development and Evaluation (GRADE). Data synthesis was performed using the software R. The meta-analysis of the included studies was carried out using the fixed-effects model (DerSimonian and Laird). Heterogeneity was measured using I2 analysis.

resultsA total of four studies were used with 293 patients. Three studies were used in this comparative LC vs. RS when evaluating infection rates on surgical wound sites. The odds ratio (OR) appeared to be slightly favorable to LC (OR = 3.05; 95% confidence interval-95%CI 0.78-11.96). In the hospitalization rates analysis, two randomized controlled trials were used, and the mean differences slightly favored the RS (MD = -0.54; 95%CI -2.28-1.19). GRADE evaluation detected a serious risk of bias due to RCT format and RoB-2 concurred.

conclusionBoth types of procedures seem to have their own benefits, risks, and limitations. They seem close to equal in terms of postsurgical infection and hospitalization.

Indexed as

ColectomyColonic NeoplasmsLaparoscopyRandomized Controlled Trials as TopicRobotic Surgical ProceduresHumansPostoperative ComplicationsTreatment Outcome

Identifiers

PMID39476069
PMCPMC11506681

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.