Outcomes of Robotic Vs Laparoscopic Hepatectomy: A Systematic Review and Meta-analysis

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2015 Jul 29

PMID 26217097

Citations 36

Authors

Roberto Montalti

Giammauro Berardi

Alberto Patriti

Marco Vivarelli

Roberto Ivan Troisi

Affiliations

Soon will be listed here.

Abstract

Aim: To perform a systematic review and meta-analysis on robotic-assisted vs laparoscopic liver resections.

Methods: A systematic literature search was performed using PubMed, Scopus and the Cochrane Library Central. Participants of any age and sex, who underwent robotic or laparoscopic liver resection were considered following these criteria: (1) studies comparing robotic and laparoscopic liver resection; (2) studies reporting at least one perioperative outcome; and (3) if more than one study was reported by the same institute, only the most recent was included. The primary outcome measures were set for estimated blood loss, operative time, conversion rate, R1 resection rate, morbidity and mortality rates, hospital stay and major hepatectomy rates.

Results: A total of 7 articles, published between 2010 and 2014, fulfilled the selection criteria. The laparoscopic approach was associated with a significant reduction in blood loss and lower operative time (MD = 83.96, 95%CI: 10.51-157.41, P = 0.03; MD = 68.43, 95%CI: 39.22-97.65, P < 0.00001, respectively). No differences were found with respect to conversion rate, R1 resection rate, morbidity and hospital stay.

Conclusion: Laparoscopic liver resection resulted in reduced blood loss and shorter surgical times compared to robotic liver resections. There was no difference in conversion rate, R1 resection rate, morbidity and length of postoperative stay.

Citing Articles

Complete transition from laparoscopic to robotic liver surgery achieves superior outcomes in difficult hepatectomies: a seven-year retrospective study.

Haugen C, Noriega M, Andy C, Waite C, Carpenter D, Halazun K Surg Endosc. 2025; 39(3):1600-1608.

PMID: 39762602 DOI: 10.1007/s00464-024-11474-7.

Update on Resection Strategies for Hepatocellular Carcinoma: A Narrative Review.

Lee J, Choi H, Kim J, Lee T, Yoon Y Cancers (Basel). 2024; 16(23).

PMID: 39682279 PMC: 11640626. DOI: 10.3390/cancers16234093.

Comparison of short-term outcomes between robotic and laparoscopic liver resection: a meta-analysis of propensity score-matched studies.

Gao F, Zhao X, Xie Q, Jiang K, Mao T, Yang M Int J Surg. 2023; 110(2):1126-1138.

PMID: 37924495 PMC: 10871648. DOI: 10.1097/JS9.0000000000000857.

Robotic Versus Laparoscopic Hepatectomy: A Single Surgeon Experience of 629 Consecutive Minimally Invasive Liver Resections.

Winckelmans T, Wicherts D, Parmentier I, De Meyere C, Verslype C, DHondt M World J Surg. 2023; 47(9):2241-2249.

PMID: 37208537 DOI: 10.1007/s00268-023-07060-y.

Major hepatectomy in elderly patients: possible benefit from robotic platform utilization.

Yoshino O, Wang Y, McCarron F, Motz B, Wang H, Baker E Surg Endosc. 2023; 37(8):6228-6234.

PMID: 37173594 DOI: 10.1007/s00464-023-10062-5.

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