Comparison of robot-assisted surgery, laparoscopic-assisted surgery, and open surgery for the treatment of colorectal cancer: A network meta-analysis

Medicine
Shihou ShengXu Wang

Abstract

The aim of this study was to find the better treatment for colorectal cancer (CRC) by comparing robot-assisted colorectal surgery (RACS), laparoscopic-assisted colorectal surgery (LACS), and open surgery using network meta-analysis. A literature search updated to August 15, 2017 was performed. All the included literatures were evaluated according to the quality evaluation criteria of bias risk recommended by the Cochrane Collaboration. All data were comprehensively analyzed by ADDIS. Odds ratio (OR), mean difference (MD), and 95% confidence interval (CI) were used to show the effect index of all data. The degree of convergence of the model was evaluated by the Brooks-Gelman-Rubin method with the potential scale reduction factor (PSRF) as the evaluation indicator. The PSRF values of operation time, estimated blood loss, length of hospital stay, complication, mortality, and anastomotic leakage ranged from 1.00 to 1.01, and those of wound infection, bleeding, and ileus ranged from 1.00 to 1.02. Open surgery had the shortest operation time compared with LACS and RACS. Furthermore, compared with LACS, the amount of blood loss, complication, mortality, bleeding rate, and ileus rate for RACS were the least, and the length of hospital ...Continue Reading

References

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Citations

Aug 28, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M MiloneG D De Palma
Aug 11, 2020·Updates in Surgery·Mohamed A Abd El AzizDavid W Larson
Oct 25, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Ashwin L DesouzaAvanish P Saklani
Dec 9, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Chun-Chi LinJeng-Kai Jiang
Jan 23, 2021·Updates in Surgery·Hongyi LiuZhiming Zhao
Mar 13, 2021·The British Journal of Surgery·C A FlemingC B Peirce
Dec 24, 2020·Expert Review of Anticancer Therapy·Philipp-Alexander NeumannHelmut Friess

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