Evidence map›Paper›PMID 42671732›Full record

ArticleJournal of robotic surgery2026

Robot-assisted pancreatic necrosectomy for infected pancreatic necrosis secondary to severe acute pancreatitis: a single-center retrospective cohort study.

Qinwen Zuo, Mingkai Cui, Jiaming Li, Chengxiao Yang, Ziheng Wang, Wenbo Yang, Xuewei Bai

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article 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.

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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Qinwen ZuoThe Pancreatic Disease Diagnosis and Treatment Center, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China.
Mingkai CuiThe Pancreatic Disease Diagnosis and Treatment Center, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China.
Jiaming LiThe Pancreatic Disease Diagnosis and Treatment Center, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China.
Chengxiao YangThe Pancreatic Disease Diagnosis and Treatment Center, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China.
Ziheng WangThe Pancreatic Disease Diagnosis and Treatment Center, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China.
Wenbo YangThe Pancreatic Disease Diagnosis and Treatment Center, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China.
Xuewei BaiThe Pancreatic Disease Diagnosis and Treatment Center, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China. baixuewei78@163.com.

Funding

National Natural Science Foundation of China 82573259
6 · The paper itself

Abstract

Infected pancreatic necrosis (IPN) is a severe late complication of severe acute pancreatitis (SAP). Although step-up treatment has reduced the need for open pancreatic necrosectomy (OPN), the role of robot-assisted pancreatic necrosectomy (RAPN) remains unclear. We retrospectively analyzed 107 patients with SAP-related IPN who underwent surgery after failed conservative therapy and percutaneous catheter drainage from January 2020 to December 2025. Patients were grouped as RAPN (n = 26), conventional minimally invasive surgery (CMIS; n = 47), or OPN (n = 34). Outcomes and single-intervention success were compared, and logistic regression identified associated factors. Measured baseline characteristics did not differ significantly among groups. RAPN had longer operative time than CMIS and OPN, but less blood loss and fewer drainage tubes than OPN. No RAPN patient required postoperative intensive care. RAPN was associated with shorter urinary catheterization, less analgesic use, fewer severe treatment-related adverse events, and fewer overall complications than OPN, and with earlier ambulation and higher single-intervention success than CMIS. RAPN independently predicted single-intervention success (OR, 4.767; 95% CI, 1.280-17.754; p = 0.020), whereas higher modified CT severity index score reduced the odds of success (OR, 0.624; 95% CI, 0.438-0.890; p = 0.009). Total surgery-related hospitalization costs were similar. RAPN appears safe and feasible for selected SAP-related IPN patients within a step-up framework. Its favorable recovery and complication profile should be interpreted cautiously because of the retrospective design and possible selection bias.

Indexed as

PancreatectomyPancreatitis, Acute NecrotizingRobotic Surgical ProceduresAdultFemaleHumansMaleMiddle AgedOperative TimeRetrospective StudiesSeverity of Illness IndexTreatment OutcomeInfected pancreatic necrosisPancreatic necrosectomyRobot-assisted surgerySevere acute pancreatitisStep-up approach

Identifiers

PMID42671732
PMCPMC13529887

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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.