Comparison of perioperative and short-term outcomes between robotic and conventional laparoscopic surgery for colonic cancer : a systematic review and meta-analysis :a systematic review and meta-analysis

Sungwon Lim; Jin Hee Kim; Se-Jin Baek; Seon-Hahn Kim; Seon Heui Lee

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자료유형: 학술저널

저자정보: Sungwon Lim (National Evidence-Based Healthcare Collaborating Agency) Jin Hee Kim (Chosun University) Se-Jin Baek (Korea University College of Medicine) Seon-Hahn Kim (Korea University College of Medicine) Seon Heui Lee (Gachon University)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.90 No.6

발행연도: 2016.5

수록면: 328 - 339 (12page)

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Purpose: Reports from several case series have described the feasibility and safety of robotic surgery (RS) for colonic cancer. Experience is still limited in robotic colonic surgery, and a few meta-analysis has been conducted to integrate the results for colon cancer specifically. We conducted a systematic review of the available evidence comparing the surgical safety and efficacy of RS with that of conventional laparoscopic surgery (CLS) for colonic cancer.
Methods: We searched English databases (MEDLINE, Embase, and Cochrane Library), and Korean databases (KoreaMed, KMbase, KISS, RISS, and KisTi). Dichotomous variables were pooled using the risk ratio, and continuous variables were pooled using the mean difference (MD).
Results: The present study found that the RS group had a shorter time to resumption of a regular diet (MD, –0.62 days; 95% CI, –0.97 to –0.28), first passage of flatus (MD, –0.44 days; 95% CI, –0.66 to –0.23) and defecation (MD, –0.62 days; 95% CI, –0.77 to –0.47). Also, RS was associated with a shorter hospital stay (MD, –0.69 days; 95% CI, –1.12 to –0.26), a lower estimated blood loss (MD, –19.49 mL; 95% CI, –27.10 to –11.89) and a longer proximal margin (MD, 2.29 cm; 95% CI, 1.11-3.47). However, RS was associated with a longer surgery time (MD, 51.00 minutes; 95% CI, 39.38–62.62).
Conclusion: We found that the potential benefits of perioperative and short-term outcomes for RS than for CLS. For a more accurate understanding of RS for colonic cancer patients, robust comparative studies and randomized clinical trials are required.

#Robotic surgical procedures #Colonic neoplasms

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