Evidence map›Paper›PMID 40767931›Full record

SynthesisJournal of robotic surgery2025

Safety and feasibility of robotic surgery in acute care setting: a systematic review.

Maria Clara Morais, Luiza da Silva de Carvalho, Raquel Nogueira, Joao Pedro G Kasakewitch, Victor Perim, Vitor Neves, Matheus Faleiro, Diego L Lima, Vance L Smith

Abstract readSystematic 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 3 papers.

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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

9 authors.

Maria Clara MoraisEscola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brazil.
Luiza da Silva de CarvalhoUniversidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Raquel NogueiraDepartment of Surgery, Montefiore Medical Center, New York, USA.
Joao Pedro G KasakewitchHarvard T.H. School of Public Health, Boston, MA, USA.
Victor PerimDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Vitor NevesHospital Universitário Pedro Ernesto, Rio de Janeiro, Brazil.
Matheus FaleiroUniversidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Diego L LimaDepartment of Surgery, Montefiore Medical Center, New York, USA. dilaurentino@gmail.com.
Vance L SmithDepartment of Surgery, Montefiore Medical Center, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute care surgery includes urgent non-trauma general surgical emergency, in which minimally invasive approaches, notably laparoscopic, are associated with reduced postoperative morbidity and hospital stay. Although robotic surgery has demonstrated advantages in elective procedures, its safety, feasibility, and applicability across a broad spectrum of acute care conditions remain undefined.

methodsWe conducted a systematic review in accordance with PRISMA guidelines, searching PubMed/MEDLINE, EMBASE, Web of Science, and the Cochrane Library from inception to December 2024 for studies analyzing the safety profile of robotic approaches in adult care surgery. Primary outcomes included length of stay, postoperative complications, conversion to open surgery, operative time, 30-day readmission, and mortality.

resultsOur search yielded 3,740 results. After proper analysis, a total of eighteen studies were included (2016-2024; n = 4,439,317), in which robotic approaches showed shorter length of stay (0.7-28.46 vs. 1-38.26 days), lower complication rates (2-25.62% vs. 3.7-46%), and fewer conversions (0-11.5% vs. 0-28.7%) compared to laparoscopy, though operative times were longer (67-323 vs. 46-294.5 min). Procedure-specific trends emerged, particularly to robotic cholecystectomy, concerning fewer complications (0.5-25.62% vs. 8.23-21%) and conversions (0-1.9% vs. 1.9-8.57%).

conclusionIn this review, robotic surgery appears as a safe and feasible alternative in acute care settings, offering potential advantages in hospital stay, postoperative complications, and conversion rates-especially for cholecystectomy and colectomy-despite longer operative durations. Further randomized trials and cost-effectiveness analyses are warranted to define its optimal role. LEVEL OF EVIDENCE: Level III, Systematic Review Study. STUDY REGISTRATION: A review protocol for this systematic review was registered at PROSPERO CRD420251025085.

Indexed as

Robotic Surgical ProceduresFeasibility StudiesHumansLaparoscopyLength of StayOperative TimePatient ReadmissionPostoperative ComplicationsAcute care surgeryEmergency surgeryRobotic surgery

Identifiers

PMID40767931

What OpenQuestion holds

Textmetadata
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Registered trials

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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.