Evidence map›Paper›PMID 40775468›Full record

SynthesisSurgical endoscopy2025

Comparative 30-day mortality and complications in robotic vs. open pancreaticoduodenectomy with portal-mesenteric vein resection: a systematic review and meta-analysis.

Alejandro Mejia, Elaina Vivian, Jimmy Shah, Juan Carlos Barrera Gutierrez

Abstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
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

4 authors.

Alejandro MejiaMethodist Digestive Institute, Methodist Dallas Medical Center, Dallas, TX, USA. alejandromejia@mhd.com.
Elaina VivianMethodist Digestive Institute, Methodist Dallas Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-7632-1391
Jimmy ShahMethodist Digestive Institute, Methodist Dallas Medical Center, Dallas, TX, USA.
Juan Carlos Barrera GutierrezMethodist Digestive Institute, Methodist Dallas Medical Center, Dallas, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPortal-mesenteric vein resection (PMVR) is often necessary for pancreatic ductal adenocarcinoma (PDAC) with vascular invasion. While open pancreaticoduodenectomy (OPD) is the standard approach, robotic pancreaticoduodenectomy (RPD) offers a minimally invasive alternative with potential benefits but faces challenges related to technical complexity and safety. This meta-analysis compares perioperative outcomes of RPD with PMVR versus OPD with PMVR in PDAC.

methodsA search of PubMed, Google Scholar, EMBASE, and the Cochrane Central Register of Controlled Trials identified observational studies published from January 2010 to September 2024. Studies included compared RPD and OPD with PMVR in PDAC, reporting 30-day mortality, major complications (Clavien-Dindo classification), and complications such as postoperative pancreatic fistulas (POPF), delayed gastric emptying (DGE), and post-pancreatectomy hemorrhage (PPH). Pooled estimates were calculated using a random-effects model.

resultsFour studies involving 288 patients met inclusion criteria (RPD + PMVR: n = 69; OPD + PMVR: n = 219). Thirty-day mortality (6.3% vs 5.6%, OR: 1.29, 95% CI 0.41-4.03, p = 0.66, I

conclusionsRPD + PMVR is comparable to OPD + PMVR in terms of safety and efficacy, with the added benefit of reduced hospital LOS.

Indexed as

Carcinoma, Pancreatic DuctalMesenteric VeinsPancreatic NeoplasmsPancreaticoduodenectomyPortal VeinPostoperative ComplicationsRobotic Surgical ProceduresHumansOpen pancreatoduodenectomyPancreatic ductal adenocarcinomaPortal/mesenteric veinsRobotic pancreatoduodenectomyVascular resection

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.