Evidence map›Paper›PMID 39994568›Full record

ArticleBMC surgery2025

Comparison of robot-assisted and laparoscopic-assisted modified Soave short muscle cuff anastomosis surgeries for classical Hirschsprung disease.

Yanyi Li, Shengyin He, Zhu Jin, Chengyan Tang, Yuan Gong, Lu Huang, Qing Du, Xinrong Xia, Daiwei Zhu, Wangkan Zhou and 3 more

Abstract readComparative Study
In one paragraph

Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 4 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, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  5. Article
  6. Review
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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

13 authors.

Yanyi Li *Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Shengyin He *Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Zhu JinDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Chengyan TangDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Yuan GongDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Lu HuangDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Qing DuDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Xinrong XiaDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Daiwei ZhuDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Wangkan ZhouDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Zeping LiDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Yuanmei LiuDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China.
Zebing ZhengDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563000, P.R. China. zebing1988@sina.com.ORCID http://orcid.org/0000-0003-3392-7104

Funding

Guizhou Science and Technology of China No. ZK-2021-361
6 · The paper itself

Abstract

backgroundIn this study, we aimed to compare the efficacy of robot-assisted and laparoscopic-assisted modified Soave with that of short muscular cuff anastomosis surgery for classical Hirschsprung disease (HSCR).

methodsSixty children with HSCR who underwent surgical treatment in our department between January 2021 and December 2023 were retrospectively enrolled. The collected data included operative time, anal dissection time, blood loss, length of hospital stay, postoperative complications, and postoperative defecation control status.

resultsNo significant differences were observed in the operative time between the robot and laparoscopic groups (P > 0.05); however, the anal dissection time and intraoperative blood loss in the robot group were significantly lower than those in the laparoscopic group (P < 0.05). Additionally, there was no significant difference in the incidence of enterocolitis and length of hospital stay between the two groups. Significantly more patients presented with anastomotic complications in the laparoscopic group than in the robot group (P < 0.05). The defecation and soiling frequencies in the robot group were significantly lower than those in the laparoscopic group at the follow-up examination (P < 0.05). The postoperative defecation function score in the robot group was better than that in the laparoscopic group (P < 0.05).

conclusionRobot-assisted modified Soave with short muscular cuff anastomosis has a shorter anal dissection time, lower incidence of anastomotic complications, and better defecation function in patients with classical Hirschsprung disease. LEVEL OF EVIDENCE III:

Indexed as

Anastomosis, SurgicalHirschsprung DiseaseLaparoscopyRobotic Surgical ProceduresAnal CanalChild, PreschoolFemaleHumansInfantLength of StayMaleOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeEfficacyHirschsprung diseaseLaparoscopePostoperative complicationsRobot-assisted

Identifiers

PMID39994568
PMCPMC11849356

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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.