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Outcomes of robotic vs laparoscopic hepatectomy: A systematic review and meta-analysis

Identifieur interne : 000129 ( Main/Exploration ); précédent : 000128; suivant : 000130

Outcomes of robotic vs laparoscopic hepatectomy: A systematic review and meta-analysis

Auteurs : Roberto Montalti ; Giammauro Berardi ; Alberto Patriti ; Marco Vivarelli ; Roberto Ivan Troisi

Source :

World Journal of Gastroenterology : WJG [ 1007-9327 ] ; 2015.

RBID : PMC:4507115

Abstract

AIM: To perform a systematic review and meta-analysis on robotic-assisted vs laparoscopic liver resections.

METHODS: A systematic literature search was performed using PubMed, Scopus and the Cochrane Library Central. Participants of any age and sex, who underwent robotic or laparoscopic liver resection were considered following these criteria: (1) studies comparing robotic and laparoscopic liver resection; (2) studies reporting at least one perioperative outcome; and (3) if more than one study was reported by the same institute, only the most recent was included. The primary outcome measures were set for estimated blood loss, operative time, conversion rate, R1 resection rate, morbidity and mortality rates, hospital stay and major hepatectomy rates.

RESULTS: A total of 7 articles, published between 2010 and 2014, fulfilled the selection criteria. The laparoscopic approach was associated with a significant reduction in blood loss and lower operative time (MD = 83.96, 95%CI: 10.51-157.41, P = 0.03; MD = 68.43, 95%CI: 39.22-97.65, P < 0.00001, respectively). No differences were found with respect to conversion rate, R1 resection rate, morbidity and hospital stay.

CONCLUSION: Laparoscopic liver resection resulted in reduced blood loss and shorter surgical times compared to robotic liver resections. There was no difference in conversion rate, R1 resection rate, morbidity and length of postoperative stay.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4507115

DOI: 10.3748/wjg.v21.i27.8441
PubMed: 26217097
PubMed Central: 4507115

Affiliations:

Le document en format XML

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 laparoscopic hepatectomy: A systematic review and meta-analysis</title>
<author><name sortKey="Montalti, Roberto" sort="Montalti, Roberto" uniqKey="Montalti R" first="Roberto" last="Montalti">Roberto Montalti</name>
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<author><name sortKey="Berardi, Giammauro" sort="Berardi, Giammauro" uniqKey="Berardi G" first="Giammauro" last="Berardi">Giammauro Berardi</name>
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<author><name sortKey="Patriti, Alberto" sort="Patriti, Alberto" uniqKey="Patriti A" first="Alberto" last="Patriti">Alberto Patriti</name>
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<author><name sortKey="Vivarelli, Marco" sort="Vivarelli, Marco" uniqKey="Vivarelli M" first="Marco" last="Vivarelli">Marco Vivarelli</name>
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<author><name sortKey="Troisi, Roberto Ivan" sort="Troisi, Roberto Ivan" uniqKey="Troisi R" first="Roberto Ivan" last="Troisi">Roberto Ivan Troisi</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Outcomes of robotic <italic>vs</italic>
 laparoscopic hepatectomy: A systematic review and meta-analysis</title>
<author><name sortKey="Montalti, Roberto" sort="Montalti, Roberto" uniqKey="Montalti R" first="Roberto" last="Montalti">Roberto Montalti</name>
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<author><name sortKey="Berardi, Giammauro" sort="Berardi, Giammauro" uniqKey="Berardi G" first="Giammauro" last="Berardi">Giammauro Berardi</name>
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<author><name sortKey="Patriti, Alberto" sort="Patriti, Alberto" uniqKey="Patriti A" first="Alberto" last="Patriti">Alberto Patriti</name>
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<author><name sortKey="Vivarelli, Marco" sort="Vivarelli, Marco" uniqKey="Vivarelli M" first="Marco" last="Vivarelli">Marco Vivarelli</name>
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<author><name sortKey="Troisi, Roberto Ivan" sort="Troisi, Roberto Ivan" uniqKey="Troisi R" first="Roberto Ivan" last="Troisi">Roberto Ivan Troisi</name>
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<series><title level="j">World Journal of Gastroenterology : WJG</title>
<idno type="ISSN">1007-9327</idno>
<idno type="eISSN">2219-2840</idno>
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<front><div type="abstract" xml:lang="en"><p>AIM: To perform a systematic review and meta-analysis on robotic-assisted <italic>vs</italic>
 laparoscopic liver resections.</p>
<p>METHODS: A systematic literature search was performed using PubMed, Scopus and the Cochrane Library Central. Participants of any age and sex, who underwent robotic or laparoscopic liver resection were considered following these criteria: (1) studies comparing robotic and laparoscopic liver resection; (2) studies reporting at least one perioperative outcome; and (3) if more than one study was reported by the same institute, only the most recent was included. The primary outcome measures were set for estimated blood loss, operative time, conversion rate, R1 resection rate, morbidity and mortality rates, hospital stay and major hepatectomy rates.</p>
<p>RESULTS: A total of 7 articles, published between 2010 and 2014, fulfilled the selection criteria. The laparoscopic approach was associated with a significant reduction in blood loss and lower operative time (MD = 83.96, 95%CI: 10.51-157.41, <italic>P</italic>
 = 0.03; MD = 68.43, 95%CI: 39.22-97.65, <italic>P</italic>
 < 0.00001, respectively). No differences were found with respect to conversion rate, R1 resection rate, morbidity and hospital stay.</p>
<p>CONCLUSION: Laparoscopic liver resection resulted in reduced blood loss and shorter surgical times compared to robotic liver resections. There was no difference in conversion rate, R1 resection rate, morbidity and length of postoperative stay.</p>
</div>
</front>
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<affiliations><list></list>
<tree><noCountry><name sortKey="Berardi, Giammauro" sort="Berardi, Giammauro" uniqKey="Berardi G" first="Giammauro" last="Berardi">Giammauro Berardi</name>
<name sortKey="Montalti, Roberto" sort="Montalti, Roberto" uniqKey="Montalti R" first="Roberto" last="Montalti">Roberto Montalti</name>
<name sortKey="Patriti, Alberto" sort="Patriti, Alberto" uniqKey="Patriti A" first="Alberto" last="Patriti">Alberto Patriti</name>
<name sortKey="Troisi, Roberto Ivan" sort="Troisi, Roberto Ivan" uniqKey="Troisi R" first="Roberto Ivan" last="Troisi">Roberto Ivan Troisi</name>
<name sortKey="Vivarelli, Marco" sort="Vivarelli, Marco" uniqKey="Vivarelli M" first="Marco" last="Vivarelli">Marco Vivarelli</name>
</noCountry>
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Outcomes of robotic vs laparoscopic hepatectomy: A systematic review and meta-analysis

Outcomes of robotic vs laparoscopic hepatectomy: A systematic review and meta-analysis

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