Evidence map›Paper›PMID 41155334›Full record

ArticleInternational journal of molecular sciences2025

Robot-Assisted Colorectal Cancer Surgery Mitigates Early Postoperative Immunosuppression and Angiogenesis.

Mariusz G Fleszar, Marek Zawadzki, Paulina Fortuna, Iwona Bednarz-Misa, Izabela Krauze, Kamila Maciejewska, Jakub Klekowski, Mariusz Chabowski, Wojciech Witkiewicz, Małgorzata Krzystek-Korpacka

Abstract read
In one paragraph

Article in International journal of molecular sciences, 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. Review
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

10 authors.

Mariusz G FleszarOmics Research Center, Wroclaw Medical University, 50-368 Wroclaw, Poland.ORCID 0000-0001-7857-327X
Marek ZawadzkiDepartment of Oncological Surgery, Regional Specialist Hospital, 51-124 Wroclaw, Poland.
Paulina FortunaOmics Research Center, Wroclaw Medical University, 50-368 Wroclaw, Poland.ORCID 0000-0003-4617-798X
Iwona Bednarz-MisaDepartment of Biochemistry and Immunochemistry, Wroclaw Medical University, 50-368 Wroclaw, Poland.ORCID 0000-0001-7244-2017
Izabela KrauzeDepartment of Biochemistry and Immunochemistry, Wroclaw Medical University, 50-368 Wroclaw, Poland.ORCID 0000-0002-1516-1603
Kamila MaciejewskaDepartment of Biochemistry and Immunochemistry, Wroclaw Medical University, 50-368 Wroclaw, Poland.
Jakub KlekowskiDepartment of Nursing and Obstetrics, Division of Anesthesiological and Surgical Nursing, Faculty of Health Science, Wroclaw Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0001-8017-9730
Mariusz ChabowskiDepartment of Clinical Surgical Sciences, Faculty of Medicine, Wroclaw University of Science and Technology, 50-556 Wroclaw, Poland.ORCID 0000-0002-9232-4525
Wojciech WitkiewiczDepartment of Oncological Surgery, Regional Specialist Hospital, 51-124 Wroclaw, Poland.
Małgorzata Krzystek-KorpackaDepartment of Biochemistry and Immunochemistry, Wroclaw Medical University, 50-368 Wroclaw, Poland.ORCID 0000-0002-2753-8092

Funding

European Regional Development Fund "WroVasc - Integrated Cardiovascular Centre"Wroclaw Medical University SUBZ.A412.24.043
6 · The paper itself

Abstract

Minimally invasive surgery is known to lessen postoperative stress and complications compared with open procedures, yet its molecular effects on immunity and cancer-related mechanisms remain unclear. This study examined immune and inflammatory responses after robot-assisted (RS) versus open (OS) colorectal cancer surgery. Sixty-one patients (RS = 30; OS = 31) were enrolled. Blood samples were collected before surgery and at 8, 24, and 72 h post-incision. Cytokines, growth factors, and prostanoids were measured using multiplex immunoassays and mass spectrometry to assess systemic immune and inflammatory changes. Surgery type markedly influenced perioperative immune profiles. RS induced stronger activation of Th1-associated cytokines, including IFNγ and IP-10, suggesting enhanced cellular immune responsiveness. In contrast, Th2 cytokines and other immunosuppressive mediators-such as IL-4, IL-10, and G-CSF-showed smaller or transient increases after RS, whereas OS triggered broader and more sustained elevations. Angiogenic factors (VEGF-A, PDGF-BB, FGF2) rose significantly after OS but remained comparatively lower and returned to baseline faster after RS, indicating a weaker proangiogenic response. Similarly, postoperative surges in prostaglandins linked to inflammation and tumor progression (PGE

Indexed as

Colorectal NeoplasmsImmune ToleranceNeovascularization, PathologicRobotic Surgical ProceduresAgedAngiogenesisCytokinesFemaleHumansImmunosuppression TherapyMaleMiddle AgedPostoperative ComplicationsPostoperative PeriodCytokinesangiogenesiscytokine stormgrowth factorsimmunocompetenceminimally invasive surgerypostoperative immunosuppressionprostaglandinsurgical stresssystemic inflammatory responseTh1 and Th2 immunity

Identifiers

PMID41155334
PMCPMC12563495

What Socratic holds

Textmetadata
LicenceCC BY
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.