Evidence map›Paper›PMID 41460419›Full record

SynthesisJournal of robotic surgery2025

Comparative meta-analysis of perioperative outcomes following robot-assisted renal surgery: KangDuo versus Da Vinci systems.

Song Cao, Hong-Wu Li, Jiao Qin, Hao-Tian Huang, Hong-Yuan Li, Xiao-Yu Zhou, Jing-Yun Yin, Qian-Long Li, Xue-Song Yang

Abstract readMeta-AnalysisComparative StudySystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of robotic surgery, 2025. 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

9 authors.

Song CaoDepartment of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Hong-Wu Li *Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Jiao Qin *Department of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Hao-Tian HuangDepartment of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Hong-Yuan LiDepartment of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Xiao-Yu ZhouDepartment of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Jing-Yun YinDepartment of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Qian-Long LiHealth Management Center, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Xue-Song YangDepartment of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China. Xuesongyang2022@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to evaluate the safety and efficacy of perioperative outcomes of the KangDuo Surgical Robot System versus the Da Vinci System in robot-assisted renal surgery. We conducted a comprehensive systematic search in key databases including PubMed, the Cochrane Library, Embase, and Web of Science, encompassing studies in all languages, with the final search date being October 2025. We also excluded articles comprising reviews, letters, and single-arm studies. Variables were assessed using metrics of Weighted Mean Difference (WMD), Standardized Mean Difference (SMD), and Odds Ratio (OR). The statistical synthesis of the data, encompassing diverse outcome measures, was conducted utilizing the Review Manager software. Moreover, the protocol for this systematic review and meta-analysis is publicly available on PROSPERO (Registration number: CRD420251181530). In a pooled analysis of 370 participants from five trials, the KangDuo Surgical Robot System demonstrated a significantly extended docking time relative to the Da Vinci System (SMD = 1.55, 95% CI: 1.21-1.90; p < 0.00001). Conversely, comparisons of operative time, estimated blood loss, incidence of minor complications, ischemia time, and postoperative renal function (assessed by 4-week serum creatinine and eGFR) yielded comparable results, with no statistically significant differences. In this meta-analysis with limited sample size, geographic focus on Chinese centers, and short-term follow-up, the pooled data indicate that the KangDuo (KD) Surgical Robot System achieved non-inferiority to the Da Vinci System on several key perioperative metrics in robot-assisted renal surgery, although with a longer docking time. These findings support the KD system as a promising alternative in comparable settings, yet they should be interpreted within the constraints of the available evidence. Future research, particularly large-scale, multicenter randomized trials with long-term monitoring of survival and renal function, is necessary to confirm its efficacy and safety profile for widespread clinical adoption.

Indexed as

KidneyNephrectomyRobotic Surgical ProceduresBlood Loss, SurgicalHumansOperative TimePostoperative ComplicationsTreatment OutcomeDa Vinci systemKD-SR systemMeta-analysisOutcomesRobot-assisted renal surgery

Identifiers

What Socratic holds

Textmetadata
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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.