A Meta-Analysis of Robotic Surgery in Endometrial Cancer: Comparison with Laparoscopy and Laparotomy

Background. The safety and effectiveness of robotic surgery are evaluated by comparing perioperative outcomes with laparoscopy and laparotomy in endometrial cancer. Method. PubMed, MEDLINE, Embase, Cochrane, and other databases were searched for eligible studies up to April 2019. Studies that compar...

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Veröffentlicht in:	Disease markers 2020, Vol.2020 (2020), p.1-10
Hauptverfasser:	Zhang, Yu, Wu, Haotian, Li, Xiaomao, Wang, Jia, Wang, Fei
Format:	Artikel
Sprache:	eng
Schlagworte:	Analysis Aorta Bias Blood Loss, Surgical - physiopathology Blood Loss, Surgical - prevention & control Blood transfusion Blood Transfusion - statistics & numerical data Cancer Cancer therapies Collaboration Complications Conversion Endometrial cancer Endometrial Neoplasms - pathology Endometrial Neoplasms - surgery Endometrium Female Humans Intraoperative Complications - diagnosis Intraoperative Complications - pathology Intraoperative Complications - prevention & control Laparoscopic surgery Laparoscopy Laparoscopy - adverse effects Laparoscopy - methods Laparotomy Laparotomy - adverse effects Laparotomy - methods Length of Stay - statistics & numerical data Lymph nodes Lymph Nodes - pathology Lymph Nodes - surgery Lymphatic system Meta-analysis Middle Aged Nodes Odds Ratio Oncology, Experimental Operative Time Postoperative Complications - diagnosis Postoperative Complications - pathology Postoperative Complications - prevention & control Quality Robotic surgery Robotic Surgical Procedures - adverse effects Robotic Surgical Procedures - methods Studies Surgery Transfusion
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Zusammenfassung:	Background. The safety and effectiveness of robotic surgery are evaluated by comparing perioperative outcomes with laparoscopy and laparotomy in endometrial cancer. Method. PubMed, MEDLINE, Embase, Cochrane, and other databases were searched for eligible studies up to April 2019. Studies that compared robotic surgery with laparoscopy or laparotomy in surgical staging of endometrial cancer were included. The pooled odds ratio and weighted mean difference were calculated using a random-effects or a fixed-effects model to summarize the results. Results. Twenty-seven articles were ultimately included, with one randomized controlled trial and 26 observational studies. A total of 6568 patients were included. Meta-analysis showed that robotic surgery had less estimated blood loss (P
ISSN:	0278-0240 1875-8630
DOI:	10.1155/2020/2503753