SynthesisClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026
Robotic vs. laparoscopic rectal cancer surgery in high BMI patients: a systematic review and meta-analysis.
Synthesis in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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Authors and funding
2 authors.
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Abstract
objectiveTo compare the perioperative outcomes, postoperative complications, and oncologic results between robotic-assisted and laparoscopic rectal cancer surgeries in patients with high BMI.
methodsA meta-analysis was conducted under the PRISMA guidelines. PubMed, SCOPUS, Embase, and Cochrane Library databases were searched from inception to May 2025 for studies comparing robotic and laparoscopic rectal cancer surgeries among patients with BMI ≥ 28 kg/m
resultsThe pooled analysis of five studies showed that the robotic group had a significantly shorter hospital stay and a lower conversion rate than the laparoscopic group (P < 0.05), while operative time was approximately 30 min shorter in the laparoscopic group (P < 0.05). Following exclusion of Zhao 2024, subanalysis of the remaining four studies demonstrated that the laparoscopic group still had a significantly shorter operative time and the robotic group maintained a significantly lower conversion rate; however, a significant difference in hospital stay was no longer present, and no significant differences were found for harvested lymph nodes or postoperative complications. No major difference was observed concerning lymph node yield and readmission rates between the surgical measures.
conclusionRobotic surgery was associated with a significantly lower conversion rate, whereas laparoscopic surgery was associated with significantly shorter operative times; no consistent advantage was observed for hospital stay, as this finding was not replicated in sensitivity analysis. Further high-quality studies are warranted to confirm these results.
Indexed as
Identifiers
42151665What Socratic holds
Registered trials
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