Evidence map›Paper›PMID 42115710›Full record

Trial reportScientific reports2026

Evaluation of surgical stress after colorectal interventions: a multicenter randomized clinical trial of robotic versus laparoscopic surgery.

Marco Milone, Sara Vertaldi, Pietro Anoldo, Simona Borin, Ilenia Calcaterra, Michele Campitelli, Graziano Ceccarelli, Anna D'Amore, Maurizio Degiuli, Paolo Delrio and 17 more

Abstract readMulticenter StudyRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

27 authors.

Marco MiloneDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini 5, 80131, Naples, Italy. milone.marco.md@gmail.com.
Sara VertaldiDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini 5, 80131, Naples, Italy.
Pietro AnoldoDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini 5, 80131, Naples, Italy.
Simona BorinDigestive Surgery, European Institute of Oncology, IRCCS - Milano, Milan, Italy.
Ilenia CalcaterraDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini 5, 80131, Naples, Italy.
Michele CampitelliDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Graziano CeccarelliSan Giovanni Battista Hospital, University of Perugia, Perugia, Italy.
Anna D'AmoreDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini 5, 80131, Naples, Italy.
Maurizio DegiuliDepartment of Oncology, San Luigi University Hospital, University of Turin, Orbassano, Turin, Italy.
Paolo DelrioAbdominal Oncology Department, Istituto Nazionale per lo Studio e la Cura dei Tumori, IRCCS "Fondazione G. Pascale", Naples, Italy.
Fatima Domenica Elisa De PalmaDepartment of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Naples, Italy.
Matteo Nicola Dario Di MinnoDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini 5, 80131, Naples, Italy.
Uberto Romario FumagalliDigestive Surgery, European Institute of Oncology, IRCCS - Milano, Milan, Italy.
Mario GuerrieriDepartment of General and Emergency Surgery, Polytechnic University of Marche, Ancona, Italy.
Michele ManigrassoDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini 5, 80131, Naples, Italy.
Monica OrtenziDepartment of General and Emergency Surgery, Polytechnic University of Marche, Ancona, Italy.
Ugo PaceAbdominal Oncology Department, Istituto Nazionale per lo Studio e la Cura dei Tumori, IRCCS "Fondazione G. Pascale", Naples, Italy.
Felice PirozziGeneral Surgery, Unit Cardarelli Hospital Naples, Naples, Italy.
Lucia PucaDepartment of Oncology, San Luigi University Hospital, University of Turin, Orbassano, Turin, Italy.
Wanda PetzDigestive Surgery, European Institute of Oncology, IRCCS - Milano, Milan, Italy.
Rossella ReddavidDepartment of Oncology, San Luigi University Hospital, University of Turin, Orbassano, Turin, Italy.
Daniela RegaAbdominal Oncology Department, Istituto Nazionale per lo Studio e la Cura dei Tumori, IRCCS "Fondazione G. Pascale", Naples, Italy.
Gregory Alexander RacitiDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Fabio RondelliSan Giovanni Battista Hospital, University of Perugia, Perugia, Italy.
Antonio SciutoGeneral Surgery, Unit Cardarelli Hospital Naples, Naples, Italy.
Antonella DesiderioDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Giovanni Domenico De PalmaDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini 5, 80131, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A major factor in the development of morbidity after surgery is the surgical stress response. The aim of this interventional multicenter randomized open label, parallel group trial is to evaluate the possible lower inflammatory stress response induced by robot-assisted versus laparoscopic surgery for colorectal resections. A total of 593 patients diagnosed with colorectal cancer planned for elective, curative surgery was screened for eligibility. 314 patients planned for right colectomy, left colectomy or rectal resection were randomly assigned 1:1 to robotic (n = 161) or laparoscopic group (n = 153). The primary endpoint was the 24-hours postoperative ∆% change of IL-6 serum levels. Subgroup analyses included the assessment of IL-6 ∆% changes stratified according to age, obesity, comorbidities, tumor staging and resection type have been also performed. In conclusion robotic surgery was associated to a lower surgical stress after colorectal surgery and this finding may help in decision-making regarding when to proceed to robotic approach for colorectal cancer, especially in selected high risk clinical settings.

Indexed as

Colorectal NeoplasmsLaparoscopyRobotic Surgical ProceduresStress, PhysiologicalAgedColectomyColorectal Surgical ProceduresFemaleHumansInterleukin-6MaleMiddle AgedInterleukin-6Colorectal cancerColorectal surgeryLaparoscopic surgeryMininvasive surgeryRobotic surgerySurgical stress

Identifiers

PMID42115710
PMCPMC13351040

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.