Evidence map›Paper›PMID 40907693›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2025

Robotic right colectomy is associated with reduced conversion to open surgery in patients with obesity.

Rebecca Tang, Sarah Rudasill, Sami Alahmadi, Christy Cauley, Robert N Goldstone, Hiroko Kunitake, Rocco Ricciardi, Grace C Lee

Abstract read
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2025. 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

8 authors.

Rebecca TangDepartment of Surgery, Massachusetts General Hospital, Boston, MA, United States.
Sarah RudasillDepartment of Surgery, Massachusetts General Hospital, Boston, MA, United States.
Sami AlahmadiDepartment of Surgery, Massachusetts General Hospital, Boston, MA, United States.
Christy CauleyDepartment of Surgery, Massachusetts General Hospital, Boston, MA, United States.
Robert N GoldstoneDepartment of Surgery, Massachusetts General Hospital, Boston, MA, United States.
Hiroko KunitakeDepartment of Surgery, Massachusetts General Hospital, Boston, MA, United States.
Rocco RicciardiDepartment of Surgery, Massachusetts General Hospital, Boston, MA, United States.
Grace C LeeDepartment of Surgery, Massachusetts General Hospital, Boston, MA, United States. Electronic address: glee9@mgh.harvard.edu.

Funding

RESEARCH TRAINING IN ALIMENTARY TRACT SURGERYT32DK007754 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI HODIN, RICHARD A. · 1997 to 2025
$6.5M
AHRQ HHS R01 HS029454NIDDK NIH HHS T32 DK007754
6 · The paper itself

Abstract

backgroundObesity is associated with an increased risk of conversion to open surgery, which in turn is associated with worse postoperative outcomes. We hypothesize that, with its improved ergonomics and instrument dexterity, the robotic approach to right colectomy will be associated with a decreased risk of conversion to open compared with laparoscopic right colectomy (LRC).

methodsObese adults (body mass index [BMI], ≥30 kg/m

resultsA total of 11,026 patients (81.9%) underwent LRC, and 2430 (18.1%) underwent RRC. Patients undergoing RRC were younger (64.8 vs 65.8 years; P <.001), more likely to be White (77.9% vs 67.9%; P <.001), and more obese (BMI, 36.1 vs 35.5 kg/m

conclusionIn patients with obesity, RRC is associated with a nearly 50% reduction in conversion rate but increased operative time. Given the difficulties of converting to open in patients with obesity and worse postoperative outcomes associated with conversion, the robotic platform may be beneficial for patients with obesity who require a right colectomy.

Indexed as

AdenocarcinomaColectomyColonic NeoplasmsConversion to Open SurgeryObesityRobotic Surgical ProceduresAgedBody Mass IndexFemaleHumansLaparoscopyMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesConversionObesityRight colectomyRobotic surgery

Identifiers

PMID40907693
PMCPMC12477956

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.