Evidence map›Paper›PMID 41095779›Full record

ReviewJournal of clinical medicine2025

What Do Randomised Trials Reveal About Robotic Surgery? A Critical Appraisal Across Colorectal, Upper Gastrointestinal, Hepato-Pancreaticobiliary, and General Surgical Specialties.

Georgios Geropoulos, Samuel Massias, Qamil Pajaziti, Bibechan Thapa, Syed Nouman Mohsin, Vanash Patel

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

6 authors.

Georgios GeropoulosDepartment of Surgery, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Watford WD18 0HB, UK.
Samuel MassiasDepartment of Surgery, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Watford WD18 0HB, UK.
Qamil PajazitiDepartment of Surgery, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Watford WD18 0HB, UK.ORCID 0009-0001-3038-8689
Bibechan ThapaDepartment of Surgery, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Watford WD18 0HB, UK.ORCID 0000-0002-4783-6572
Syed Nouman MohsinDepartment of Surgery, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Watford WD18 0HB, UK.
Vanash PatelDepartment of Surgery, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Watford WD18 0HB, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted surgery has become an established modality across various surgical specialties, offering enhanced visualisation, precision, and ergonomics compared to conventional laparoscopic approaches. This review summarises current evidence from randomised controlled trials evaluating robotic surgery in colorectal, upper gastrointestinal, hepatopancreatobiliary, hernia, bariatric, and breast procedures. The findings consistently show that robotic surgery is safe and technically feasible, with comparable or improved short-term outcomes in select contexts, particularly in anatomically complex cases such as rectal cancer or pancreatic surgery. However, most trials report significantly longer operative times and higher direct costs, with limited demonstration of clear cost-effectiveness or long-term oncological superiority. Consequently, while robotic surgery holds promise for selected indications, its widespread adoption should be guided by ongoing evidence generation and careful consideration of clinical value, patient outcomes, and economic impact.

Indexed as

cost-effectivenessrobotic-assisted surgerysurgical outcome

Identifiers

PMID41095779
PMCPMC12524502

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.