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Comparison between robotic and open liver resection: a systematic review and meta-analysis of short-term outcomes.

Publication ,  Journal Article
Machairas, N; Papaconstantinou, D; Tsilimigras, DI; Moris, D; Prodromidou, A; Paspala, A; Spartalis, E; Kostakis, ID
Published in: Updates in surgery
March 2019

Minimally invasive liver surgery has evolved significantly during the last 2 decades. A growing number of published studies report outcomes from robotic liver resections (RLR). The aim of our meta-analysis was to evaluate short-term outcomes after RLR vs. open liver resection (OLR). A systematic search of Medline, Scopus, Google Scholar, Cochrane CENTRAL Register of Controlled Trials and Clinicaltrials.gov databases for articles published from January 2000 until November 2018 was performed. Ten non-randomized retrospective clinical studies comprising a total of 1248 patients were included in our meta-analysis. Four hundred and fifty-eight patients underwent RLR and 790 underwent OLR. RLRs were associated with lower overall morbidity rates (p =0.006) and shorter hospital stay (p <0.00001), whereas OLRs were associated with shorter operative time (p =0.003). No differences were shown between the two groups with regard to blood loss, blood transfusion requirements, R0 resection and mortality rates. Cumulative conversion rate was 4.6% in the RLR group. Due to limited available data, further prospective randomized studies are needed to better determine the potential beneficial role of the robotic approach in the treatment of malignant and benign hepatic tumors.

Duke Scholars

Published In

Updates in surgery

DOI

EISSN

2038-3312

ISSN

2038-131X

Publication Date

March 2019

Volume

71

Issue

1

Start / End Page

39 / 48

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Robotic Surgical Procedures
  • Operative Time
  • Male
  • Length of Stay
  • Humans
  • Hepatectomy
  • Female
  • Databases, Bibliographic
 

Citation

APA
Chicago
ICMJE
MLA
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Machairas, N., Papaconstantinou, D., Tsilimigras, D. I., Moris, D., Prodromidou, A., Paspala, A., … Kostakis, I. D. (2019). Comparison between robotic and open liver resection: a systematic review and meta-analysis of short-term outcomes. Updates in Surgery, 71(1), 39–48. https://doi.org/10.1007/s13304-019-00629-0
Machairas, Nikolaos, Dimetrios Papaconstantinou, Diamantis I. Tsilimigras, Dimitrios Moris, Anastasia Prodromidou, Anna Paspala, Eleftherios Spartalis, and Ioannis D. Kostakis. “Comparison between robotic and open liver resection: a systematic review and meta-analysis of short-term outcomes.Updates in Surgery 71, no. 1 (March 2019): 39–48. https://doi.org/10.1007/s13304-019-00629-0.
Machairas N, Papaconstantinou D, Tsilimigras DI, Moris D, Prodromidou A, Paspala A, et al. Comparison between robotic and open liver resection: a systematic review and meta-analysis of short-term outcomes. Updates in surgery. 2019 Mar;71(1):39–48.
Machairas, Nikolaos, et al. “Comparison between robotic and open liver resection: a systematic review and meta-analysis of short-term outcomes.Updates in Surgery, vol. 71, no. 1, Mar. 2019, pp. 39–48. Epmc, doi:10.1007/s13304-019-00629-0.
Machairas N, Papaconstantinou D, Tsilimigras DI, Moris D, Prodromidou A, Paspala A, Spartalis E, Kostakis ID. Comparison between robotic and open liver resection: a systematic review and meta-analysis of short-term outcomes. Updates in surgery. 2019 Mar;71(1):39–48.
Journal cover image

Published In

Updates in surgery

DOI

EISSN

2038-3312

ISSN

2038-131X

Publication Date

March 2019

Volume

71

Issue

1

Start / End Page

39 / 48

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Robotic Surgical Procedures
  • Operative Time
  • Male
  • Length of Stay
  • Humans
  • Hepatectomy
  • Female
  • Databases, Bibliographic