Robotic versus laparoscopic right colectomy: a meta-analysis

World Journal of Surgical Oncology

Zhongfa Xu¹  Bin Wang¹  Yanan Zhen¹  Zengjun Li²  Yanlai Sun²  Jianning Li⁴  Huirong Xu³ 

[1] Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan 250031, China;Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan 250117, China;Shandong Academy of Medical Sciences, Jingshi Road, Jinan 250062, China;Department of Anesthesiology and Operation, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan 250031, China

关键词: Meta-analysis;    Right colectomy;    Laparoscopic surgery;    Da Vinci surgical system;   

Others  :  1148201
DOI  :  10.1186/1477-7819-12-274

 received in 2014-01-19, accepted in 2014-08-16,  发布年份 2014

【 摘 要 】

Background

The objective of this meta-analysis was to compare the clinical safety and efficacy of robotic right colectomy (RRC) with conventional laparoscopic right colectomy (LRC).

Methods

A literature search was performed for comparative studies reporting perioperative outcomes of RRC and LRC. The methodological quality of the selected studies was assessed. Depending on statistical heterogeneity, the fixed effects model or the random effects model were used for the meta-analysis. Operative time, estimated blood loss, length of hospital stay, conversion rates to open surgery, postoperative complications, and related outcomes were evaluated.

Results

Seven studies, including 234 RRC cases and 415 conventional LRC cases, were analyzed. The meta-analysis showed that RRC had longer operative times (P < 0.00001), lower estimated blood losses (P = 0.0002), lower postoperative overall complications (P = 0.02), and significantly faster bowel function recovery (P < 0.00001). There were no differences in the length of hospital stay (P = 0.12), conversion rates to open surgery (P = 0.48), postoperative ileus (P = 0.08), anastomosis leakage (P = 0.28), and bleeding (P = 0.95).

Conclusions

Compared to LRC, RRC was associated with reduced estimated blood losses, reduced postoperative complications, longer operative times, and a significantly faster recovery of bowel function. Other perioperative outcomes were equivalent.

【 授权许可】

   
2014 Xu et al.; licensee BioMed Central Ltd.

【 图 表 】

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