Meta-analysis of short-term outcomes comparing robot-assisted and laparoscopic distal pancreatectomy
To evaluate and compare the short-term outcomes of robotic surgery and laparoscopic approach in distal pancreatectomy (DP). EMBASE, PubMed, the Cochrane Library, CNKI and Wan Fang database were retrieved from the inception of electronic databases to June 2019. All analyses were performed using Stata...
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| Veröffentlicht in: | Journal of comparative effectiveness research 2020-02, Vol.9 (3), p.201-218 |
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| creator | Hu, Yong-Hao Qin, Ya-Fei Yu, Ding-Ding Li, Xiang Zhao, Yi-Ming Kong, De-Jun Jin, Wang Wang, Hao |
| description | To evaluate and compare the short-term outcomes of robotic surgery and laparoscopic approach in distal pancreatectomy (DP).
EMBASE, PubMed, the Cochrane Library, CNKI and Wan Fang database were retrieved from the inception of electronic databases to June 2019. All analyses were performed using Stata/SE 15.1 version (StataCorp).
Twenty-two papers were included, four of which were prospective studies and the rest were retrospective studies. There was significant difference in spleen preservation rate (odds ratio: 2.020; 95% CI: 1.085–3.758; p = 0.027), operation time (mean difference [MD]: 27.372; 95% CI: 8.236–47.210; p = 0.000), the length of hospital stay (MD: -0.911; 95% CI: -1.287 to -0.535; p = 0.000), conversion rate (rate difference: -0.090; 95% CI: -1.287 to -0.535; p = 0.000), operation cost (MD: 2816.564; 95% CI: 1782.028–3851.064; p = 0.000). However, no significant difference was detected in estimated blood loss, total complication, severe complication, lymph nodules harvest, blood transfusion rate, total pancreatic fistula, severe pancreatic fistula, R0 resection rate and mortality.
Both robotic and laparoscopic DP are safe and feasible. Although robotic DP increases the operation cost, the spleen-preserving rate is much higher. Robotic surgery may be an alternative approach to DP. |
| doi_str_mv | 10.2217/cer-2019-0124 |
| format | Article |
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EMBASE, PubMed, the Cochrane Library, CNKI and Wan Fang database were retrieved from the inception of electronic databases to June 2019. All analyses were performed using Stata/SE 15.1 version (StataCorp).
Twenty-two papers were included, four of which were prospective studies and the rest were retrospective studies. There was significant difference in spleen preservation rate (odds ratio: 2.020; 95% CI: 1.085–3.758; p = 0.027), operation time (mean difference [MD]: 27.372; 95% CI: 8.236–47.210; p = 0.000), the length of hospital stay (MD: -0.911; 95% CI: -1.287 to -0.535; p = 0.000), conversion rate (rate difference: -0.090; 95% CI: -1.287 to -0.535; p = 0.000), operation cost (MD: 2816.564; 95% CI: 1782.028–3851.064; p = 0.000). However, no significant difference was detected in estimated blood loss, total complication, severe complication, lymph nodules harvest, blood transfusion rate, total pancreatic fistula, severe pancreatic fistula, R0 resection rate and mortality.
Both robotic and laparoscopic DP are safe and feasible. Although robotic DP increases the operation cost, the spleen-preserving rate is much higher. Robotic surgery may be an alternative approach to DP.</description><identifier>ISSN: 2042-6305</identifier><identifier>EISSN: 2042-6313</identifier><identifier>DOI: 10.2217/cer-2019-0124</identifier><identifier>PMID: 31975614</identifier><language>eng</language><publisher>England: Future Medicine Ltd</publisher><subject>Abdomen ; Blood Transfusion ; Blood transfusions ; distal pancreatectomy ; Fistula ; Handbooks ; Humans ; laparoscopic surgery ; Laparoscopy ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Length of Stay ; Male ; Meta-analysis ; Middle Aged ; Mortality ; Operative Time ; Pancreatectomy ; Pancreatectomy - adverse effects ; Pancreatic Fistula - complications ; Pancreatic Fistula - surgery ; Pancreatic Neoplasms ; Postoperative Complications - etiology ; Prospective Studies ; Retrospective Studies ; Robotic surgery ; Robotic Surgical Procedures - adverse effects ; Robotic Surgical Procedures - methods ; Software ; Spleen ; Spleen - surgery ; Surgery ; Treatment Outcome</subject><ispartof>Journal of comparative effectiveness research, 2020-02, Vol.9 (3), p.201-218</ispartof><rights>2020 Future Medicine Ltd</rights><rights>Copyright Future Medicine Ltd Feb 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-7683fe8c44202993f861f437e130cd5adb2e9c89460f64f1665373f3c50ca1003</citedby><cites>FETCH-LOGICAL-c371t-7683fe8c44202993f861f437e130cd5adb2e9c89460f64f1665373f3c50ca1003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31975614$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hu, Yong-Hao</creatorcontrib><creatorcontrib>Qin, Ya-Fei</creatorcontrib><creatorcontrib>Yu, Ding-Ding</creatorcontrib><creatorcontrib>Li, Xiang</creatorcontrib><creatorcontrib>Zhao, Yi-Ming</creatorcontrib><creatorcontrib>Kong, De-Jun</creatorcontrib><creatorcontrib>Jin, Wang</creatorcontrib><creatorcontrib>Wang, Hao</creatorcontrib><title>Meta-analysis of short-term outcomes comparing robot-assisted and laparoscopic distal pancreatectomy</title><title>Journal of comparative effectiveness research</title><addtitle>J Comp Eff Res</addtitle><description>To evaluate and compare the short-term outcomes of robotic surgery and laparoscopic approach in distal pancreatectomy (DP).
EMBASE, PubMed, the Cochrane Library, CNKI and Wan Fang database were retrieved from the inception of electronic databases to June 2019. All analyses were performed using Stata/SE 15.1 version (StataCorp).
Twenty-two papers were included, four of which were prospective studies and the rest were retrospective studies. There was significant difference in spleen preservation rate (odds ratio: 2.020; 95% CI: 1.085–3.758; p = 0.027), operation time (mean difference [MD]: 27.372; 95% CI: 8.236–47.210; p = 0.000), the length of hospital stay (MD: -0.911; 95% CI: -1.287 to -0.535; p = 0.000), conversion rate (rate difference: -0.090; 95% CI: -1.287 to -0.535; p = 0.000), operation cost (MD: 2816.564; 95% CI: 1782.028–3851.064; p = 0.000). However, no significant difference was detected in estimated blood loss, total complication, severe complication, lymph nodules harvest, blood transfusion rate, total pancreatic fistula, severe pancreatic fistula, R0 resection rate and mortality.
Both robotic and laparoscopic DP are safe and feasible. Although robotic DP increases the operation cost, the spleen-preserving rate is much higher. Robotic surgery may be an alternative approach to DP.</description><subject>Abdomen</subject><subject>Blood Transfusion</subject><subject>Blood transfusions</subject><subject>distal pancreatectomy</subject><subject>Fistula</subject><subject>Handbooks</subject><subject>Humans</subject><subject>laparoscopic surgery</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Meta-analysis</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Operative Time</subject><subject>Pancreatectomy</subject><subject>Pancreatectomy - adverse effects</subject><subject>Pancreatic Fistula - complications</subject><subject>Pancreatic Fistula - surgery</subject><subject>Pancreatic Neoplasms</subject><subject>Postoperative Complications - etiology</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures - adverse effects</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Software</subject><subject>Spleen</subject><subject>Spleen - surgery</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>2042-6305</issn><issn>2042-6313</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kb1PHDEQxa0oUQ4RyrTIUpo0Bn-td10iRBIkEA2pLd_sGPa0u15sb3H_fXw6oECKi7HH_s2T_B4h3wW_kFK0l4CJSS4s40LqT-REci2ZUUJ9fj_zZkPOct7xukynbSO_ko0Stm2M0Cekv8fimZ_9uM9DpjHQ_BxTYQXTRONaIE6Yaa2LT8P8RFPcxsJ8rnDBnvq5p6OvbzFDXAagfb33I138DAl9QShx2n8jX4IfM5697qfk76-bx-s_7O7h9-311R0D1YrCWtOpgB1oLbm0VoXOiKBVi0Jx6BvfbyVa6Kw2PBgdhDGNalVQ0HDwgnN1Sn4edZcUX1bMxU1DBhxHP2Ncs5OqShtrhKjojw_oLq6p2lCphreiGmVlpdiRgvrBnDC4JQ2TT3snuDsk4GoC7pCAOyRQ-fNX1XU7Yf9Ov_ldAXsEwlrWhBkGnAHdsasTAwwz_kf8H-pwlLs</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Hu, Yong-Hao</creator><creator>Qin, Ya-Fei</creator><creator>Yu, Ding-Ding</creator><creator>Li, Xiang</creator><creator>Zhao, Yi-Ming</creator><creator>Kong, De-Jun</creator><creator>Jin, Wang</creator><creator>Wang, Hao</creator><general>Future Medicine Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20200201</creationdate><title>Meta-analysis of short-term outcomes comparing robot-assisted and laparoscopic distal pancreatectomy</title><author>Hu, Yong-Hao ; Qin, Ya-Fei ; Yu, Ding-Ding ; Li, Xiang ; Zhao, Yi-Ming ; Kong, De-Jun ; Jin, Wang ; Wang, Hao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-7683fe8c44202993f861f437e130cd5adb2e9c89460f64f1665373f3c50ca1003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdomen</topic><topic>Blood Transfusion</topic><topic>Blood transfusions</topic><topic>distal pancreatectomy</topic><topic>Fistula</topic><topic>Handbooks</topic><topic>Humans</topic><topic>laparoscopic surgery</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Meta-analysis</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Operative Time</topic><topic>Pancreatectomy</topic><topic>Pancreatectomy - adverse effects</topic><topic>Pancreatic Fistula - complications</topic><topic>Pancreatic Fistula - surgery</topic><topic>Pancreatic Neoplasms</topic><topic>Postoperative Complications - etiology</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Robotic surgery</topic><topic>Robotic Surgical Procedures - adverse effects</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Software</topic><topic>Spleen</topic><topic>Spleen - surgery</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hu, Yong-Hao</creatorcontrib><creatorcontrib>Qin, Ya-Fei</creatorcontrib><creatorcontrib>Yu, Ding-Ding</creatorcontrib><creatorcontrib>Li, Xiang</creatorcontrib><creatorcontrib>Zhao, Yi-Ming</creatorcontrib><creatorcontrib>Kong, De-Jun</creatorcontrib><creatorcontrib>Jin, Wang</creatorcontrib><creatorcontrib>Wang, Hao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of comparative effectiveness research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hu, Yong-Hao</au><au>Qin, Ya-Fei</au><au>Yu, Ding-Ding</au><au>Li, Xiang</au><au>Zhao, Yi-Ming</au><au>Kong, De-Jun</au><au>Jin, Wang</au><au>Wang, Hao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Meta-analysis of short-term outcomes comparing robot-assisted and laparoscopic distal pancreatectomy</atitle><jtitle>Journal of comparative effectiveness research</jtitle><addtitle>J Comp Eff Res</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>9</volume><issue>3</issue><spage>201</spage><epage>218</epage><pages>201-218</pages><issn>2042-6305</issn><eissn>2042-6313</eissn><abstract>To evaluate and compare the short-term outcomes of robotic surgery and laparoscopic approach in distal pancreatectomy (DP).
EMBASE, PubMed, the Cochrane Library, CNKI and Wan Fang database were retrieved from the inception of electronic databases to June 2019. All analyses were performed using Stata/SE 15.1 version (StataCorp).
Twenty-two papers were included, four of which were prospective studies and the rest were retrospective studies. There was significant difference in spleen preservation rate (odds ratio: 2.020; 95% CI: 1.085–3.758; p = 0.027), operation time (mean difference [MD]: 27.372; 95% CI: 8.236–47.210; p = 0.000), the length of hospital stay (MD: -0.911; 95% CI: -1.287 to -0.535; p = 0.000), conversion rate (rate difference: -0.090; 95% CI: -1.287 to -0.535; p = 0.000), operation cost (MD: 2816.564; 95% CI: 1782.028–3851.064; p = 0.000). However, no significant difference was detected in estimated blood loss, total complication, severe complication, lymph nodules harvest, blood transfusion rate, total pancreatic fistula, severe pancreatic fistula, R0 resection rate and mortality.
Both robotic and laparoscopic DP are safe and feasible. Although robotic DP increases the operation cost, the spleen-preserving rate is much higher. Robotic surgery may be an alternative approach to DP.</abstract><cop>England</cop><pub>Future Medicine Ltd</pub><pmid>31975614</pmid><doi>10.2217/cer-2019-0124</doi><tpages>18</tpages></addata></record> |
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| ispartof | Journal of comparative effectiveness research, 2020-02, Vol.9 (3), p.201-218 |
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| source | MEDLINE; PubMed Central; Alma/SFX Local Collection |
| subjects | Abdomen Blood Transfusion Blood transfusions distal pancreatectomy Fistula Handbooks Humans laparoscopic surgery Laparoscopy Laparoscopy - adverse effects Laparoscopy - methods Length of Stay Male Meta-analysis Middle Aged Mortality Operative Time Pancreatectomy Pancreatectomy - adverse effects Pancreatic Fistula - complications Pancreatic Fistula - surgery Pancreatic Neoplasms Postoperative Complications - etiology Prospective Studies Retrospective Studies Robotic surgery Robotic Surgical Procedures - adverse effects Robotic Surgical Procedures - methods Software Spleen Spleen - surgery Surgery Treatment Outcome |
| title | Meta-analysis of short-term outcomes comparing robot-assisted and laparoscopic distal pancreatectomy |
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