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Nechai T.V.

Pirogov Russian National Research Medical University, Moscow, Russia

Panin S.I.

Volgograd State Medical University, Volgograd, Russia

Yuldashev A.G.

Pirogov Russian National Research Medical University, Moscow, Russia

Tolstopyatov S.E.

Volgograd State Medical University, Volgograd, Russia

Postolov M.P.

Volgograd State Medical University, Volgograd, Russia

Sazhin A.V.

Pirogov Russian National Research Medical University, Moscow, Russia

Comparison of robot-assisted and conventional endoscopic abdominal surgeries in the Russian Federation: a systematic review and meta-analysis

Authors:

Nechai T.V., Panin S.I., Yuldashev A.G., Tolstopyatov S.E., Postolov M.P., Sazhin A.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2026;(5): 91‑103

DOI: 10.17116/hirurgia202605191

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Table of contents

COMPARISON OF ROBOT-ASSISTED AND CONVENTIONAL ENDOSCOPIC ABDOMINAL SURGERIES IN THE RUSSIAN FEDERATION: A SYSTEMATIC REVIEW AND META-ANALYSIS
COMPARISON OF ROBOT-ASSISTED AND CONVENTIONAL ENDOSCOPIC ABDOMINAL SURGERIES IN THE RUSSIAN FEDERATION: A SYSTEMATIC REVIEW AND META-ANALYSIS

To cite this article:

Nechai TV, Panin SI, Yuldashev AG, Tolstopyatov SE, Postolov MP, Sazhin AV. Comparison of robot-assisted and conventional endoscopic abdominal surgeries in the Russian Federation: a systematic review and meta-analysis. Pirogov Russian Journal of Surgery. 2026;(5):91‑103. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia202605191

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
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Abstract:

OBJECTIVE

To compare the results of robot-assisted (RA) and laparoscopic (LA) technologies in abdominal surgery in Russian surgical practice.

MATERIAL AND METHODS

A systematic review and meta-analysis were conducted in accordance with methodological recommendations of the Russian Ministry of Health and the Cochrane guidelines. Considering heterogeneity of primary study designs, we did not determine the overall effect of meta-analysis. Differences were presented for each study. The review continues the 2021 study and updates data using similar inclusion criteria and approaches to meta-analysis.

RESULTS

The number of studies devoted to abdominal robotic surgery has increased since 2020. Controlled non-randomized trials comprised 96%. Predominant area of research was oncological coloproctology. Duration of robotic surgeries varied from 113 to 665 min, laparoscopic surgeries — from 91 to 427 min. Differences in favor of shorter laparoscopic surgery were significant in half of the studies. The incidence of intraoperative complications in robotic interventions varied from 0% to 13%, in laparoscopic interventions — from 0% to 30%. There was a tendency to less blood loss in robotic interventions. Comparison of inpatient treatment, postoperative complications (0-56% after robotic interventions, 1—70.6% after laparoscopic surgeries) and mortality (0-8.7% after robotic surgery and 0-11.8% after laparoscopic interventions) did not reveal significant differences.

CONCLUSION

At the modern stage of robotic surgery in the Russian Federation, differences between robotic and traditional laparoscopic interventions are not significant in abdominal surgery. Further researches with higher methodological quality are needed due to low evidence base.

Keywords:

robot-assisted surgery
laparoscopic surgery
abdominal surgery
systematic review

Authors:

Nechai T.V.

Pirogov Russian National Research Medical University, Moscow, Russia

Panin S.I.

Volgograd State Medical University, Volgograd, Russia

Yuldashev A.G.

Pirogov Russian National Research Medical University, Moscow, Russia

Tolstopyatov S.E.

Volgograd State Medical University, Volgograd, Russia

Postolov M.P.

Volgograd State Medical University, Volgograd, Russia

Sazhin A.V.

Pirogov Russian National Research Medical University, Moscow, Russia

Received:

27.11.2025

Accepted:

26.01.2026

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