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Robotic assistance may reduce conversion to open in rectal carcinoma laparoscopic surgery: systematic review and meta‐analysis
Author(s) -
OrtizOshiro Elena,
SánchezEgido Iris,
MorenoSierra Jesús,
Pérez Cristina Fernández,
Díaz Jesús Sánchez,
FernándezRepresa Jesús Álvarez
Publication year - 2012
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1426
Subject(s) - meta analysis , medicine , colorectal cancer , robotic surgery , surgery , colorectal surgery , laparoscopic surgery , rectal carcinoma , general surgery , open surgery , laparoscopy , abdominal surgery , cancer
Abstract Background We hypothesized that robotic assistance (RARS) could provide better intraoperative and short‐term outcomes than a traditional laparoscopic approach (LARS) to rectal cancer surgery. Methods Systematic review of the literature, including electronic searches and communications to international robotic meetings. Inclusion criteria: studies involving rectal cancer patients and comparing outcomes of robotic surgery vs laparoscopic surgery. Primary end‐points: conversion and postoperative short‐term complications. Meta‐analysis performed using Review Manager 5.0 software. Results Five case–control studies involving 486 patients (203 RARS–283 LARS) were finally included. Conversion to open rate (RR = 0.31; 95% CI 0.12,0.78) was lower for RARS. No differences were found in oncological outcomes, hospital stay or anastomotic leakage. Conclusions This meta‐analysis of available non‐randomized studies suggests that conversion to open rate may be reduced when using RARS instead of LARS for rectal cancer. Copyright © 2012 John Wiley & Sons, Ltd.