Evidence map›Paper›PMID 42138767›Full record

SynthesisJournal of robotic surgery2026

Comparative outcomes of da Vinci SP versus da Vinci Xi platforms in robotic cholecystectomy: a systematic review and meta-analysis.

Fahad Amin, Atif Ishfaq, Faheem Ullah, Zunaira Aaquib, Zulekha Zafar, Ammad Abid, Touqeer Rehman, Abu-Bakr Ahmed, Waleed Ahmad Khan

Abstract readMeta-AnalysisSystematic ReviewComparative Study
PubMed Publisher
In one paragraph

Synthesis in Journal of robotic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Fahad AminKing Edward Medical University, Neela Gumbad, Lahore, Pakistan. fahadamin2003kemu@gmail.com.ORCID http://orcid.org/0009-0007-2076-9633
Atif IshfaqKing Edward Medical University, Neela Gumbad, Lahore, Pakistan.ORCID http://orcid.org/0009-0003-4962-6944
Faheem UllahCMH Lahore Medical College, Lahore, Pakistan.ORCID http://orcid.org/0009-0009-3517-2252
Zunaira AaquibKing Edward Medical University, Neela Gumbad, Lahore, Pakistan.ORCID http://orcid.org/0009-0007-9536-0920
Zulekha ZafarKing Edward Medical University, Neela Gumbad, Lahore, Pakistan.ORCID http://orcid.org/0009-0009-2522-1882
Ammad AbidKing Edward Medical University, Neela Gumbad, Lahore, Pakistan.ORCID http://orcid.org/0009-0006-8855-3268
Touqeer RehmanAyub Medical College, Abbottabad, Pakistan.ORCID http://orcid.org/0009-0002-9798-8117
Abu-Bakr AhmedDepartment of Medicine, Kirk Kerkorian School of Medicine, Las Vegas, NV, USA.ORCID http://orcid.org/0009-0006-0844-9357
Waleed Ahmad KhanKing Edward Medical University, Neela Gumbad, Lahore, Pakistan.ORCID http://orcid.org/0009-0004-4072-6276

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As robotic cholecystectomy adoption accelerates, the evidence comparing the perioperative outcomes of the Da Vinci Xi (DV-Xi) multiport platform to the Da Vinci Single-Port (DV-Sp) platform remains scarce. This meta-analysis provides the first systematic comparison of perioperative outcomes between these platforms. To compare perioperative safety and operative efficiency outcomes between the DV-Sp and the DV-Xi systems performing cholecystectomy. We thoroughly searched PubMed, Embase, Scopus, Cochrane Library, and ClinicalTrials.gov from inception till December 22, 2025. The key outcomes of interest included mean operative time, console time, docking time, pain scores on the day of the operation, pain scores after 24 h, estimated blood loss, and length of hospital stay. We conducted random-effects meta-analysis and leave-one-out sensitivity analysis using RStudio v 4.5.2. The ROBINS-I was used for the risk of bias assessment. A GRADE assessment through GRADEpro was performed. Four observational studies comprising 833 patients (DV-Sp: n = 416; DV-Xi: n = 417) met the set inclusion criteria, and no RCTs were found. The DV-Sp showed significantly decreased mean operative time (MD = -2.41 min; 95% CI - 4.09 to - 0.73, p = 0.0049) and console time (MD = - 7.24; 95% CI - 9.77 to - 4.72, P < 0.0001) with no heterogeneity (I² = 0%). Two studies reported reduced pain scores in the DV-SP group. There was no significant difference found in the pooled estimates of post-operative pain scores, blood loss, docking time, and length of hospital stay between the two platforms. The DV-Sp demonstrated modest but consistent reductions in operative and console time with comparable safety to the DV-Xi system. Pain scores on the day of surgery and after 24 h of operation were reported low in the DV-SP group. While the magnitude of time differences is unlikely to impact individual patient outcomes, cumulative reductions across high-volume operating centers may translate into meaningful gains in operating room efficiency. However, substantial heterogeneity, particularly in pain-related outcomes and docking time, warrants cautious interpretation of these outcomes.

Indexed as

CholecystectomyCholecystectomy, LaparoscopicRobotic Surgical ProceduresBlood Loss, SurgicalHumansLength of StayOperative TimePostoperative PainTreatment OutcomeMeta-analysisMinimally invasive surgeryOperative efficiencyPerioperative outcomesRobotic cholecystectomySingle-port surgery

Identifiers

What OpenQuestion holds

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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.