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Robotic cholecystectomy versus conventional laparoscopic cholecystectomy: A meta-analysis
Yeqian Huang1, Terence C Chua1, Guy J Maddern2
1Department of Gastrointestinal Surgery, Royal North Shore Hospital, St Leonards, New South Wales, Australia, and the Discipline of Surgery, University of Sydney, Sydney, New South Wales, Australia.
Surgery
|December 25, 2016
Summary
Robotic cholecystectomy offers enhanced visualization and ergonomics but has longer operative times. This novel approach shows similar safety and perioperative outcomes compared to conventional laparoscopic cholecystectomy.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Gastrointestinal Surgery
Background:
- Robotic cholecystectomy represents a technical advancement over conventional and single-incision laparoscopy.
- It provides surgeons with improved 3D visualization and instrument ergonomics.
Purpose of the Study:
- To compare the short-term outcomes of robotic cholecystectomy with conventional laparoscopic cholecystectomy.
- To conduct a meta-analysis of existing studies.
Main Methods:
- A comprehensive literature search was performed across MEDLINE, EMBASE, and PubMed databases.
- Data from 13 studies (1,589 patients) were extracted and analyzed using meta-analysis techniques.
- Studies were appraised based on standard selection criteria.
Main Results:
- Robotic cholecystectomy showed a trend towards longer total operative and preoperative times.
- No significant differences were observed in intraoperative or postoperative complications, conversion rates, blood loss, hospital stay, or readmission rates.
- Key perioperative outcomes were similar between robotic and conventional laparoscopic cholecystectomy groups.
Conclusions:
- Robotic cholecystectomy is associated with increased operative times, mainly due to the preparatory phase.
- The safety and perioperative outcomes are comparable to conventional laparoscopic cholecystectomy.
- Further research is needed to quantify equipment benefits and evaluate its use in acute settings.
