AI Article Synopsis
- A systematic review and meta-analysis was conducted to compare robotic hepatectomy (RH) with open hepatectomy (OH), analyzing perioperative outcomes from seven studies.
- RH resulted in longer operation times but shorter hospital stays, lower overall and complication rates compared to OH.
- The findings suggest that RH offers better perioperative outcomes without being a major cost burden, despite the increased time required for the procedure.
Article Abstract
Background: 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.
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| http://dx.doi.org/10.1111/ans.14690 | DOI Listing |
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