Evidence map›Paper›PMID 39748552›Full record

ArticleAnnals of coloproctology2024

Robotic surgery may lead to reduced postoperative inflammatory stress in colon cancer: a propensity score-matched analysis.

Eun Ji Park, Gyong Tae Noh, Yong Joon Lee, Min Young Park, Seung Yoon Yang, Yoon Dae Han, Min Soo Cho, Hyuk Hur, Kang Young Lee, Byung Soh Min

Abstract read
In one paragraph

Article in Annals of coloproctology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Observational
  5. Review
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  8. 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

10 authors.

Eun Ji ParkDivision of Colorectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Gyong Tae NohDivision of Colorectal Surgery, Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea.
Yong Joon LeeDivision of Colorectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Min Young ParkDivision of Colorectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Seung Yoon YangDivision of Colorectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Yoon Dae HanDivision of Colorectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Min Soo ChoDivision of Colorectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Hyuk HurDivision of Colorectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Kang Young LeeDivision of Colorectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Byung Soh MinDivision of Colorectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.

Funding

Korea Institute For Robot Industry Advancement 2023-04008Ministry of Trade, Industry and Energy
6 · The paper itself

Abstract

purposeRobot-assisted surgery is readily applied to every type of colorectal surgeries. However, studies showing the safety and feasibility of robotic surgery (RS) have dealt with rectal cancer more than colon cancer. This study aimed to investigate how technical advantages of RS can translate into actual clinical outcomes that represent postoperative systemic response.

methodsThis study retrospectively reviewed consecutive cases in a single tertiary medical center in Korea. Patients with primary colon cancer who underwent curative resection between 2006 and 2012 were included. Propensity score matching was done to adjust baseline patient characteristics (age, sex, body mass index, American Society of Anesthesiologists physical status, tumor profile, pathologic stage, operating surgeon, surgery extent) between open surgery (OS), laparoscopic surgery (LS), and RS groups.

resultsAfter propensity score matching, there were 66 patients in each group for analysis, and there was no significant differences in baseline patient characteristics. Maximal postoperative leukocyte count was lowest in the RS group and highest in the OS group (P=0.021). Similar results were observed for postoperative neutrophil count (P=0.024). Postoperative prognostic nutritional index was highest in the RS group and lowest in the OS group (P<0.001). The time taken to first flatus and soft diet resumption was longest in the OS group and shortest in the RS group (P=0.001 and P<0.001, respectively). Among all groups, other short-term postoperative outcomes such as hospital stay and complications did not show significant difference, and oncological survival results were similar.

conclusionBetter postoperative inflammatory indices in the RS group may correlate with their faster recovery of bowel motility and diet resumption compared to LS and OS groups.

Indexed as

Colonic neoplasmsPostoperative periodRobotic surgical procedures

Identifiers

PMID39748552
PMCPMC11701452

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