Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2021 Aug;36(8):1685-1694.
doi: 10.1007/s00384-021-03885-y. Epub 2021 Mar 1.

Meta-analysis on current status, efficacy, and safety of laparoscopic and robotic ventral mesh rectopexy for rectal prolapse treatment: can robotic surgery become the gold standard?

Xu Bao  1 , Huan Wang  2 , Weiliang Song  3 , Yuzhuo Chen  3 , Ying Luo  4
Affiliations
Meta-Analysis

Meta-analysis on current status, efficacy, and safety of laparoscopic and robotic ventral mesh rectopexy for rectal prolapse treatment: can robotic surgery become the gold standard?

Xu Bao et al. Int J Colorectal Dis. 2021 Aug.

Abstract

Purpose: Robotic-assisted surgery and robotic-assisted ventral mesh rectopexy are gaining attention in the treatment of rectal prolapse and increased positive findings are proposed. The objective of this meta-analysis was to investigate whether robotic-assisted ventral mesh rectopexy is comparable with the conventional laparoscopic approach surgery.

Methods: Five major databases (PubMed, Sciencedirect, Web of Science, Embase, and Cochrane Library) were searched for eligible studies. Observational studies of the effect and safety of robotic-assisted and laparoscopic approaches on ventral mesh rectopexy were included. Odd ratios (OR) and weight mean difference (WMD) were used for dichotomous data and continuous data analysis. Clinical outcomes, functional outcomes, and cost-effectiveness data were extracted for meta-analysis.

Results: Compared to the laparoscopic approach, a significant shorter length of hospital stay (LOS), lesser intraoperative blood loss, and lower post-operative complication rate of RVMR group were observed. However, operation time of RVMR was significant increased. The expense of RVMR was higher than LVMR; mean Wexner scores and fecal incontinence were lower in RVMR group while there were no statistical differences.

Conclusion: The result of the current analysis revealed that the robotic-assisted ventral mesh rectopexy is effective and feasible in the treatment of rectal prolapse. However, long-term follow-up and results are needed for the promotion of this approach. There is a long way for robotic-assisted surgery to become a gold standard in rectal surgery.

Keywords: Laparoscopic; Meta-analysis; Rectal prolapse; Robotic-assisted; Ventral mesh rectopexy.

PubMed Disclaimer

References

    1. van Iersel JJ, Paulides TJ, Verheijen PM, Lumley JW, Broeders IA, Consten EC (2016) Current status of laparoscopic and robotic ventral mesh rectopexy for external and internal rectal prolapse. World J Gastroenterol 22(21):4977–4987. https://doi.org/10.3748/wjg.v22.i21.4977 - DOI - PubMed - PMC
    1. D'Hoore A, Cadoni R, Penninckx F (2004) Long-term outcome of laparoscopic ventral rectopexy for total rectal prolapse. Br J Surg 91(11):1500–1505. https://doi.org/10.1002/bjs.4779 - DOI - PubMed
    1. Tsunoda A (2020) Surgical treatment of rectal prolapse in the laparoscopic era; a review of the literature. J Anus Rectum Colon 4(3):89–99. https://doi.org/10.23922/jarc.2019-035 - DOI - PubMed - PMC
    1. Ayav A, Bresler L, Hubert J, Brunaud L, Boissel P (2005) Robotic-assisted pelvic organ prolapse surgery. Surg Endosc 19(9):1200–1203. https://doi.org/10.1007/s00464-004-2257-5 - DOI - PubMed
    1. Kamali D, Reddy A, Imam S, Omar K, Jha A, Jha M (2017) Short-term surgical outcomes and patient quality of life between robotic and laparoscopic extralevator abdominoperineal excision for adenocarcinoma of the rectum. Ann R Coll Surg Engl 99(8):607–613. https://doi.org/10.1308/rcsann.2017.0093 - DOI - PubMed - PMC

Publication types

LinkOut - more resources