{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T11:55:44Z","timestamp":1790942144854,"version":"4.1.0"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"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>Single-port (SP) robotic surgery has emerged as a reduced-access alternative to conventional multiport (MP) robotic colorectal surgery. However, its comparative perioperative benefits remain uncertain. This systematic review and meta-analysis compared outcomes between SP and MP robotic colorectal surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>PubMed\/MEDLINE, Scopus, and Cochrane Central Register of Controlled Trials were searched from inception through August 2026 for comparative studies evaluating SP versus MP robotic colorectal surgery. Odds ratios and mean differences (MDs) with 95% confidence intervals (CIs) were pooled using random-effects models. Risk of bias was assessed using Risk Of Bias In Non-randomized Studies of Interventions and certainty of evidence using Grading of Recommendations Assessment, Development and Evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Ten comparative studies comprising 628 patients (SP, 288; MP, 340) were included, of whom 598 contributed to the pooled analyses. SP surgery was associated with shorter hospital stay (MD \u22120.9 days; 95% CI: \u22121.4 to \u22120.4;\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 62.2%), shorter console time (MD: \u221239.6 minutes; 95% CI: \u221272.5 to \u22126.8;\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 85.4%), and lower postoperative pain on postoperative day 1 (POD1, MD: \u22120.10 NRS points; 95% CI: \u22120.18 to \u22120.03;\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 0%). No significant differences were observed in operative time, harvested lymph nodes, anastomotic leakage, postoperative ileus, or Clavien\u2013Dindo grade \u2265III complications. Sensitivity analyses suggested shorter operative time and lower estimated blood loss with SP surgery after exclusion of the studies contributing most to heterogeneity. Four studies had serious and six moderate overall risk of bias. Certainty of evidence was very low.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>SP robotic colorectal surgery was associated with shorter hospital stay and console time and lower POD1 pain scores, without significant differences in operative time, major morbidity, or harvested lymph nodes in the primary analyses. Sensitivity analyses suggested potential additional operative benefits, but the observational evidence, heterogeneity, risk of bias, and very low certainty preclude conclusions of clinical superiority.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261491175","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T01:50:42Z","timestamp":1790646642000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Single-Port Versus Multiport Robotic Colorectal Surgery: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","author":[{"given":"Vit\u00f3ria Maia","family":"Corr\u00eaa","sequence":"first","affiliation":[{"name":"Department of Surgery, Heliopolis Hospital, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda de Moraes","family":"Nava","sequence":"additional","affiliation":[{"name":"Department of Surgery, Heliopolis Hospital, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felippe Furlan","family":"Kelher","sequence":"additional","affiliation":[{"name":"Department of Surgery, Heliopolis Hospital, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas Monteiro","family":"Delgado","sequence":"additional","affiliation":[{"name":"Medical School of 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":"S\u00e9rgio 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, 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, Brazil."},{"name":"Department of Surgery, USCS\u2014University of S\u00e3o Caetano do Sul, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002323"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjae089"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.7219"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2025.8123"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2025.0088"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-025-04878-x"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-026-03402-9"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-012-1537-0"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2021.704986"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_4_12_1","unstructured":"11.Corr\u00eaa VM de Moraes Nava F Kelher FF et al. Single-port versus multi-port robotic colorectal surgery: A systematic review and meta-analysis. PROSPERO 2026 CRD420261476078. University of York: York; 2026. Available from: https:\/\/www.crd.york.ac.uk\/PROSPERO\/view\/CRD420261476078 [Last accessed: August14 2026]."},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_3_4_14_1","volume-title":"GRADE handbook for grading quality of evidence and strength of recommendations","author":"Sch\u00fcnemann HJ","year":"2013","unstructured":"13.Sch\u00fcnemann HJ, , Bro\u017cek J, , Guyatt G, et al. GRADE handbook for grading quality of evidence and strength of recommendations. GRADE Working Group; 2013."},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.333.7568.597"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0962280216669183"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-135"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1221"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2019.0317"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-026-12712-w"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2016.0427"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2023.09.036"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.70364"},{"key":"e_1_3_4_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-11372-y"},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-026-12948-6"},{"key":"e_1_3_4_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2558"},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-025-05035-0"},{"key":"e_1_3_4_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000003352"},{"key":"e_1_3_4_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-10629-2"},{"key":"e_1_3_4_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.70222"},{"key":"e_1_3_4_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-02919-9"},{"key":"e_1_3_4_32_1","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2022.102.3.159"},{"key":"e_1_3_4_33_1","doi-asserted-by":"publisher","DOI":"10.21614\/chirurgia.3036"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261491175","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429261491175","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261491175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T11:17:31Z","timestamp":1790939851000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429261491175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":32,"alternative-id":["10.1177\/10926429261491175"],"URL":"https:\/\/doi.org\/10.1177\/10926429261491175","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"article-number":"10926429261491175"}}