Your browser doesn't support javascript.
loading
Robotic versus laparoscopic total mesorectal excision with lateral lymph node dissection for advanced rectal cancer: A systematic review and meta-analysis.
Chaouch, Mohamed Ali; Hussain, Mohammad Iqbal; Carneiro da Costa, Adriano; Mazzotta, Alessandro; Krimi, Bassem; Gouader, Amine; Cotte, Eddy; Khan, Jim; Oweira, Hani.
Afiliación
  • Chaouch MA; Department of visceral and digestive surgery, Monastir University Hospital, Monastir, Tunisia.
  • Hussain MI; Department of Robotic Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth, United Kingdom.
  • Carneiro da Costa A; Department of Surgery, Federal University of Pernambuco, Recife, Pernambuco, Brazil.
  • Mazzotta A; Department of Surgery, M. G. Vannini Hospital, Istituto Figlie Di San Camillo, Rome, Italy.
  • Krimi B; Department of Surgery, Perpignan Hospital Center, Perpignan, France.
  • Gouader A; Department of Surgery, Perpignan Hospital Center, Perpignan, France.
  • Cotte E; Department of Visceral Surgery, University Hospital of Lyon, University of Lyon, Lyon, France.
  • Khan J; Department of Robotic Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth, United Kingdom.
  • Oweira H; Department of Surgery, Universitäts Medizin Mannheim, Heidelberg University, Mannheim, Germany.
PLoS One ; 19(5): e0304031, 2024.
Article en En | MEDLINE | ID: mdl-38809911
ABSTRACT

INTRODUCTION:

Lateral pelvic node dissection (LPND) poses significant technical challenges. Despite the advent of robotic surgery, determining the optimal minimally invasive approach remains a topic of debate. This study aimed to compare postoperative outcomes between robotic total mesorectal excision with LPND (R-LPND) and laparoscopic total mesorectal excision with LPND (L-LPND).

METHODS:

This meta-analysis was conducted according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) 2020 and AMSTAR 2 (Assessing the Methodological Quality of Systematic Reviews) guidelines. Utilizing the RevMan 5.3.5 statistical package from the Cochrane Collaboration, a random-effects model was employed.

RESULTS:

Six eligible studies involving 652 patients (316 and 336 in the R-LPND and L-LPND groups, respectively) were retrieved. The robotic approach demonstrated favourable outcomes compared with the laparoscopic approach, manifesting in lower morbidity rates, reduced urinary complications, shorter hospital stays, and a higher number of harvested lateral pelvic lymph nodes. However, longer operative time was associated with the robotic approach. No significant differences were observed between the two groups regarding major complications, anastomotic leak, intra-abdominal infection, neurological complications, LPND time, overall recurrence, and local recurrence.

CONCLUSIONS:

In summary, the robotic approach is a safe and feasible alternative for Total Mesorectal Excision (TME) with LPND in advanced rectal cancer. Notably, it is associated with lower morbidity, particularly a reduction in urinary complications, a shorter hospital stay and increased number of harvested lateral pelvic nodes. The trade-off for these benefits is a longer operative time.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Recto / Laparoscopía / Procedimientos Quirúrgicos Robotizados / Escisión del Ganglio Linfático Límite: Humans Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Túnez Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Recto / Laparoscopía / Procedimientos Quirúrgicos Robotizados / Escisión del Ganglio Linfático Límite: Humans Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Túnez Pais de publicación: Estados Unidos