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Laparoscopic versus Robotic Hepatectomy: A Systematic Review and Meta-Analysis
Taslim Aboudou1,2,3,4, Meixuan Li3,4, Zeliang Zhang1,2
1The First School of Clinical Medicine, Lanzhou University, Lanzhou 730000, China.
Journal of Clinical Medicine
|October 14, 2022
Summary
Robotic hepatectomy shows longer surgical times but equivalent outcomes compared to laparoscopic hepatectomy. Further clinical trials are recommended to fully evaluate robotic liver resection efficacy.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Gastroenterology
Background:
- Laparoscopic hepatectomy is a standard minimally invasive approach for liver resection.
- Robotic hepatectomy offers potential advantages in precision and dexterity.
- Comparative outcomes between robotic and laparoscopic hepatectomy require further investigation.
Purpose of the Study:
- To systematically review and meta-analyze surgical outcomes comparing robotic versus laparoscopic hepatectomy.
- To evaluate key surgical parameters including operation time, blood loss, and complications.
- To assess the overall efficacy and equivalence of robotic liver resection.
Main Methods:
- Systematic review and meta-analysis of original studies.
- Inclusion of studies from PubMed, EMBASE, and Cochrane Library databases.
- Analysis of data from 682 patients undergoing robotic liver resection and 1101 patients undergoing laparoscopic hepatectomy.
Main Results:
- Robotic surgery demonstrated a significantly longer surgical duration (MD = 43.99, p = 0.0001).
- No significant differences were observed in length of hospital stay, blood loss, conversion rates, or tumor size.
- Subgroup analysis indicated no significant difference in operation time for major or minor hepatectomies.
Conclusions:
- Robotic hepatectomy is effective and equivalent to laparoscopic hepatectomy in overall surgical outcomes, despite longer operation times.
- Further clinical trials are necessary to comprehensively evaluate the long-term efficacy and precise outcomes of robotic liver resection.
