Evidence map›Paper›PMID 41466135›Full record

ArticleSurgical endoscopy2026

Comparative anastomotic configurations and disease recurrence rates of robotic vs. laparoscopic primary ileocolonic resection for Crohn's disease.

R Liu, L Stocchi, R Sassun, K T Behm, D W Larson, D T Colibaseanu, M F DeLeon, A Merchea, S F Shawki

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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

9 authors.

R LiuDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, No. 16, Jiangsu Road, Shinan District, Qingdao, 266003, China.
L StocchiDivision of Colon and Rectal Surgery, Mayo Clinic Florida, USA, Jacksonville, FL, 32224, USA. Stocchi.Luca@mayo.edu.ORCID 0000-0001-9917-4462
R SassunDivision of Colon and Rectal Surgery, National Tumor Institute, Milan, Italy.
K T BehmDivision of Colon and Rectal Surgery, Mayo Clinic Minnesota, USA, Rochester, MN, 55905, USA.
D W LarsonDivision of Colon and Rectal Surgery, Mayo Clinic Minnesota, USA, Rochester, MN, 55905, USA.
D T ColibaseanuDivision of Colon and Rectal Surgery, Mayo Clinic Florida, USA, Jacksonville, FL, 32224, USA.
M F DeLeonDivision of Colon and Rectal Surgery, Mayo Clinic Florida, USA, Jacksonville, FL, 32224, USA.
A MercheaDivision of Colon and Rectal Surgery, Mayo Clinic Florida, USA, Jacksonville, FL, 32224, USA.
S F ShawkiDivision of Colon and Rectal Surgery, Mayo Clinic Minnesota, USA, Rochester, MN, 55905, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic surgery is increasingly used to treat ileocolic Crohn's disease (CD). However, there is scant data on postoperative recurrence following robotic primary ileocolonic resection (RICR) when compared to laparoscopic primary ileocolonic resection (LICR).

methodsAll consecutive adult patients who underwent RICR or LICR for CD between January 2016 and November 2024 and endoscopic follow-up at our institution were included in this study. The primary outcome was endoscopic recurrence (ER). Secondary outcomes included postoperative morbidity, clinical recurrence (CR), and surgical recurrence (SR).

resultsA total of 314 patients were included in the study (82 with RICR vs. 232 with LICR). RICR was significantly associated with a higher rate of iso-peristaltic side-to-side anastomoses (68.3% vs. 21.6% in LICR, p < 0.001), while anti-peristaltic side-to-side anastomoses were prevalent in LICR with the same proportion. After a median follow-up of 11.5 (6.6, 28.5) months, 115 of 314 patients developed ER. Both 1-year and 3-year ER-free survival rates were similar (71.8% vs. 73.0% and 51.4% vs. 55.9% for RICR and LICR, respectively; p = 0.82). After a median clinical follow-up of 37.6 (2.2, 111.5) months, no significant differences were observed between RICR and LICR in either cumulative CR (20.7% vs 27.2%, p = 0.3) or SR (3.7% vs. 0.9%, p = 0.11). Robotic iso-peristaltic anastomosis demonstrated similar postoperative morbidity, ER, CR, and SR rates when compared to both laparoscopic anti-peristaltic and iso-peristaltic configurations. Multivariable Cox regression analysis identified conversion to open approach (Hazard Ratio (HR): 1.8, p = 0.03) and lack of postoperative prophylaxis (HR: 0.6, p = 0.01) as independent risk factors associated with ER.

conclusionsRobotic ICR for CD is an effective approach with disease recurrence rates comparable to those of laparoscopic surgery in long-term outcomes. The specific anastomotic configuration should be left at the discretion of the operating surgeon.

Indexed as

ColectomyColonCrohn DiseaseIleumLaparoscopyRobotic Surgical ProceduresAdultAnastomosis, SurgicalFemaleFollow-Up StudiesHumansMaleMiddle AgedPostoperative ComplicationsRecurrenceRetrospective StudiesAnastomosis techniquesCrohn’s diseaseLaparoscopic surgeryPostoperative recurrenceRobotic surgery

Identifiers

PMID41466135

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.