Visualizing the evidence of robotic gastrointestinal surgery based on guideline recommendations: an evidence mapping study of gastric and colorectal cancer
10.3760/cma.j.cn441530-20250619-00229
- VernacularTitle:基于指南推荐的机器人胃肠手术证据可视化：胃癌与结直肠癌的证据图谱研究
- Author:
Quan WANG
1
;
Mingming NIU
;
Ruishu LI
;
Shiqi WANG
;
Galyna SHABAT
;
Alberto AIOLFI
;
Jinhui TIAN
;
Kewei JIANG
;
Xiaonan LIU
;
Luigi BONAVINA
Author Information
1. 空军军医大学西京医院日间手术中心 疝与腹壁外科中心 胃食管反流病外科中心，西安 710032
- Publication Type:Journal Article
- Keywords:
Robotic surgery;
Gastric neoplasms;
Colorectal neoplasms;
Clinical guidelines;
Recommendation grading;
Evidence quality;
Evidence mapping;
Training
- From:
Chinese Journal of Gastrointestinal Surgery
2025;28(8):927-936
- CountryChina
- Language:Chinese
-
Abstract:
Robotic surgery, as an increasingly widespread application in the treatment of gastric and colorectal cancer, still faces obvious discrepancies in recommendations, indications, and evidence strength across existing guidelines. This study systematically analyzed 31 relevant guidelines and consensus statements (retrieved from Chinese and English databases from January 2010 to May 2025) from two dimensions: feasibility (effectiveness, safety, etc.) and training quality control.The results showed that colorectal cancer guidelines had a higher proportion (4 guidelines) of "clear recommendations" for robotic surgery, while gastric cancer guidelines predominantly presented "conditional recommendations" or no recommendations. In the training and quality control dimension, although structured suggestions received positive recommendations, more than half were based on low or very low-quality evidence. Evidence mapping indicated insufficient matching between "case-specific recommendations" and evidence grades in the feasibility dimension, while training processes emphasized the importance of standardized systems and team collaboration.The study highlights the existing heterogeneity in evidence-based guidelines for robotic gastrointestinal surgery, with colorectal cancer demonstrating a more mature evidence base and gastric cancer showing notable evidence gaps. It is recommended that future guideline development should strengthen the consistency between recommendation grades and evidence levels, promote high-quality research in upper gastrointestinal surgery, and improve surgeon training and certification systems to facilitate standardized clinical translation of robotic gastrointestinal surgery.
