Robotic Versus Laparoscopic Gastrectomy for Gastric Cancer: A Mega Meta-Analysis

Frontiers in Surgery

article

Shantanu Baral¹  Mubeen Hussein Arawker¹  Qiannan Sun²  Mingrui Jiang¹  Liuhua Wang²  Yong Wang²  Muhammad Ali¹  Daorong Wang¹ 

[1] Clinical Medical College, Yangzhou University;Department of Gastrointestinal Surgery, Northern Jiangsu People’s Hospital;General Surgery Institute of Yangzhou, Yangzhou University;Yangzhou Key Laboratory of Basic and Clinical Transformation of Digestive and Metabolic Diseases

关键词: robotic;    laparoscopic;    gastrectomy;    gastric cancer;    meta-analysis;   

DOI  :  10.3389/fsurg.2022.895976

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background Laparoscopic gastrectomy and robotic gastrectomy are the most widely adopted treatment of choice for gastric cancer. To systematically assess the safety and effectiveness of robotic gastrectomy for gastric cancer, we carried out a systematic review and meta-analysis on short-term and long-term outcomes of robotic gastrectomy. Methods In order to find relevant studies on the efficacy and safety of robotic gastrectomy (RG) and laparoscopic gastrectomy (LG) in the treatment of gastric cancer, numerous medical databases including PubMed, Medline, Cochrane Library, Embase, Google Scholar, and China Journal Full-text Database (CNKI) were consulted, and Chinese and English studies on the efficacy and safety of RG and LG in the treatment of gastric cancer published from 2012 to 2022 were screened according to inclusion and exclusion criteria, and a meta-analysis was conducted using RevMan 5.4 software. Results The meta-analysis inlcuded 48 literatures, with 20,151 gastric cancer patients, including 6,175 in the RG group and 13,976 in the LG group, respectively. Results of our meta-analysis showed that RG group had prololonged operative time ( WMD  = 35.72, 95% CI  = 28.59–42.86, P   0.05. Conclusions In the treatment of gastric cancer, robotic gastrectomy is a safe and effective procedure that has both short- and long-term effects. To properly evaluate the advantages of robotic surgery in gastric cancer, more randomised controlled studies with rigorous research methodologies are needed.

【 授权许可】

CC BY