Safety and efficacy for robot-assisted versus open pancreaticoduodenectomy and distal pancreatectomy: A systematic review and meta-analysis

This meta-analysis was conducted to compare the clinical safety and efficacy of robot-assisted pancreaticoduodenectomy (RAPD) or robot-assisted distal pancreatectomy (RADP) with open surgery. Multiple databases (PubMed, Medline, EMBASE and Cochrane Library) were searched to identify studies comparin...

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Veröffentlicht in:	Surgical oncology 2018-09, Vol.27 (3), p.468-478
Hauptverfasser:	Zhao, Wenyan, Liu, Chengyang, Li, Shuqiang, Geng, Donghua, Feng, Yong, Sun, Ming
Format:	Artikel
Sprache:	eng
Schlagworte:	Blood transfusion Blood transfusions Clinical trials Complication Complications Distal pancreatectomy Fistula Fistulae Gastric emptying Humans Infections Laparoscopy - methods Lymph nodes Lymphatic system Meta-analysis Mortality Open surgery Pancreas Pancreatectomy Pancreatectomy - methods Pancreatic Neoplasms - pathology Pancreatic Neoplasms - surgery Pancreaticoduodenectomy Pancreaticoduodenectomy - methods Postoperative Complications Postoperative period Preservation Quality Random amplified polymorphic DNA Randomization Robot-assisted surgery Robotic surgery Robotic Surgical Procedures - methods Robotics Robots Safety Spleen Studies Surgery Surgical outcomes Surgical techniques Systematic review Transfusion Treatment Outcome Wound infection
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Beschreibung
Zusammenfassung:	This meta-analysis was conducted to compare the clinical safety and efficacy of robot-assisted pancreaticoduodenectomy (RAPD) or robot-assisted distal pancreatectomy (RADP) with open surgery. Multiple databases (PubMed, Medline, EMBASE and Cochrane Library) were searched to identify studies comparing the outcomes of RAPD and open pancreaticoduodenectomy (OPD) or RADP and open distal pancreatectomy (ODP) (up to December 31, 2017). Fixed and random effects models were applied according to different conditions. Fifteen non-randomized controlled trials (11 RAPD vs. OPD and 4 RADP vs. ODP) involving 3690 patients were included. Robot-assisted surgery had longer operative time (RAPD vs. OPD: P = 0.0005; RADP vs. ODP: P
ISSN:	0960-7404 1879-3320
DOI:	10.1016/j.suronc.2018.06.001