A Meta-Analysis of Robotic Surgery in Endometrial Cancer: Comparison with Laparoscopy and Laparotomy
Joint Authors
Li, Xiaomao
Wang, Jia
Wu, Haotian
Zhang, Yu
Wang, Fei
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-01-21
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
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<0.001), blood transfusion (P=0.04), intraoperative complications (P=0.001), and conversion to open surgery (P=0.001), and a shorter hospital stay (P=0.001), but had a longer operation time (P=0.04) in surgical staging of endometrial cancer compared with laparoscopy.
There were no significant differences in postoperative complications, the total number of lymph nodes harvested, the number of pelvic lymph nodes harvested, and the number of para-aortic lymph nodes harvested between techniques.
Robotic surgery had a longer operation time (P=0.008), less estimated blood loss (P<0.001), blood transfusion (P<0.001), and postoperative complications (P<0.001), and a shorter hospital stay (P<0.001) compared with laparotomy.
There were no significant differences in other variables between techniques.
Conclusion.
Robotic surgery is a safer surgical approach than laparoscopy and laparotomy in surgical staging of endometrial cancer, with less estimated blood loss, blood transfusion, and conversion, and the same number of lymph nodes harvested.
American Psychological Association (APA)
Wang, Jia& Li, Xiaomao& Wu, Haotian& Zhang, Yu& Wang, Fei. 2020. A Meta-Analysis of Robotic Surgery in Endometrial Cancer: Comparison with Laparoscopy and Laparotomy. Disease Markers،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1153789
Modern Language Association (MLA)
Wang, Jia…[et al.]. A Meta-Analysis of Robotic Surgery in Endometrial Cancer: Comparison with Laparoscopy and Laparotomy. Disease Markers No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1153789
American Medical Association (AMA)
Wang, Jia& Li, Xiaomao& Wu, Haotian& Zhang, Yu& Wang, Fei. A Meta-Analysis of Robotic Surgery in Endometrial Cancer: Comparison with Laparoscopy and Laparotomy. Disease Markers. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1153789
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1153789