Evidence map›Paper›PMID 42645693›Full record

SynthesisJournal of robotic surgery2026

Robotic versus laparoscopic resection for transverse colon and splenic flexure cancer: a systematic review and meta-analysis.

Igor Monsellato, Marco Palucci, Fabiana Marotta, Celeste Del Basso, Mariantonietta Alagia, Fabio Giannone, Marco Lodin, Gianluca Cassese

Abstract readSystematic ReviewMeta-AnalysisComparative 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. 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

8 authors.

Igor MonsellatoSCDU Chirurgia Generale, IRCCS AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy, Via Venezia 16, Alessandria, 15121, Italy. igor.monsellato@ospedale.al.it.ORCID http://orcid.org/0000-0003-3096-7901
Marco PalucciSCDU Chirurgia Generale, IRCCS AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy, Via Venezia 16, Alessandria, 15121, Italy.
Fabiana MarottaSCDU Chirurgia Generale, IRCCS AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy, Via Venezia 16, Alessandria, 15121, Italy.
Celeste Del BassoSCDU Chirurgia Generale, IRCCS AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy, Via Venezia 16, Alessandria, 15121, Italy.
Mariantonietta AlagiaSCDU Chirurgia Generale, IRCCS AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy, Via Venezia 16, Alessandria, 15121, Italy.
Fabio GiannoneSCDU Chirurgia Generale, IRCCS AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy, Via Venezia 16, Alessandria, 15121, Italy.
Marco LodinSCDU Chirurgia Generale, IRCCS AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy, Via Venezia 16, Alessandria, 15121, Italy.
Gianluca CasseseSCDU Chirurgia Generale, IRCCS AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy, Via Venezia 16, Alessandria, 15121, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transverse colon and splenic flexure cancer resections are technically demanding because of variable vascular anatomy, multiquadrant dissection, and proximity to the pancreas and spleen. This systematic review and meta-analysis compared robotic and laparoscopic outcomes and separately summarized published robotic experience. MEDLINE/PubMed, Embase/Ovid, Scopus, and the Cochrane Database of Systematic Reviews were searched through 18 July 2026. Six non-randomized comparative studies included 167 robotic and 296 laparoscopic patients. Overall morbidity (risk ratio [RR] 1.02, 95% confidence interval [CI] 0.72-1.45), major morbidity (RR 0.61, 95% CI 0.27-1.34), anastomotic leakage (RR 0.62, 95% CI 0.22-1.79), reoperation, and lymph-node yield did not differ significantly. Conversion occurred in 0 of 149 robotic and 14 of 278 laparoscopic procedures (Peto odds ratio 0.19, 95% CI 0.06-0.62), although events were sparse. Robotic surgery was associated with a shorter hospital stay (mean difference - 1.01 days, 95% CI -1.66 to -0.37), whereas operative time was highly heterogeneous. Across 10 robotic cohorts comprising 201 patients, pooled overall morbidity was 22.4%, major morbidity 4.9%, anastomotic leakage 3.0%, and R0 resection 98.4%; no 30-day death occurred among 183 reporting patients. Robotic resection is feasible and provides short-term and pathological outcomes comparable with laparoscopy. The shorter hospital stay and lower observed conversion rate suggest clinical advantages, supporting robotic surgery as a valuable minimally invasive option in experienced centers while awaiting confirmation from standardized prospective studies.

Indexed as

ColectomyColonic NeoplasmsColon, TransverseLaparoscopyRobotic Surgical ProceduresHumansLength of StayOperative TimePostoperative ComplicationsTreatment OutcomeComplete mesocolic excisionLaparoscopic colectomyMeta-analysisRobot-assisted colectomySplenic flexure cancerTransverse colon cancer

Identifiers

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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.