Robotic surgery versus conventional laparoscopy in colon cancer patients: a systematic review and meta-analysis
ABSTRACT Purpose: To compare robotic versus laparoscopic colectomies in colon cancer patients in general complications. Methods: Nine databases were searched for randomized controlled trials (RCT) investigating patients with colon cancer, submitted to robotic surgery (RS) compared to a laparoscopi...
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Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
2024-10-01
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| Series: | Acta Cirúrgica Brasileira |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502024000100504&lng=en&tlng=en |
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| author | Giuliana Fulco Gonçalves Pedro Vilar de Oliveira Villarim Vitória Ribeiro Dantas Marinho Clarissa Amaral Abreu Luiz Henrique Moreira Pereira Luiz Henrique Moreira Pereira Sofia Emerenciano Gurgel Amália Cínthia Meneses Rêgo Kleyton Santos de Medeiros Irami Araújo-Filho |
| author_facet | Giuliana Fulco Gonçalves Pedro Vilar de Oliveira Villarim Vitória Ribeiro Dantas Marinho Clarissa Amaral Abreu Luiz Henrique Moreira Pereira Luiz Henrique Moreira Pereira Sofia Emerenciano Gurgel Amália Cínthia Meneses Rêgo Kleyton Santos de Medeiros Irami Araújo-Filho |
| author_sort | Giuliana Fulco Gonçalves |
| collection | DOAJ |
| description | ABSTRACT Purpose: To compare robotic versus laparoscopic colectomies in colon cancer patients in general complications. Methods: Nine databases were searched for randomized controlled trials (RCT) investigating patients with colon cancer, submitted to robotic surgery (RS) compared to a laparoscopic (LC) approach. The risk of bias was assessed using RoB 2.0 tool, and certainty of the evidence was evaluated by Grading of Recommendations, Assessment, Development and Evaluation (GRADE). Data synthesis was performed using the software R. The meta-analysis of the included studies was carried out using the fixed-effects model (DerSimonian and Laird). Heterogeneity was measured using I2 analysis. Results: A total of four studies were used with 293 patients. Three studies were used in this comparative LC vs. RS when evaluating infection rates on surgical wound sites. The odds ratio (OR) appeared to be slightly favorable to LC (OR = 3.05; 95% confidence interval–95%CI 0.78–11.96). In the hospitalization rates analysis, two randomized controlled trials were used, and the mean differences slightly favored the RS (MD = -0.54; 95%CI -2.28–1.19). GRADE evaluation detected a serious risk of bias due to RCT format and RoB-2 concurred. Conclusion: Both types of procedures seem to have their own benefits, risks, and limitations. They seem close to equal in terms of postsurgical infection and hospitalization. |
| format | Article |
| id | doaj-art-146124a916a84e64b384c2541c219e5c |
| institution | Kabale University |
| issn | 1678-2674 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
| record_format | Article |
| series | Acta Cirúrgica Brasileira |
| spelling | doaj-art-146124a916a84e64b384c2541c219e5c2024-11-12T07:41:59ZengSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira1678-26742024-10-013910.1590/acb397224Robotic surgery versus conventional laparoscopy in colon cancer patients: a systematic review and meta-analysisGiuliana Fulco Gonçalveshttps://orcid.org/0000-0002-9112-1769Pedro Vilar de Oliveira Villarimhttps://orcid.org/0000-0002-9504-8589Vitória Ribeiro Dantas Marinhohttps://orcid.org/0000-0002-8514-1560Clarissa Amaral Abreuhttps://orcid.org/0000-0002-1278-3116Luiz Henrique Moreira Pereirahttps://orcid.org/0000-0002-2724-7842Luiz Henrique Moreira Pereirahttps://orcid.org/0000-0002-1985-1984Sofia Emerenciano Gurgelhttps://orcid.org/0009-0006-0422-9779Amália Cínthia Meneses Rêgohttps://orcid.org/0000-0002-0575-3752Kleyton Santos de Medeiroshttps://orcid.org/0000-0002-4105-7535Irami Araújo-Filhohttps://orcid.org/0000-0003-2471-7447ABSTRACT Purpose: To compare robotic versus laparoscopic colectomies in colon cancer patients in general complications. Methods: Nine databases were searched for randomized controlled trials (RCT) investigating patients with colon cancer, submitted to robotic surgery (RS) compared to a laparoscopic (LC) approach. The risk of bias was assessed using RoB 2.0 tool, and certainty of the evidence was evaluated by Grading of Recommendations, Assessment, Development and Evaluation (GRADE). Data synthesis was performed using the software R. The meta-analysis of the included studies was carried out using the fixed-effects model (DerSimonian and Laird). Heterogeneity was measured using I2 analysis. Results: A total of four studies were used with 293 patients. Three studies were used in this comparative LC vs. RS when evaluating infection rates on surgical wound sites. The odds ratio (OR) appeared to be slightly favorable to LC (OR = 3.05; 95% confidence interval–95%CI 0.78–11.96). In the hospitalization rates analysis, two randomized controlled trials were used, and the mean differences slightly favored the RS (MD = -0.54; 95%CI -2.28–1.19). GRADE evaluation detected a serious risk of bias due to RCT format and RoB-2 concurred. Conclusion: Both types of procedures seem to have their own benefits, risks, and limitations. They seem close to equal in terms of postsurgical infection and hospitalization.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502024000100504&lng=en&tlng=enColonic NeoplasmsRobotic Surgical ProceduresColectomy |
| spellingShingle | Giuliana Fulco Gonçalves Pedro Vilar de Oliveira Villarim Vitória Ribeiro Dantas Marinho Clarissa Amaral Abreu Luiz Henrique Moreira Pereira Luiz Henrique Moreira Pereira Sofia Emerenciano Gurgel Amália Cínthia Meneses Rêgo Kleyton Santos de Medeiros Irami Araújo-Filho Robotic surgery versus conventional laparoscopy in colon cancer patients: a systematic review and meta-analysis Acta Cirúrgica Brasileira Colonic Neoplasms Robotic Surgical Procedures Colectomy |
| title | Robotic surgery versus conventional laparoscopy in colon cancer patients: a systematic review and meta-analysis |
| title_full | Robotic surgery versus conventional laparoscopy in colon cancer patients: a systematic review and meta-analysis |
| title_fullStr | Robotic surgery versus conventional laparoscopy in colon cancer patients: a systematic review and meta-analysis |
| title_full_unstemmed | Robotic surgery versus conventional laparoscopy in colon cancer patients: a systematic review and meta-analysis |
| title_short | Robotic surgery versus conventional laparoscopy in colon cancer patients: a systematic review and meta-analysis |
| title_sort | robotic surgery versus conventional laparoscopy in colon cancer patients a systematic review and meta analysis |
| topic | Colonic Neoplasms Robotic Surgical Procedures Colectomy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502024000100504&lng=en&tlng=en |
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