{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T02:08:27Z","timestamp":1788833307179,"version":"build-2803163510"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Ileal pouch\u2013anal anastomosis (IPAA) is the standard restorative procedure for patients with ulcerative colitis requiring colectomy. Although robotic-assisted surgery has gained increasing acceptance in colorectal surgery, its role in IPAA remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A systematic search was conducted across PubMed, Scopus, and the Cochrane Central Register of Controlled Trials up to May 2026. Pooled odds ratios (ORs) and mean differences (MDs) with 95% confidence intervals (CIs) were calculated using random-effects models. Heterogeneity was assessed using the\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      statistic. Sensitivity analyses were conducted to analyze outcomes with moderate or substantial heterogeneity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Six comparative observational studies involving 946 patients were included; 460 underwent robotic-assisted IPAA, and 486 underwent laparoscopic IPAA. No significant differences were observed between approaches regarding anastomotic leak (OR: 0.69; 95% CI: 0.37 to 1.28;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .234), bleeding (OR: 0.59; 95% CI: 0.21 to 1.64;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .309), Clavien\u2013Dindo grade III or higher complications (OR: 1.17; 95% CI: 0.57 to 2.41;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .670), conversion to open surgery (OR: 0.46; 95% CI: 0.16 to 1.34;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .156), postoperative ileus (OR: 1.11; 95% CI: 0.65 to 1.91;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .705), overall morbidity (OR: 1.17; 95% CI: 0.84 to 1.63;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .361), reoperation (OR: 1.06; 95% CI: 0.27 to 4.19;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .933), or 30-day readmission (OR: 0.83; 95% CI: 0.59 to 1.17;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .278). Likewise, no significant differences were identified in operative time (MD 26.3 minutes; 95% CI: \u22121.9 to 54.4;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .07) or hospital stay (MD \u22120.5 days; 95% CI: \u22121.5 to 0.5;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .34). Sensitivity analyses did not materially alter the direction or statistical significance of the pooled estimates despite moderate to high heterogeneity in selected outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Available observational evidence suggests that robotic-assisted IPAA yields short-term outcomes comparable to those of laparoscopic IPAA; however, the certainty of evidence is very low, and definitive conclusions are constrained by the observational nature of the available data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261485235","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T02:14:11Z","timestamp":1788574451000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Robotic Versus Laparoscopic Ileal Pouch-Anal Anastomosis for Ulcerative Colitis: A Systematic Review and Comparative Meta-Analysis"],"prefix":"10.1177","author":[{"given":"Tha\u00eds Henriques","family":"Abud","sequence":"first","affiliation":[{"name":"Department of Surgery, Heliopolis Hospital, S\u00e3o Paulo-SP, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Eduarda Caetano Batista","family":"de Paiva","sequence":"additional","affiliation":[{"name":"Department of Surgery, Heliopolis Hospital, S\u00e3o Paulo-SP, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateus Lima Ulisses","family":"Trindade","sequence":"additional","affiliation":[{"name":"Department of Surgery, Heliopolis Hospital, S\u00e3o Paulo-SP, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila Sigaud","family":"Frizzo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Heliopolis Hospital, S\u00e3o Paulo-SP, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas Monteiro","family":"Delgado","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais, Belo Horizonte, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Theis","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio Mazzola","family":"Poli de Figueiredo","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda Bellotti","family":"Formiga","sequence":"additional","affiliation":[{"name":"Department of Surgery, Heliopolis Hospital, S\u00e3o Paulo-SP, Brazil."},{"name":"Department of Colorectal Surgery, Hospital of Santa Casa de Miseric\u00f3rdia, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2960-3810","authenticated-orcid":false,"given":"Bernardo Fontel","family":"Pompeu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Heliopolis Hospital, S\u00e3o Paulo-SP, Brazil."},{"name":"USCS\u2014University of S\u00e3o Caetano do Sul, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjab177"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjab178"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002037"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjae065"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000282"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02052449"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-03123-5"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-022-01466-x"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11216561"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000001994"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-025-03285-2"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-02707-5"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_2_15_1","unstructured":"14.Abud TH Pompeu BF. Robotic versus laparoscopic ileal pouch-analanastomosis for ulcerative colitis: A systematic review and comparativemeta-analysis. PROSPERO: York UK; 2026. Available from: https:\/\/www.crd.york.ac.uk\/PROSPERO\/view\/CRD420261405467"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_3_2_17_1","unstructured":"16.The GRADE Working Group. GRADE handbook. The GRADE Working Group; 2026. 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