Evidence map›Paper›PMID 42257966›Full record

SynthesisSurgical endoscopy2026

Outcomes of endoscope-assisted and robot-assisted submandibular sialadenectomy: a systematic review and meta-analysis.

Ping-Ting Zhou, Fen-Fen Li, Zi-Hui Xie, Min Fan, Yu-Chen Zhang, Wen-Jie Zhang, Bing-Yu Liang, Yan-Xun Han, Ye-Hai Liu, Yu-Chen Liu and 1 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 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

11 authors.

Ping-Ting Zhou *Department of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230031, Anhui, China.
Fen-Fen Li *Department of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230031, Anhui, China.
Zi-Hui XieDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230031, Anhui, China.
Min FanDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230031, Anhui, China.
Yu-Chen ZhangDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230031, Anhui, China.
Wen-Jie ZhangDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230031, Anhui, China.
Bing-Yu LiangDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230031, Anhui, China.
Yan-Xun HanDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230031, Anhui, China.
Ye-Hai LiuDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230031, Anhui, China.
Yu-Chen LiuDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230031, Anhui, China.
Shan-Wen ChenDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230031, Anhui, China. chenshanwen052@outlook.com.ORCID http://orcid.org/0000-0002-4204-2968

Funding

Discipline Construction Project of the First Affiliated Hospital of Anhui Medical University NO. 4245the Natural Science Foundation of China 82171127the Natural Science Foundation of China 82371133
6 · The paper itself

Abstract

objectiveEndoscope-assisted submandibular sialadenectomy (EASS) and Robot-assisted submandibular sialadenectomy (RASS) are emerging as a minimally invasive alternative to conventional submandibular gland (SMG) resection. This review aims to evaluate the feasibility and perioperative outcomes of EASS and RASS.

methodsA literature search was conducted in PubMed, Embase, and Cochrane Library for studies on EASS or RASS outcomes up to July 2024. Outcomes of interest included operative time, intraoperative bleeding, incision length, satisfaction, and facial nerve injury. Other complications besides facial nerve injury were also documented.

resultsEighteen studies involving 364 patients were included. The operation time and incision length in the endoscopic-assisted group were longer than those of conventional group, but the postoperative satisfaction was higher. There were no significant differences in drainage volume, length of hospital stay, and postoperative complications between the two groups. In addition, subgroup analyses within the single-arm meta-analysis were performed for the operation time, wound length, length of hospital stay, complications of EASS and the operation time, drainage volume, length of hospital stay of RASS (MD = 96.06, 95% CI 81.84-110.27; MD = 35.08, 95% CI 9.61-60.56; MD = 3.6, 95% CI 1.6-5.5; OR 0.11, 95%CI: 0.01-0.2; MD = 85.6, 95% CI 53.5-117.6; MD = 208.87, 95% CI - 2.43-420.17; MD = 3.31, 95% CI 3.15-3.47).

conclusionsEASS appears to be a feasible and safe surgical procedure for patients with SMG lesions. Compared with open SMG resection, EASS showed a longer operative time and incision length, but higher cosmetic satisfaction.

Indexed as

EndoscopyRobotic Surgical ProceduresSubmandibular GlandHumansLength of StayOperative TimePostoperative ComplicationsTreatment OutcomeComplicationEndoscopicRoboticSubmandibular gland resection

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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.