Systematic review and meta-analysis of robotic versus open hepatectomy
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AbstractBackground
To date, there are few studies comparing the outcomes of robotic hepatectomy (RH) versus open hepatectomy (OH). We report the first systematic review and meta‐analysis comparing the outcomes of RH versus OH.

Methods
A systemic review was performed of all comparative studies of RH versus OH that reported the perioperative outcome(s) of interest.

Results
Seven retrospective cohort studies were included. There was no significant difference in patients' baseline characteristics. RH was associated with a longer operation time (mean difference (MD) 61.47 min; 95% confidence interval (CI) (7.03, 115.91); P = 0.03), shorter hospital stay (MD −2.57 days; 95% CI (−3.31, −1.82); P < 0.001), lower costs, less overall (risk ratio (RR) 0.63; 95% CI (0.46, 0.86); P = 0.004), minor (RR 0.64; 95% CI (0.43, 0.95); P = 0.03) and major (RR 0.45; 95% CI (0.22, 0.94); P = 0.03) post‐operative complications compared to OH.

Conclusion
RH had superior perioperative outcomes and was not cost prohibitive compared to OH, but had longer operation times.
All Author(s) ListWong DJ, Wong MJ, Choi GH, Wu YM, Lai PB, Goh BKP
Journal nameANZ Journal of Surgery
Year2019
Month3
Volume Number89
Issue Number3
PublisherWiley
Pages165 - 170
ISSN1445-1433
eISSN1445-2197
LanguagesEnglish-United States

Last updated on 2021-27-11 at 23:57