Abstract
Robotics, as an innovation of minimally invasive surgical methods, is developing rapidly for colectomy. But there is still no consensus on its comparative merit compared with laparoscopic resections. We conducted this meta-analysis that included randomized controlled trials and nonrandomized controlled trials of robotic colectomy (RC) versus laparoscopic colectomy (LC) to evaluate whether the safety and efficacy of RC are equivalent to those of LC. A search of five databases (PubMed, Embase, Cochrane Library, Ovid, and Web of Science), gray literature, hand searches, reference, and forward citation were performed for studies that compared clinical or oncologic outcomes of LC with RC. Clinical outcomes evaluated were conversion rates, operation times, estimated blood loss, length of hospital stay, and complications. Oncologic outcome evaluated was the number of lymph nodes collected. A total of 14 studies were identified that included 125,989 patients in total, 4934 in the robotic cohort and 121,055 in the laparoscopic cohort. Meta-analysis suggested that there was a significantly longer hospital stay in the laparoscopic group (mean difference [MD] -0.65; 95% confidence interval [CI] -1.02 to -0.27; P = 0.0008). Robotic surgery ...Continue Reading
References
Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Feb 1, 1997·Surgical Endoscopy·R BerguerJ Chung
Jul 12, 2002·Statistics in Medicine·Julian P T Higgins, Simon G Thompson
May 14, 2004·The New England Journal of Medicine·UNKNOWN Clinical Outcomes of Surgical Therapy Study GroupDavid Ota
Nov 19, 2004·Surgical Endoscopy·F CorcioneP Caiazzo
Jan 20, 2005·Diseases of the Colon and Rectum·Annibale D'AnnibaleDaniela Guidolin
May 17, 2005·Lancet·Pierre J GuillouUNKNOWN MRC CLASICC trial group
Jul 5, 2005·The Lancet Oncology·Ruben VeldkampUNKNOWN COlon cancer Laparoscopic or Open Resection Study Group (COLOR)
May 19, 2006·The New England Journal of Medicine·Norman T Berlinger
Sep 30, 2006·Surgical Endoscopy·A L RawlingsD L Crawford
Mar 14, 2007·Surgical Endoscopy·A L RawlingsD L Crawford
Jul 20, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·David G JayneUNKNOWN UK MRC CLASICC Trial Group
May 20, 2008·Diseases of the Colon and Rectum·Giuseppe SpinoglioSilvio Testa
Dec 17, 2008·The Lancet Oncology·Mark BuunenHendrik J Bonjer
Sep 1, 2009·Journal of Clinical Epidemiology·Ned S AbrahamMichael J Solomon
Jun 8, 2010·Surgical Endoscopy·P P BianchiB Andreoni
Jun 10, 2010·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·T G RashidT E J Ind
Jun 17, 2010·Diseases of the Colon and Rectum·Ashwin L deSouzaHerand Abcarian
Jun 23, 2010·Surgical Endoscopy·Madhu RagupathiEric M Haas
Jun 23, 2010·Annals of Surgical Oncology·Annibale D'AnnibaleGianna Sovernigo
Jul 8, 2010·Surgical Endoscopy·Jeong-Heum BaekAlessio Pigazzi
Aug 25, 2010·Surgical Endoscopy·Malak B BokhariEric M Haas
Jan 14, 2011·Diseases of the Colon and Rectum·Chirag B PatelEric M Haas
Feb 5, 2011·Annals of Surgery·Tarik SammourAndrew G Hill
Nov 3, 2011·Surgical Endoscopy·Gary B DeutschGeorge Denoto
Jul 4, 2012·Annals of Surgical Oncology·Yongzhi YangYanlei Ma
Aug 7, 2012·The British Journal of Surgery·J S ParkJ P Ryuk
Dec 15, 2012·Surgical Endoscopy·Dae Ro LimNam Kyu Kim
Feb 8, 2013·Surgical Endoscopy·Neel Maria HelvindIsmail Gögenür
Mar 13, 2013·Diseases of the Colon and Rectum·Joshua A TylerSean C Glasgow
Apr 9, 2013·World Journal of Surgery·Wissam J HalabiAlessio Pigazzi
May 1, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Emilio MorpurgoAnnibale D'Annibale
May 7, 2013·Surgical Endoscopy·Lisandro Damian Colantonio
Nov 19, 2013·American Journal of Surgery·Mark A CasillasRobert K Cleary
Apr 29, 2014·World Journal of Surgical Oncology·Guixiang LiaoHaijun Deng
Jun 25, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Bradley R DavisCandace Gunnarsson
Aug 30, 2014·World Journal of Surgical Oncology·Huirong XuZhongfa Xu
Citations
Dec 23, 2016·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·James Chi-Yong NguAndrew Siang-Yih Wong
Mar 24, 2017·World Journal of Surgery·Benedetto MungoAnne O Lidor
Dec 29, 2017·Journal of Surgical Oncology·Szu-Ta ChenUNKNOWN Health Economics and Outcome Research Group, National Taiwan University Hospital
Aug 23, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Christian BeltzerRoland Schmidt
Feb 11, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Michael A NapolitanoJames E Duncan
Jun 30, 2018·Surgical Endoscopy·Caiwen HanTiankang Guo
Jun 27, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M WidmarJ Garcia-Aguilar
May 23, 2020·Plastic and Reconstructive Surgery. Global Open·Jordan D FreyJamie P Levine
Oct 29, 2020·Surgical Endoscopy·Holden W RichardsMarc P Michalsky
Jan 6, 2021·Journal of Robotic Surgery·Zoe TaoSergio Huerta
Jul 7, 2019·The Journal of Surgical Research·James W OgilvieMartin A Luchtefeld
May 1, 2021·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Gal WestrichJim S Khan
May 24, 2021·World Journal of Surgical Oncology·Pedja CukMark Bremholm Ellebæk
Jun 4, 2021·Journal of Robotic Surgery·Nima AhmadiRoss Warner
Jul 13, 2021·ANZ Journal of Surgery·Edward YoungChristopher Richard McDonald
Oct 13, 2021·BMC Surgery·Pedja CukMark Bremholm Ellebæk
Nov 2, 2021·Surgical Endoscopy·Pedja CukMark Bremholm Ellebæk