SynthesisJournal of robotic surgery2025
Effectiveness of modified surgical position on patients undergoing robot-assisted laparoscopic radical prostatectomy: a systematic review and meta-analysis.
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. Not yet cited in PubMed.
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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.
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.
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Authors and funding
8 authors.
Funding
Abstract
To systematically evaluate the comparative efficacy of modified versus conventional positioning in robot-assisted laparoscopic radical prostatectomy (RALP) for prostate cancer. We systematically searched PubMed, Web of Science (WOS), China National Knowledge Internet (CNKI), VIP Database, and Wanfang Databases up to August 2025 for randomized controlled trials (RCTs). Two investigators independently screened studies, extracted data, and assessed methodological quality using the Cochrane Risk of Bias tool. Meta-analysis was performed using RevMan 5.3, calculating mean differences (MD) for continuous outcomes and odds ratios (OR) for dichotomous outcomes, with 95% confidence intervals (CIs). Seven RCTs involving 719 patients (380 modified vs. 339 conventional) were included. Modified positioning significantly reduced operative time (MD: - 11.92 min, 95% CI: - 21.04 to - 2.80, P = 0.01) and positioning time (MD: - 3.79 min, 95% CI: - 4.73 to - 2.85, P < 0.001). It lowered risks of adverse events ( OR:0.24, 95% CI:0.11 to 0.51, P = 0.0002), robotic arm collisions (OR: 0.10, 95% CI: 0.02 to 0.47, P = 0.003), and second docking requirements (OR: 0.08, 95% CI: 0.01 to 0.42, P = 0.003). No significant intergroup difference was observed in blood loss (MD: - 1.55 mL, 95% CI: - 5.25 to 2.15, P = 0.41). Modified positioning enhances both safety and efficiency in RALP by reducing operative duration, minimizing robotic technical challenges, and decreasing perioperative complications. These findings strongly advocate for its adoption in standard clinical practice to optimize surgical workflows and improve patient outcomes.Registration: Registration number (PROSPERO): CRD 42024616927, registered on 2/12/2024.
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Registered trials
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