Evidence map›Paper›PMID 41384988›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2025

Robotic vs. laparoscopic TAPP: a systematic review and meta-analysis of randomized controlled trials on short-term outcomes.

Francesco Brucchi, Richard Sassun, Sara Lauricella, Roberto Cirocchi, Gianfranco Parati, Gianlorenzo Dionigi, Filip Muysoms

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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

7 authors.

Francesco BrucchiUniversity of Milan, Milan, 20122, Italy. francesco.brucchi@unimi.it.ORCID 0000-0003-3191-4369
Richard SassunUniversity of Milan, Milan, 20122, Italy.
Sara LauricellaColorectal Surgery Unit, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, 20133, Italy.
Roberto CirocchiDepartment of Digestive and Emergency Surgery, "S. Maria" Hospital, Terni, 05100, Italy.
Gianfranco ParatiDepartment of Cardiology, Istituto Auxologico Italiano, IRCCS, Milan, Italy.
Gianlorenzo DionigiDivision of Surgery, Istituto Auxologico Italiano, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Milan, Italy.
Filip MuysomsDepartment of General Surgery, AZ Maria Middelares, Ghent, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic-assisted transabdominal preperitoneal (r-TAPP) inguinal hernia repair is increasingly adopted, yet its short-term advantages over conventional laparoscopy remain uncertain.

methodsThis systematic review was reported according to PRISMA guidelines. A comprehensive search was conducted in MEDLINE, Embase, and CENTRAL until September 25th, 2025. Randomized controlled trials (RCTs) comparing r-TAPP and laparoscopic TAPP were eligible. Primary outcomes were operative time and postoperative complications. A random effects model was used for meta-analysis, and study quality was assessed using the Cochrane RoB II tool.

resultsThree RCTs comprising 300 patients were analyzed. Robotic repair was associated with a longer operative time, though this did not reach statistical significance (MD + 17.6 min; 95% CI - 20.7 to + 55.9; p = 0.37). Complication rates were not significantly different (RR 0.83; 95% CI 0.34-2.03; p = 0.68). Readmissions were rare and comparable between groups (RR 0.71; 95% CI 0.09-5.58; p = 0.74).

conclusionsRobotic TAPP is safe and effective; however, clear superiority over laparoscopy has not been established. Large-scale, multicenter RCTs with standardized protocols, long-term follow-up, and cost-effectiveness analyses are needed to clarify the role of robotics in inguinal hernia repair. PROSPERO REGISTRY: Registration number: CRD420251157847.

Indexed as

Hernia, InguinalHerniorrhaphyLaparoscopyRobotic Surgical ProceduresHumansOperative TimePostoperative ComplicationsRandomized Controlled Trials as TopicTreatment OutcomeInguinal herniaLaparoscopic TAPPMeta-analysisOperative timeRandomized controlled trialRobotic-assisted repairSystematic review

Identifiers

PMID41384988
PMCPMC12700930

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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.