Evidence map›Paper›PMID 40274657›Full record

SynthesisJournal of robotic surgery2025

Comparative short-term efficacy and safety analysis of a single-port robot in nephrectomy.

Gen Fan, Junji Wang, Yu Wang, Yushui Chen, Yinyu Wu, Songzhi Cai, Yang Li, Tielong Tang

Abstract readMeta-AnalysisComparative StudySystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

8 authors.

Gen FanDepartment of Urology, School of Clinical Medicine, North Sichuan Medical College, Affiliated Hospital of North Sichuan Medical College, No. 1, South Maoyuan Road, Shunqing District, Nanchong City, 63700, Sichuan Province, China.
Junji WangJintang First People's Hospital, West China Hospital Sichuan University Jintang Hospital, Chengdu, 610000, Sichuan, China.
Yu WangDepartment of Urology, School of Clinical Medicine, North Sichuan Medical College, Affiliated Hospital of North Sichuan Medical College, No. 1, South Maoyuan Road, Shunqing District, Nanchong City, 63700, Sichuan Province, China.
Yushui ChenDepartment of Urology, School of Clinical Medicine, North Sichuan Medical College, Affiliated Hospital of North Sichuan Medical College, No. 1, South Maoyuan Road, Shunqing District, Nanchong City, 63700, Sichuan Province, China.
Yinyu WuDepartment of Urology, School of Clinical Medicine, North Sichuan Medical College, Affiliated Hospital of North Sichuan Medical College, No. 1, South Maoyuan Road, Shunqing District, Nanchong City, 63700, Sichuan Province, China.
Songzhi CaiDepartment of Urology, School of Clinical Medicine, North Sichuan Medical College, Affiliated Hospital of North Sichuan Medical College, No. 1, South Maoyuan Road, Shunqing District, Nanchong City, 63700, Sichuan Province, China.
Yang LiDepartment of Urology, School of Clinical Medicine, North Sichuan Medical College, Affiliated Hospital of North Sichuan Medical College, No. 1, South Maoyuan Road, Shunqing District, Nanchong City, 63700, Sichuan Province, China.
Tielong TangDepartment of Urology, School of Clinical Medicine, North Sichuan Medical College, Affiliated Hospital of North Sichuan Medical College, No. 1, South Maoyuan Road, Shunqing District, Nanchong City, 63700, Sichuan Province, China. cdzt2004@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of the study is to conduct a systematic assessment of the clinical effectiveness differences between single-port and multi-port robotic surgical systems in the context of renal tumor removal, grounded in evidence-based medical data. Adhering to PRISMA standards, a comprehensive literature search was executed across PubMed, Embase, Cochrane Library, and Web of Science from their inception until March 2025. The search included randomized controlled trials and cohort studies that compared single-port and multi-port robotic systems for partial or radical nephrectomy. Statistical analysis of the outcomes was carried out using Stata 15.0, with the results presented as weighted mean difference (WMD) and odds ratio (OR). Subgroup analyses were conducted to examine the consistency of the findings with respect to thermal ischemia duration. A combined analysis of 11 studies, comprising 1729 participants, were analyzed, with 654 individuals in the single-port cohort and 1075 in the multi-port cohort. The meta-analysis revealed a significantly shorter hospital stay for the single-port cohort compared to the multi-port cohort (WMD = -0.32, 95% CI -0.47, -0.17, p < 0.05). However, the single-port cohort also experienced a longer thermal ischemia time (WMD = 2.92, 95% CI 0.45, 5.38, p < 0.05). No statistically significant differences were found between the two cohorts regarding complication rates, intraoperative blood loss, operative time, positive margin rates, conversion rates, or tumor recurrence rates. Single-port robotic nephrectomy for renal tumors can enhance postoperative recovery without compromising oncologic safety. Nevertheless, its effect on renal function preservation requires careful evaluation. Future investigations ought to encompass extended, high-caliber studies to offer more substantial data for clinical choices.

Indexed as

Kidney NeoplasmsNephrectomyRobotic Surgical ProceduresHumansLength of StayOperative TimePostoperative ComplicationsTreatment OutcomeWarm IschemiaMULTI-portNephrectomyOutcomes researchSingle-portUrologic oncology

Identifiers

What OpenQuestion holds

Textmetadata
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.