Robotic versus laparoscopic right colectomy: a meta-analysis

World Journal of Surgical Oncology

Research

Jianning Li¹  Yanlai Sun²  Zengjun Li²  Zhongfa Xu³  Huirong Xu⁴  Yanan Zhen⁵  Bin Wang⁵ 

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

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

DOI  :  10.1186/1477-7819-12-274

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

来源: Springer

【 摘 要 】

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

CC BY   
© Xu et al.; licensee BioMed Central Ltd. 2014