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. 2024 Apr-Jun;15(2):91-98.
doi: 10.4103/jmh.jmh_235_23. Epub 2024 Jul 5.

Robotic-assisted Versus Conventional Laparoscopic Hysterectomy for Benign Gynecological Conditions: A Systematic Review and Meta-analysis

Anupama Bahadur  1 , Rabia Zaman  1 , Rajlaxmi Mundhra  1 , Kalaivani Mani  2
Affiliations

Robotic-assisted Versus Conventional Laparoscopic Hysterectomy for Benign Gynecological Conditions: A Systematic Review and Meta-analysis

Anupama Bahadur et al. J Midlife Health. 2024 Apr-Jun.

Abstract

Background: Minimally invasive gynecologic surgery is safe and feasible procedure for benign gynaecological conditions with less morbidity.

Objective: To determine the best approach in benign gynecology and establish superiority of robotic over conventional laparoscopic hysterectomy in terms of safety and effectiveness.

Methods: Search strategy: Electronic databases: MEDLINE, Embase, CENTRAL (the Registry of Controlled Clinical Studies of the Cochrane Collaboration), Google scholar, Pubmed and Scopus were searched from 2010-2022. Selection criteria: All randomized controlled trials and quasi-randomised trials which compared robotic versus conventional laparoscopic hysterectomy were included to conduct this systematic review and meta-analysis to investigate compared to traditional approaches.

Results: Only five RCTs (326 patients in total) comparing robotic and conventional laparoscopic hysterectomy were included after a comprehensive literature search. Results of our analysis showed no clear benefit in any of the two techniques in operating time, estimated blood loss, length of hospital stay and overall complications.

Conclusion: This systematic review suggests no statistical difference in surgical and patient outcomes between robotic and conventional laparoscopic hysterectomy relating to OT, EBL, LOHS, overall complications, and survival.

Keywords: Conventional laparoscopy; meta-analysis; robotic surgery.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram
Figure 2
Figure 2
Comparing operating times. SD: Standard deviation, CI: Confidence interval
Figure 3
Figure 3
Comparison of estimated blood loss. SD: Standard deviation, CI: Confidence interval
Figure 4
Figure 4
Comparing length of hospital stay. SD: Standard deviation, CI: Confidence interval
Figure 5
Figure 5
Intraoperative complications. SD: Standard deviation, CI: Confidence interval
Figure 6
Figure 6
Postoperative complications. SD: Standard deviation, CI: Confidence interval
Figure 7
Figure 7
Quality of life. SD: Standard deviation, CI: Confidence interval
Figure 8
Figure 8
Risk of bias assessment graph and summary
See this image and copyright information in PMC

References

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    1. Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;2015:CD003677. - PMC - PubMed
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    1. Abitbol J, Munir A, How J, Lau S, Salvador S, Kogan L, et al. The shifting trends towards a robotically-assisted surgical interface: Clinical and financial implications. Health Policy Technol. 2020;9:157–65.
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