Evidence map›Paper›PMID 40551078›Full record

ReviewJournal of robotic surgery2025

Comparing approaches to benign hysterectomy using conventional multi-port and newer single-port robots: a propensity score matching analysis of surgical outcomes and literature review.

Naofumi Higuchi, Kiyoshi Kanno, Hiroshi Onji, Sayaka Masuda, Ryo Taniguchi, Yoshifumi Ochi, Yoshiko Kurose, Mari Sawada, Shiori Yanai, Tsutomu Hoshiba and 1 more

Abstract readComparative StudyReview
PubMed Publisher
In one paragraph

Review 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 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Pooled it
  3. [Applying Robot-Assisted Single-Port Laparoscopic Surgery in Gynecology: Technological Paradigm Innovations and Clinical Advances].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. 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

11 authors.

Naofumi HiguchiDepartment of Gynecology, Kurashiki Medical Center, 250 Bakuro-Chou, Kurashiki, Okayama, 710-8522, Japan.
Kiyoshi KannoDepartment of Gynecology, Kurashiki Medical Center, 250 Bakuro-Chou, Kurashiki, Okayama, 710-8522, Japan. less_is_more71@yahoo.co.jp.
Hiroshi OnjiDepartment of Gynecology, Kurashiki Medical Center, 250 Bakuro-Chou, Kurashiki, Okayama, 710-8522, Japan.
Sayaka MasudaDepartment of Gynecology, Kurashiki Medical Center, 250 Bakuro-Chou, Kurashiki, Okayama, 710-8522, Japan.
Ryo TaniguchiDepartment of Gynecology, Kurashiki Medical Center, 250 Bakuro-Chou, Kurashiki, Okayama, 710-8522, Japan.
Yoshifumi OchiDepartment of Gynecology, Kurashiki Medical Center, 250 Bakuro-Chou, Kurashiki, Okayama, 710-8522, Japan.
Yoshiko KuroseDepartment of Gynecology, Kurashiki Medical Center, 250 Bakuro-Chou, Kurashiki, Okayama, 710-8522, Japan.
Mari SawadaDepartment of Gynecology, Kurashiki Medical Center, 250 Bakuro-Chou, Kurashiki, Okayama, 710-8522, Japan.
Shiori YanaiDepartment of Gynecology, Kurashiki Medical Center, 250 Bakuro-Chou, Kurashiki, Okayama, 710-8522, Japan.
Tsutomu HoshibaDepartment of Gynecology, Kurashiki Medical Center, 250 Bakuro-Chou, Kurashiki, Okayama, 710-8522, Japan.
Masaaki AndouDepartment of Gynecology, Kurashiki Medical Center, 250 Bakuro-Chou, Kurashiki, Okayama, 710-8522, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare the surgical outcomes of robot-assisted hysterectomy (RAH) for benign diseases using da Vinci SP (SP) and da Vinci Xi (Xi). A retrospective study with propensity score matching (PSM) analysis. An urban general hospital in Japan. 346 patients who underwent RAH at a single institution between May 2023 and April 2024. A 1:1 PSM analysis was performed using age, body mass index, number of previous deliveries, history of abdominal surgery, uterine weight, and severe endometriosis as covariates. Variables extracted for analysis included operative time, docking time, console time, estimated blood loss (EBL), hemoglobin drop, postoperative hospital stay, major intraoperative complication rates, and postoperative complication rates (Clavien-Dindo classification ≥ Grade 3), conversion to laparotomy, and blood transfusion requirements. After PSM, 262 patients (131 in each group) were included in this study. The median (range) of operative time, docking time, console time, EBL, and postoperative hospital stay were 94 (39-191) vs. 77 (33-194) min (p < 0.001), 2 (1-8) vs. 2 (1-6) min (p=0.088), 66 (27-178) vs. 62 (25-144) min (p=0.003), 5 (5-650) vs. 5 (5-350) mL (p=0.394), and 4 (3-15) vs. 4 (3-9) days (p=0.688), respectively, for SP and Xi groups. No major intraoperative complications, blood transfusions, or conversions to laparotomy were observed in either group. Postoperative complications occurred in 3.1% and 1.5% of patients of SP and Xi groups, respectively (p=0.684). The learning curve for RAH using SP indicated proficiency after eight cases. SP can be a safe alternative robotic platform to Xi for RAH.

Indexed as

HysterectomyRobotic Surgical ProceduresAdultBlood Loss, SurgicalFemaleHumansIntraoperative ComplicationsLength of StayMiddle AgedOperative TimePostoperative ComplicationsPropensity ScoreRetrospective StudiesTreatment Outcomeda Vinci SPda Vinci XiHysterectomyPropensity score matchingRobotic surgery

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.