SynthesisWorld journal of surgical oncology2025
Comparative meta-analysis of robot- and video-assisted surgery for thymoma: efficacy, learning curve, and economic burden in 7347 patients.
Synthesis in World journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- The expanding role of robotic surgery in thymectomy: a narrative review.Mediastinum (Hong Kong, China) · 2026Review
- Classification of mediastinal compartments: is separation of the superior mediastinum crucial?-a clinical practice review.Mediastinum (Hong Kong, China) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis meta-analysis systematically evaluates the perioperative outcomes, learning curve, and hospitalization costs of robot-assisted thoracoscopic surgery (RATs) compared to video-assisted thoracoscopic surgery (VATs) for thymoma resection.
methodsA comprehensive literature search was conducted in PubMed, Embase, Web of Science, and the Cochrane Library, with the final update in June 2025, following PRISMA guidelines. Constant-effects model or random-effects model was used based on heterogeneity, and subgroup analyses were performed accordingly.
resultsA total of 30 studies involving 7,347 patients (RATs: 3,122; VATs: 4,225) were included, and 17 outcome indicators were analyzed. Compared with VATs, RATs showed lower conversion rates, reduced blood loss, shorter chest tube duration, and fewer complications-including pulmonary infections-while operative time and hospital stay differences were modest. Analysis of the learning curve in 153 RATs patients showed operative times significantly decreased after 20 procedures. Total hospitalization costs were higher for RATs, there were no significant differences in 30-day or 90-day mortality between groups.
conclusionRATs showed favorable perioperative outcomes, including faster recovery and fewer complications, indicating potential clinical advantages in thymoma surgery. Although associated with higher hospitalization costs, further large-scale prospective studies are needed to confirm its broader applicability.
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Registered trials
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.