Robotic versus laparoscopic right colectomy: a meta-analysis
Identifieur interne : 000E78 ( Main/Curation ); précédent : 000E77; suivant : 000E79Robotic versus laparoscopic right colectomy: a meta-analysis
Auteurs : Huirong Xu [République populaire de Chine] ; Jianning Li [République populaire de Chine] ; Yanlai Sun [République populaire de Chine] ; Zengjun Li [République populaire de Chine] ; Yanan Zhen [République populaire de Chine] ; Bin Wang [République populaire de Chine] ; Zhongfa Xu [République populaire de Chine]Source :
- World Journal of Surgical Oncology [ 1477-7819 ] ; 2014.
Abstract
The objective of this meta-analysis was to compare the clinical safety and efficacy of robotic right colectomy (RRC) with conventional laparoscopic right colectomy (LRC).
A 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.
Seven studies, including 234 RRC cases and 415 conventional LRC cases, were analyzed. The meta-analysis showed that RRC had longer operative times (
Compared 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.
Url:
DOI: 10.1186/1477-7819-12-274
PubMed: 25169141
PubMed Central: 4158068
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Robotic versus laparoscopic right colectomy: a meta-analysis</title><author><name sortKey="Xu, Huirong" sort="Xu, Huirong" uniqKey="Xu H" first="Huirong" last="Xu">Huirong Xu</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan, 250117 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Shandong Academy of Medical Sciences, Jingshi Road, Jinan, 250062 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Shandong Academy of Medical Sciences, Jingshi Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Li, Jianning" sort="Li, Jianning" uniqKey="Li J" first="Jianning" last="Li">Jianning Li</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Anesthesiology and Operation, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan, 250031 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Anesthesiology and Operation, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Sun, Yanlai" sort="Sun, Yanlai" uniqKey="Sun Y" first="Yanlai" last="Sun">Yanlai Sun</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan, 250117 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Li, Zengjun" sort="Li, Zengjun" uniqKey="Li Z" first="Zengjun" last="Li">Zengjun Li</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan, 250117 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Zhen, Yanan" sort="Zhen, Yanan" uniqKey="Zhen Y" first="Yanan" last="Zhen">Yanan Zhen</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan, 250031 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Bin" sort="Wang, Bin" uniqKey="Wang B" first="Bin" last="Wang">Bin Wang</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan, 250031 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Zhongfa" sort="Xu, Zhongfa" uniqKey="Xu Z" first="Zhongfa" last="Xu">Zhongfa Xu</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan, 250117 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan, 250031 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25169141</idno><idno type="pmc">4158068</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158068</idno><idno type="RBID">PMC:4158068</idno><idno type="doi">10.1186/1477-7819-12-274</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000894</idno><idno type="wicri:Area/Pmc/Curation">000894</idno><idno type="wicri:Area/Pmc/Checkpoint">000981</idno><idno type="wicri:Area/Ncbi/Merge">003256</idno><idno type="wicri:Area/Ncbi/Curation">003256</idno><idno type="wicri:Area/Ncbi/Checkpoint">003256</idno><idno type="wicri:Area/Main/Merge">000E78</idno><idno type="wicri:Area/Main/Curation">000E78</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Robotic versus laparoscopic right colectomy: a meta-analysis</title><author><name sortKey="Xu, Huirong" sort="Xu, Huirong" uniqKey="Xu H" first="Huirong" last="Xu">Huirong Xu</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan, 250117 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Shandong Academy of Medical Sciences, Jingshi Road, Jinan, 250062 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Shandong Academy of Medical Sciences, Jingshi Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Li, Jianning" sort="Li, Jianning" uniqKey="Li J" first="Jianning" last="Li">Jianning Li</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Anesthesiology and Operation, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan, 250031 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Anesthesiology and Operation, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Sun, Yanlai" sort="Sun, Yanlai" uniqKey="Sun Y" first="Yanlai" last="Sun">Yanlai Sun</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan, 250117 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Li, Zengjun" sort="Li, Zengjun" uniqKey="Li Z" first="Zengjun" last="Li">Zengjun Li</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan, 250117 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Zhen, Yanan" sort="Zhen, Yanan" uniqKey="Zhen Y" first="Yanan" last="Zhen">Yanan Zhen</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan, 250031 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Bin" sort="Wang, Bin" uniqKey="Wang B" first="Bin" last="Wang">Bin Wang</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan, 250031 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Zhongfa" sort="Xu, Zhongfa" uniqKey="Xu Z" first="Zhongfa" last="Xu">Zhongfa Xu</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan, 250117 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Colorectal Cancer Surgery, Shandong cancer hospital, 440 Jiyan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan, 250031 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Gastrointestinal surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, 38 Wuyingshan Road, Jinan</wicri:regionArea><wicri:noRegion>Jinan</wicri:noRegion></affiliation></author></analytic><series><title level="j">World Journal of Surgical Oncology</title><idno type="eISSN">1477-7819</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The objective of this meta-analysis was to compare the clinical safety and efficacy of robotic right colectomy (RRC) with conventional laparoscopic right colectomy (LRC).</p></sec><sec><title>Methods</title><p>A 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.</p></sec><sec><title>Results</title><p>Seven studies, including 234 RRC cases and 415 conventional LRC cases, were analyzed. The meta-analysis showed that RRC had longer operative times (<italic>P</italic> < 0.00001), lower estimated blood losses (<italic>P</italic> = 0.0002), lower postoperative overall complications (<italic>P</italic> = 0.02), and significantly faster bowel function recovery (<italic>P</italic> < 0.00001). There were no differences in the length of hospital stay (<italic>P</italic> = 0.12), conversion rates to open surgery (<italic>P</italic> = 0.48), postoperative ileus (<italic>P</italic> = 0.08), anastomosis leakage (<italic>P</italic> = 0.28), and bleeding (<italic>P</italic> = 0.95).</p></sec><sec><title>Conclusions</title><p>Compared 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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Weber, Pa" uniqKey="Weber P">PA Weber</name></author><author><name sortKey="Merola, S" uniqKey="Merola S">S Merola</name></author><author><name sortKey="Wasielewski, A" uniqKey="Wasielewski A">A Wasielewski</name></author><author><name sortKey="Ballantyne, Gh" uniqKey="Ballantyne G">GH Ballantyne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morelli, L" uniqKey="Morelli L">L Morelli</name></author><author><name sortKey="Guadagni, S" uniqKey="Guadagni S">S Guadagni</name></author><author><name sortKey="Caprili, G" uniqKey="Caprili G">G Caprili</name></author><author><name sortKey="Di Candio, G" uniqKey="Di Candio G">G Di Candio</name></author><author><name sortKey="Boggi, U" uniqKey="Boggi U">U Boggi</name></author><author><name sortKey="Mosca, F" uniqKey="Mosca F">F 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Ozawa</name></author><author><name sortKey="Hatade, K" uniqKey="Hatade K">K Hatade</name></author><author><name sortKey="Watanabe, M" uniqKey="Watanabe M">M Watanabe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baek, Sj" uniqKey="Baek S">SJ Baek</name></author><author><name sortKey="Kim, Sh" uniqKey="Kim S">SH Kim</name></author><author><name sortKey="Cho, Js" uniqKey="Cho J">JS Cho</name></author><author><name sortKey="Shin, Jw" uniqKey="Shin J">JW Shin</name></author><author><name sortKey="Kim, J" uniqKey="Kim J">J Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Keller, Ds" uniqKey="Keller D">DS Keller</name></author><author><name sortKey="Senagore, Aj" uniqKey="Senagore A">AJ Senagore</name></author><author><name sortKey="Lawrence, Jk" uniqKey="Lawrence J">JK Lawrence</name></author><author><name sortKey="Champagne, Bj" uniqKey="Champagne B">BJ Champagne</name></author><author><name sortKey="Delaney, Cp" uniqKey="Delaney C">CP Delaney</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maclehose, Rr" uniqKey="Maclehose R">RR MacLehose</name></author><author><name sortKey="Reeves, Bc" uniqKey="Reeves B">BC Reeves</name></author><author><name sortKey="Harvey, Im" uniqKey="Harvey I">IM Harvey</name></author><author><name sortKey="Sheldon, Ta" uniqKey="Sheldon T">TA Sheldon</name></author><author><name sortKey="Russell, It" uniqKey="Russell I">IT Russell</name></author><author><name sortKey="Black, Am" uniqKey="Black A">AM Black</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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