Outcomes of robotic vs laparoscopic hepatectomy: A systematic review and meta-analysis
Identifieur interne : 003B19 ( Ncbi/Merge ); précédent : 003B18; suivant : 003B20Outcomes of robotic vs laparoscopic hepatectomy: A systematic review and meta-analysis
Auteurs : Roberto Montalti ; Giammauro Berardi ; Alberto Patriti ; Marco Vivarelli ; Roberto Ivan TroisiSource :
- World Journal of Gastroenterology : WJG [ 1007-9327 ] ; 2015.
Abstract
AIM: To perform a systematic review and meta-analysis on robotic-assisted
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,
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:
DOI: 10.3748/wjg.v21.i27.8441
PubMed: 26217097
PubMed Central: 4507115
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PMC:4507115Le 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>
</author>
<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>
</author>
<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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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>
<imprint><date when="2015">2015</date>
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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>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Gastroenterol</journal-id>
<journal-id journal-id-type="iso-abbrev">World J. Gastroenterol</journal-id>
<journal-id journal-id-type="publisher-id">WJG</journal-id>
<journal-title-group><journal-title>World Journal of Gastroenterology : WJG</journal-title>
</journal-title-group>
<issn pub-type="ppub">1007-9327</issn>
<issn pub-type="epub">2219-2840</issn>
<publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26217097</article-id>
<article-id pub-id-type="pmc">4507115</article-id>
<article-id pub-id-type="other">jWJG.v21.i27.pg8441</article-id>
<article-id pub-id-type="doi">10.3748/wjg.v21.i27.8441</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Meta-Analysis</subject>
</subj-group>
</article-categories>
<title-group><article-title>Outcomes of robotic <italic>vs</italic>
laparoscopic hepatectomy: A systematic review and meta-analysis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Montalti</surname>
<given-names>Roberto</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Berardi</surname>
<given-names>Giammauro</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Patriti</surname>
<given-names>Alberto</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Vivarelli</surname>
<given-names>Marco</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Troisi</surname>
<given-names>Roberto Ivan</given-names>
</name>
</contrib>
<aff>Roberto Montalti, Giammauro Berardi, Roberto Ivan Troisi, Department of General and Hepato-Biliary Surgery, Liver Transplantation Service, Ghent University Hospital and Medical School, 9000 Ghent, Belgium</aff>
<aff>Roberto Montalti, Marco Vivarelli, Department of Gastroenterology and Transplantation Surgery, Polytechnic University of Marche-Ospedali Riuniti, 60126 Ancona, Italy</aff>
<aff>Alberto Patriti, Division of General, Minimally Invasive and Robotic Surgery, General Hospital of Spoleto, 06049 Spoleto, Italy</aff>
</contrib-group>
<author-notes><fn><p>Author contributions: Montalti R and Berardi G contributed to acquisition of data, analysis and interpretation of data, drafting the article and final approval; Patriti A and Vivarelli M interpretated data, revised the article and made final approval; Troisi RI contributed to conception and design of the study, critical revision, final approval of the manuscript.</p>
<p>Correspondence to: Roberto Ivan Troisi, MD, PhD, FEBS, Professor, Department of General and Hepato-Biliary Surgery, Liver Transplantation Service, Ghent University Hospital and Medical School, De Pintelaan 185, 2K12 IC, 9000 Ghent, Belgium. <email>roberto.troisi@ugent.be</email>
</p>
<p>Telephone: +32-9-3325519 Fax: +32-9-3323891</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><day>21</day>
<month>7</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>21</day>
<month>7</month>
<year>2015</year>
</pub-date>
<volume>21</volume>
<issue>27</issue>
<fpage>8441</fpage>
<lpage>8451</lpage>
<history><date date-type="received"><day>11</day>
<month>1</month>
<year>2015</year>
</date>
<date date-type="rev-recd"><day>25</day>
<month>3</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>7</day>
<month>5</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Laparoscopic liver resections</kwd>
<kwd>Robotic liver resections</kwd>
<kwd>Outcome</kwd>
<kwd>Systematic review</kwd>
<kwd>Meta-analysis</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<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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