Evidence map›Paper›PMID 41428157›Full record

SynthesisJournal of robotic surgery2025

Robot-assisted vs. laparoscopic cholecystectomy in children: a meta-analysis with systematic review of comparative studies.

Maria Klimeczek-Chrapusta, Kacper Stolarz, Bartosz Gęgała, Alicja Kot, Zofia Łubniewska, Maciej Preinl, Bartosz Bogusz, Maria Gruba, Anna Dąbrowska, Wojciech Górecki

Abstract readSystematic ReviewMeta-AnalysisComparative Study
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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

10 authors.

Maria Klimeczek-ChrapustaDepartment of Pediatric Surgery, University Children's Hospital of Kraków, Wielicka 265, 30-663, Kraków, Poland. maria.klimeczek.chrapusta@student.uj.edu.pl.ORCID http://orcid.org/0000-0001-9014-0389
Kacper StolarzFaculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.ORCID http://orcid.org/0009-0003-2648-5851
Bartosz GęgałaFaculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.ORCID http://orcid.org/0009-0007-2856-4050
Alicja KotFaculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.
Zofia ŁubniewskaFaculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.
Maciej PreinlDepartment of Pediatric Surgery, University Children's Hospital of Kraków, Wielicka 265, 30-663, Kraków, Poland.ORCID http://orcid.org/0009-0007-2800-0845
Bartosz BoguszDepartment of Pediatric Surgery, University Children's Hospital of Kraków, Wielicka 265, 30-663, Kraków, Poland.ORCID http://orcid.org/0000-0002-8763-0990
Maria GrubaDepartment of Pediatric Surgery, University Children's Hospital of Kraków, Wielicka 265, 30-663, Kraków, Poland.ORCID http://orcid.org/0000-0003-0995-4970
Anna DąbrowskaFaculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.
Wojciech GóreckiDepartment of Pediatric Surgery, University Children's Hospital of Kraków, Wielicka 265, 30-663, Kraków, Poland.ORCID http://orcid.org/0000-0003-4907-0520

Funding

Polish Ministry of Science and Higher Education, European Funds For Social Development 2021-2027 Utilization of Advanced Technological Tools in Minimally Invasive Pediatric Surgery: Evaluation of Technique Effectiveness, Diagnostic Enhancement, and Innovation Promotion. ID: N6
6 · The paper itself

Abstract

This meta-analysis aimed to compare the safety and effectiveness of robot-assisted cholecystectomy (RAC) versus laparoscopic cholecystectomy (LC). A comprehensive search of online databases was carried out to identify studies comparing laparoscopic cholecystectomy (LC) with robot-assisted cholecystectomy (RAC). Safety outcomes assessed included operative complications and conversion rates, while efficacy parameters comprised length of hospital stay, total operative time, postoperative analgesic use, and procedure cost. The meta-analysis was conducted using a random-effects model. A total of 157 articles were screened, 5 studies meeting the inclusion criteria, encompassing 548 children. Included studies reported instances of shorter LOS, reduced analgesic requirements, lower conversion and reintervention rates, and fewer postoperative complications in the RAC groups; however, none of these differences reached statistical significance. This meta-analysis found no meaningful differences between RAC and LC regarding safety and efficacy outcomes, suggesting that RAC is comparable to LC in the pediatric population.

Indexed as

Cholecystectomy, LaparoscopicRobotic Surgical ProceduresChildFemaleHumansLength of StayOperative TimePostoperative ComplicationsTreatment OutcomeCholecystectomyLaparoscopyPediatric surgeryRobotic surgery

Identifiers

PMID41428157
PMCPMC12722404

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.