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Meta-Analysis
. 2017 Dec;13(4):e1851.
doi: 10.1002/rcs.1851. Epub 2017 Aug 1.

A comparison of operative outcomes between standard and robotic laparoscopic surgery for endometrial cancer: A systematic review and meta-analysis

Thomas Ind  1   2 , Alex Laios  1 , Matthew Hacking  1 , Marielle Nobbenhuis  1
Affiliations
Meta-Analysis

A comparison of operative outcomes between standard and robotic laparoscopic surgery for endometrial cancer: A systematic review and meta-analysis

Thomas Ind et al. Int J Med Robot. 2017 Dec.

Abstract

Background: Evidence has been systematically assessed comparing robotic with standard laparoscopy for treatment of endometrial cancer.

Methods: A search of Medline, Embase and Cochrane databases was performed until 30th October 2016.

Results: Thirty-six papers including 33 retrospective studies, two matched case-control studies and one randomized controlled study were used in a meta-analysis. Information from a further seven registry/database studies were assessed descriptively. There were no differences in the duration of surgery but days stay in hospital were shorter in the robotic arm (0.46 days, 95%CI 0.26 to 0.66). A robotic approach had less blood loss (57.74 mL, 95%CI 38.29 to 77.20), less conversions to laparotomy (RR = 0.41, 95%CI 0.29 to 0.59), and less overall complications (RR = 0.82, 95%CI 0.72 to 0.93). A robotic approach had higher costs ($1746.20, 95%CI $63.37 to $3429.03).

Conclusion: A robotic approach has favourable clinical outcomes but is more expensive.

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Figures

Figure 1
Figure 1
PRISMA flow chart for trial identification and selection
Figure 2
Figure 2
Duration of operations for endometrial cancer (mins)
Figure 3
Figure 3
Days in hospital following surgery for endometrial cancer
Figure 4
Figure 4
Mean estimated blood loss (mL) following surgery for endometrial cancer
Figure 5
Figure 5
Blood transfusions following surgery for endometrial cancer
Figure 6
Figure 6
All complications related to surgery for endometrial cancer
Figure 7
Figure 7
Conversions to laparotomy following surgery for endometrial cancer
See this image and copyright information in PMC

References

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