Evidence map›Paper›PMID 40483613›Full record

SynthesisJournal of robotic surgery2025

Comparing the perioperative, postoperative, and oncological outcomes between robotic and transanal total mesorectal excision for rectal cancer: an updated systematic review and meta-analysis of prospective studies with a subgroup analysis for overweight patients.

Konstantinos Kossenas, Riad Kouzeiha, Hamada Hashem, Ali Elshamsy, Filippos Georgopoulos

Abstract readComparative StudyMeta-AnalysisSystematic 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 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Observational
  5. Review
  6. Review
  7. Article
  8. Review
  9. 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

5 authors.

Konstantinos KossenasDepartment of Basic and Clinical Sciences, University of Nicosia Medical School, 21 Ilia Papakyriakou, 2414 Engomi, P.O. Box 24005, 1700, Nicosia, Cyprus. kossenaswork@gmail.com.
Riad KouzeihaDepartment of Medicine, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Hamada HashemDepartment of Pharmaceutical Chemistry, Faculty of Pharmacy, Sohag University, Sohag, 82524, Egypt.
Ali ElshamsyDepartment of Pharmaceutical Chemistry, Faculty of Pharmacy, Deraya University, New Minia City, 61768, Egypt.
Filippos GeorgopoulosHead of Gastroenterology and Hepatology, Al Zahra Hospital, Dubai, UAE.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Total mesorectal excision (TME) is the gold standard for rectal cancer surgery. Robotic (RoTME) and transanal (TaTME) approaches have gained popularity, but their comparative effectiveness remains uncertain and previous meta-analysis include many retrospective studies which are prone to biases. This meta-analysis aims to bridge this gap. A systematic review and meta-analysis was conducted following PRISMA guidelines. PubMed, Scopus, Embase, and Web of Science were searched for prospective studies comparing RoTME and TaTME. Meta-analysis was performed using random-effects models. Sensitivity analysis included a "leave-one-out" approach. Subgroup analysis was performed for overweight patients. Five non-randomized prospective studies (n = 1941) were included. RoTME and TaTME had no significant differences regarding operative duration (MD: 27.29, 95% CI -56.18 to 110.76, P = 0.29, I

Indexed as

OverweightProctectomyRectal NeoplasmsRobotic Surgical ProceduresTransanal Endoscopic SurgeryHumansLength of StayOperative TimePostoperative ComplicationsProspective StudiesTreatment OutcomeLaparoscopic surgeryMeta-analysisRectal cancerRobotic surgeryTME

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.