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01-06-2021 | Original Article

State of the art in robotic liver surgery: a meta-analysis

Authors: Zhiming Zhao, Zhuzeng Yin, Mengyang Li, Nan Jiang, Rong Liu

Published in: Updates in Surgery | Issue 3/2021

Abstract

Although the number of robotic hepatectomy (RH) performed is increasing, few studies have reported its efficacy in comparison with the conventional surgical modalities. The aim of this meta-analysis was to evaluate the perioperative results of RH vs. open hepatectomy (OH) and RH vs. laparoscopic hepatectomy (LH). We systematically searched for English papers published in PubMed (Medline), Embase, and Cochrane library before March 1, 2020. A total of 39 papers and 2999 patients were eventually included. Among the included patients, 1249, 1010, and 740 underwent RH, LH, and OH, respectively. Compared with OH, the operation time was significantly increased but the intraoperative blood loss, blood transfusion rate, incidence of severe complications, and length of postoperative hospitalization were significantly reduced in patients with RH. However, there was no significant difference in the use of Pringle maneuver and overall incidence of complications. Compared with LH, the operation time was significantly increased, and the intraoperative blood loss was also more in RH. However, there were no differences in blood transfusion rate, use of Pringle maneuver, incidence of complications, incidence of severe complications, and length of postoperative hospitalization between the two groups. A longer operation time remains the main shortcoming of RH. However, based on the perioperative clinical efficacy, we conclude that RH is comparable to LH but is better than OH for selected patients.

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Title: State of the art in robotic liver surgery: a meta-analysis
Authors: Zhiming Zhao
Zhuzeng Yin
Mengyang Li
Nan Jiang
Rong Liu
Publication date: 01-06-2021
Publisher: Springer International Publishing
Published in: Updates in Surgery / Issue 3/2021
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI: https://doi.org/10.1007/s13304-020-00906-3

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State of the art in robotic liver surgery: a meta-analysis

Abstract

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Abstract

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