Evidence map›Paper›PMID 40908371›Full record

SynthesisJournal of robotic surgery2025

Robotic-assisted surgery for acute abdominal emergencies: a systematic review of 1142 cases.

Danilo Coco, Silvana Leanza

Abstract readMeta-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 5 papers.

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

5 citing papers in PubMed.

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

2 authors.

Danilo CocoDepartment of General, Robotic, Oncologic Surgery, Giglio Hospital Foundation, Cefalù, Italy. webcostruction@msn.com.
Silvana LeanzaDepartment of General, Robotic, Oncologic Surgery, Giglio Hospital Foundation, Cefalù, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This comprehensive systematic review assesses the clinical outcomes of robotic-assisted procedures for acute abdominal emergencies, analyzing data from 27 studies comprising 1142 cases. The investigation specifically examines five critical emergency conditions: complicated appendicitis (representing 32.5% of cases), acute cholecystitis (28.7%), small bowel obstruction (15.2%), perforated peptic ulcers (9.8%), and acute diverticulitis (7.4%). Analysis reveals robotic procedures averaged 152 min (± 38) in duration, with an overall conversion rate of 9.1%. Complication rates showed no significant difference from laparoscopic methods (13.2% versus 14.7%, p = 0.21). The data highlight two significant robotic advantages: improved intraoperative hemostasis (85 mL versus 120 mL average blood loss, p = 0.03) and lower conversion rates among obese patients (11.3% versus 18.6%, p = 0.04). These findings indicate that robotic systems may provide distinct technical benefits for specific emergency scenarios while delivering safety outcomes equivalent to traditional minimally invasive surgery.

Indexed as

Abdomen, AcuteRobotic Surgical ProceduresAcute DiseaseAppendicitisCholecystitis, AcuteDiverticulitisEmergenciesHumansIntestinal ObstructionLaparoscopyPeptic Ulcer PerforationTreatment OutcomeAcute surgical conditionsEmergency abdominal proceduresMinimally invasive surgeryOperative outcomesRobotic-assisted 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.