Robotic versus laparoscopic low anterior resection for rectal cancer: a meta-analysis
Identifieur interne : 000896 ( Pmc/Corpus ); précédent : 000895; suivant : 000897Robotic versus laparoscopic low anterior resection for rectal cancer: a meta-analysis
Auteurs : Yanlai Sun ; Huirong Xu ; Zengjun Li ; Jianjun Han ; Wentao Song ; Junwei Wang ; Zhongfa XuSource :
- World Journal of Surgical Oncology [ 1477-7819 ] ; 2016.
Abstract
The objective of this meta-analysis was to compare the clinical and oncologic outcomes of robotic low anterior resection (R-LAR) with conventional laparoscopic low anterior resection (L-LAR).
A search in the MEDLINE, Embase, and Ovid databases was performed for studies published before July 2014 that compared the clinical and oncologic outcomes of R-LAR and L-LAR. The methodological quality of the selected studies was assessed. Depending on statistical heterogeneity, a fixed or random effects model was used for the meta-analysis. The clinical and oncologic outcomes evaluated included operative time, estimated blood loss, length of hospital stay, rate of conversion to open surgery, post-operative complications, circumferential margin status, and number of lymph nodes collected.
Eight studies, including 324 R-LAR cases and 268 conventional L-LAR cases, were analyzed. The meta-analysis showed that R-LAR was associated with a shorter hospital stay (mean difference (MD) = −1.03; 95 % confidence interval (CI) = −1.78, −0.28;
R-LAR was shown to be associated with a shorter hospital stay, lower conversion rate, lower rate of circumferential margin involvement, and lower overall complication rate compared with L-LAR. There were no differences in operative time, the number of lymph nodes removed, and days to return of bowel function.
Url:
DOI: 10.1186/s12957-016-0816-6
PubMed: 26928124
PubMed Central: 4772524
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