Background Major hepatectomy is still regarded as a technically demanding procedure for which minimally invasive surgery remains limited to selected cases in experienced centres and robotic platforms may provide some advantages over conventional laparoscopy in this setting. We aimed to combine and meta-analyse the available literature upon this topic. Methods The PubMed, MEDLINE and Web of Science databases were appraised to find all available studies comparing robotic and laparoscopic major hepatectomies. According to a pre-established pattern preoperative settings, operative and postoperative outcomes were assessed. The meta-analysis was performed by using the Revman 5.3 software. Results A total of 485 patients from eight studies were included in the analysis. Robotic major hepatectomies showed a significantly lower conversion rate and estimated blood loss as compared to laparoscopic ones. Laparoscopic major hepatectomies patients experienced significant shorter postoperative hospitalisation. Conclusions Robotic surgery appears as competent as conventional laparoscopy to perform major hepatectomies, with possible advantages on conversion rate and perioperative blood loss, despite slightly prolonged postoperative hospitalisation.

Robot-assisted versus conventional laparoscopic major hepatectomies: Systematic review with meta-analysis / Coletta, D.; Levi Sandri, G. B.; Giuliani, G.; Guerra, F.. - In: THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY. - ISSN 1478-5951. - 17:3(2021). [10.1002/rcs.2218]

Robot-assisted versus conventional laparoscopic major hepatectomies: Systematic review with meta-analysis

Coletta D.
Writing – Review & Editing
;
Levi Sandri G. B.;
2021

Abstract

Background Major hepatectomy is still regarded as a technically demanding procedure for which minimally invasive surgery remains limited to selected cases in experienced centres and robotic platforms may provide some advantages over conventional laparoscopy in this setting. We aimed to combine and meta-analyse the available literature upon this topic. Methods The PubMed, MEDLINE and Web of Science databases were appraised to find all available studies comparing robotic and laparoscopic major hepatectomies. According to a pre-established pattern preoperative settings, operative and postoperative outcomes were assessed. The meta-analysis was performed by using the Revman 5.3 software. Results A total of 485 patients from eight studies were included in the analysis. Robotic major hepatectomies showed a significantly lower conversion rate and estimated blood loss as compared to laparoscopic ones. Laparoscopic major hepatectomies patients experienced significant shorter postoperative hospitalisation. Conclusions Robotic surgery appears as competent as conventional laparoscopy to perform major hepatectomies, with possible advantages on conversion rate and perioperative blood loss, despite slightly prolonged postoperative hospitalisation.
2021
hemihepatectomy; laparoscopic liver resection; liver surgery; major hepatectomy; robot-assisted surgery
01 Pubblicazione su rivista::01a Articolo in rivista
Robot-assisted versus conventional laparoscopic major hepatectomies: Systematic review with meta-analysis / Coletta, D.; Levi Sandri, G. B.; Giuliani, G.; Guerra, F.. - In: THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY. - ISSN 1478-5951. - 17:3(2021). [10.1002/rcs.2218]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1679088
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