SynthesisSurgical endoscopy2026
Comparison of laparoscopic and robotic surgery for inflammatory bowel disease: a systematic review and meta-analysis.
Synthesis in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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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Who cites it
3 citing papers in PubMed.
- Essential Updates in the Surgical Management of Inflammatory Bowel Disease: Current Topics From 2024 to Mid-2026.Annals of gastroenterological surgery · 2026Review
- Management of Crohn's Disease in Adult Patients: A Contemporary Surgical Perspective.Biomedicines · 2026Review
- Single-center experience with robotic colorectal surgery for benign indications.International journal of colorectal disease · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRefractory inflammatory bowel disease (IBD) often requires surgery. Ulcerative colitis (UC) usually needs proctocolectomy, while Crohn's disease (CD often involves multiple surgeries, with ileocecal resection (ICR) being the most common. Minimally invasive approaches offer faster recovery and fewer complications. Laparoscopy is established for IBD. Robotic surgery has shown its potential. This review updates evidence on robotic versus laparoscopic techniques in IBD surgery.
methodsPubMed, Scopus, CINAHL, and Cochrane databases were searched for papers comparing laparoscopic versus robotic surgery in IBD patients. Odds-ratio and weighted mean differences were calculated using models with random-effects. Risk of bias was evaluated with the Newcastle-Ottawa scale.
resultsFifteen papers reporting the outcomes of 13.225 patients were included. Papers were stratified into three categories: ICR for CD, Subtotal colectomy (SC) for UC, and proctectomy and ileal pouch-anal anastomosis (IPAA) for UC. Higher operative time was reported in the robotic cohorts (ICR 67.3 p < 0.01, SC 63.5 p < 0.001, and IPAA 39.7 p < 0.001), with a reduced conversion rate (ICR - 0.73 p = 0.02, IPAA - 0.4 p = 0.5). Outcomes were comparable for overall complications (ICR 0.1 p = 0.64, SC - 0.09 p = 0.4, and IPAA 0.01 p = 0.96) surgical (ICR - 0.58 p = 0.01, SC - 0.2 p = 0.09, IPAA - 0.3 p = 0.2) and medical complications (ICR - 0.18 p = 0.7, SC - 0.2 p = 0.2, and IPAA 0.56 p = 0.48). A slight advantage in hospital stay has been documented (ICR - 0.66 p = 0.03, SC - 0.7 p = 0.28, and IPAA - 0.29 p = 0.5).
conclusionsThis meta-analysis demonstrates a slight advantage of robotic surgery over laparoscopy in IBD patients. While robotic surgery is a valid option, evidence is limited, and a cost analysis is required to justify its higher expense.
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