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Robotic versus laparoscopic pelvic lateral lymph node dissection in locally advanced rectal cancer: a systemic review and meta-analysis.
- Source :
-
Surgical Endoscopy & Other Interventional Techniques . Jul2024, Vol. 38 Issue 7, p3520-3530. 11p. - Publication Year :
- 2024
-
Abstract
- Background: There are few available studies that compare the feasibility, efficacy, and safety of robotic pelvic lateral lymph node dissection compared to laparoscopic pelvic lateral lymph node dissection (LPLND) in advanced rectal cancer. This meta-analysis aims to compare perioperative outcomes between robotic and LPLND. Methods: We performed a systemic literature review of PubMed, Embase, and Web of Science databases. Perioperative parameters were extracted and pooled for analysis. This meta-analysis provided an analysis of heterogeneity and prediction intervals. Results: Five studies were included: 567 patients divided between 266 robotic and 301 LPLND. Overall operation time was longer in the robotic group than laparoscopic group (difference in means = 67.11, 95% CI [30.80, 103.42], p < 0.001) but the difference in the pelvic lateral lymph dissection time was not statistically significant (difference in means = − 1.212, 95% CI [ − 11.594, 9.171], p = 0.819). There were fewer overall complications in the robotic than in the laparoscopic group (OR = 1.589, 95% CI [1.009, 2.503], p = 0.046), especially with respect to urinary retention (OR = 2.23, 95% CI [1.277, 3.894], p = 0.005). More pelvic lateral lymph nodes were harvested by robotic surgery than by laparoscopy (differences in means = − 1.992, 95% CI [ − 2.421, 1.563], p < 0.001). Conclusions: In this meta-analysis, robotic pelvic lateral lymph node dissection was associated with more pelvic lateral lymph nodes harvested and lower overall complications, especially urinary retention when compared to LPLND. Further studies are needed to reinforce these findings. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PELVIC surgery
*SURGICAL robots
*MEDICAL information storage & retrieval systems
*STATISTICAL models
*LYMPH nodes
*LYMPHADENECTOMY
*LEG
*COMPUTER software
*STATISTICAL hypothesis testing
*LAPAROSCOPIC surgery
*NERVES
*QUESTIONNAIRES
*TREATMENT effectiveness
*META-analysis
*DESCRIPTIVE statistics
*SURGICAL blood loss
*SYSTEMATIC reviews
*MEDLINE
*SURGICAL complications
*ODDS ratio
*SURGICAL margin
*RETENTION of urine
*ONLINE information services
*CONFIDENCE intervals
*DATA analysis software
*LENGTH of stay in hospitals
*PERIOPERATIVE care
*TIME
*BOWEL obstructions
*DISEASE risk factors
RECTUM tumors
Subjects
Details
- Language :
- English
- ISSN :
- 18666817
- Volume :
- 38
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Surgical Endoscopy & Other Interventional Techniques
- Publication Type :
- Academic Journal
- Accession number :
- 178230396
- Full Text :
- https://doi.org/10.1007/s00464-024-10901-z