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07.01.2016 | Ausgabe 9/2016

Surgical Endoscopy 9/2016

Systematic review and meta-analysis of robotic versus laparoscopic distal pancreatectomy for benign and malignant pancreatic lesions

Zeitschrift:
Surgical Endoscopy > Ausgabe 9/2016
Autoren:
Bin Huang, Lu Feng, Jichun Zhao
Wichtige Hinweise
Bin Huang and Lu Feng have contributed equally to this study.

Abstract

Background and objective

The number of published series on minimally invasive distal pancreatectomy has significantly increased. Robotic systems can overcome some limitations of laparoscopy. This study aimed to compare two techniques in distal pancreatectomy.

Methods

Multiple electronic databases were systematically searched to identify studies (up to July 2015) that compared perioperative outcomes between robotic distal pancreatectomy (RDP) and laparoscopic distal pancreatectomy (LDP). Relative risks with 95 % confidence intervals (CIs) were estimated.

Results

Nine studies were enrolled in this review. Four studies reported on operative time, indicating no difference between the RDP and LDP groups (WMD = 21.55, 95 % CI −65.28–108.37, P = 0.63). No significant difference between the two groups was indicated with respect to the number of patients who converted to open (OR 0.35, 95 % CI 0.11–1.13, P = 0.08), spleen preservation rate (OR 2.37, 95 % CI 0.50–11.30, P = 0.28), and transfusion rate (OR 1.30, 95 % CI 0.54–3.13, P = 0.56). In addition, no difference was indicated in the incidence of pancreatic fistulas (OR 1.05, 95 % CI 0.67–1.65, P = 0.83) and length of hospital stay between the two groups (WMD = −0.61, 95 % CI −1.40–0.19, P = 0.13).

Conclusions

RDP seems to be a safe and effective alternative to LDP. Large randomized controlled trials are needed to verify the results of this meta-analysis.

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