Comparison of perioperative and short-term outcomes between robotic and conventional laparoscopic surgery for colonic cancer: A systematic review and meta-analysis

Sungwon Lim, Jin Hee Kim, Se-Jin Baek, Seon Hahn Kim, Seon Heui Lee

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Purpose: Reports from several case series have described the feasibility and safety of robotic surgery (RS) for colonic cancer. Experience is still limited in robotic colonic surgery, and a few meta-analysis has been conducted to integrate the results for colon cancer specifically. We conducted a systematic review of the available evidence comparing the surgical safety and efficacy of RS with that of conventional laparoscopic surgery (CLS) for colonic cancer. Methods: We searched English databases (MEDLINE, Embase, and Cochrane Library), and Korean databases (KoreaMed, KMbase, KISS, RISS, and KisTi). Dichotomous variables were pooled using the risk ratio, and continuous variables were pooled using the mean difference (MD). Results: The present study found that the RS group had a shorter time to resumption of a regular diet (MD, -0.62 days; 95% CI, -0.97 to -0.28), first passage of flatus (MD, -0.44 days; 95% CI, -0.66 to -0.23) and defecation (MD, -0.62 days; 95% CI, -0.77 to -0.47). Also, RS was associated with a shorter hospital stay (MD, -0.69 days; 95% CI, -1.12 to -0.26), a lower estimated blood loss (MD, -19.49 mL; 95% CI, -27.10 to -11.89) and a longer proximal margin (MD, 2.29 cm; 95% CI, 1.11-3.47). However, RS was associated with a longer surgery time (MD, 51.00 minutes; 95% CI, 39.38-62.62). Conclusion: We found that the potential benefits of perioperative and short-term outcomes for RS than for CLS. For a more accurate understanding of RS for colonic cancer patients, robust comparative studies and randomized clinical trials are required.

Original languageEnglish
Pages (from-to)328-339
Number of pages12
JournalAnnals of Surgical Treatment and Research
Volume90
Issue number6
DOIs
Publication statusPublished - 2016 Jun 1

Fingerprint

Robotics
Laparoscopy
Colonic Neoplasms
Meta-Analysis
Databases
Flatulence
Safety
Defecation
MEDLINE
Libraries
Length of Stay
Randomized Controlled Trials
Odds Ratio
Diet

Keywords

  • Colonic neoplasms
  • Robotic surgical procedures

ASJC Scopus subject areas

  • Surgery

Cite this

@article{471a6c8566004c00af3c49d881f02039,
title = "Comparison of perioperative and short-term outcomes between robotic and conventional laparoscopic surgery for colonic cancer: A systematic review and meta-analysis",
abstract = "Purpose: Reports from several case series have described the feasibility and safety of robotic surgery (RS) for colonic cancer. Experience is still limited in robotic colonic surgery, and a few meta-analysis has been conducted to integrate the results for colon cancer specifically. We conducted a systematic review of the available evidence comparing the surgical safety and efficacy of RS with that of conventional laparoscopic surgery (CLS) for colonic cancer. Methods: We searched English databases (MEDLINE, Embase, and Cochrane Library), and Korean databases (KoreaMed, KMbase, KISS, RISS, and KisTi). Dichotomous variables were pooled using the risk ratio, and continuous variables were pooled using the mean difference (MD). Results: The present study found that the RS group had a shorter time to resumption of a regular diet (MD, -0.62 days; 95{\%} CI, -0.97 to -0.28), first passage of flatus (MD, -0.44 days; 95{\%} CI, -0.66 to -0.23) and defecation (MD, -0.62 days; 95{\%} CI, -0.77 to -0.47). Also, RS was associated with a shorter hospital stay (MD, -0.69 days; 95{\%} CI, -1.12 to -0.26), a lower estimated blood loss (MD, -19.49 mL; 95{\%} CI, -27.10 to -11.89) and a longer proximal margin (MD, 2.29 cm; 95{\%} CI, 1.11-3.47). However, RS was associated with a longer surgery time (MD, 51.00 minutes; 95{\%} CI, 39.38-62.62). Conclusion: We found that the potential benefits of perioperative and short-term outcomes for RS than for CLS. For a more accurate understanding of RS for colonic cancer patients, robust comparative studies and randomized clinical trials are required.",
keywords = "Colonic neoplasms, Robotic surgical procedures",
author = "Sungwon Lim and Kim, {Jin Hee} and Se-Jin Baek and Kim, {Seon Hahn} and Lee, {Seon Heui}",
year = "2016",
month = "6",
day = "1",
doi = "10.4174/astr.2016.90.6.328",
language = "English",
volume = "90",
pages = "328--339",
journal = "Annals of Surgical Treatment and Research",
issn = "2288-6575",
publisher = "Korean Surgical Society",
number = "6",

}

TY - JOUR

T1 - Comparison of perioperative and short-term outcomes between robotic and conventional laparoscopic surgery for colonic cancer

T2 - A systematic review and meta-analysis

AU - Lim, Sungwon

AU - Kim, Jin Hee

AU - Baek, Se-Jin

AU - Kim, Seon Hahn

AU - Lee, Seon Heui

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Purpose: Reports from several case series have described the feasibility and safety of robotic surgery (RS) for colonic cancer. Experience is still limited in robotic colonic surgery, and a few meta-analysis has been conducted to integrate the results for colon cancer specifically. We conducted a systematic review of the available evidence comparing the surgical safety and efficacy of RS with that of conventional laparoscopic surgery (CLS) for colonic cancer. Methods: We searched English databases (MEDLINE, Embase, and Cochrane Library), and Korean databases (KoreaMed, KMbase, KISS, RISS, and KisTi). Dichotomous variables were pooled using the risk ratio, and continuous variables were pooled using the mean difference (MD). Results: The present study found that the RS group had a shorter time to resumption of a regular diet (MD, -0.62 days; 95% CI, -0.97 to -0.28), first passage of flatus (MD, -0.44 days; 95% CI, -0.66 to -0.23) and defecation (MD, -0.62 days; 95% CI, -0.77 to -0.47). Also, RS was associated with a shorter hospital stay (MD, -0.69 days; 95% CI, -1.12 to -0.26), a lower estimated blood loss (MD, -19.49 mL; 95% CI, -27.10 to -11.89) and a longer proximal margin (MD, 2.29 cm; 95% CI, 1.11-3.47). However, RS was associated with a longer surgery time (MD, 51.00 minutes; 95% CI, 39.38-62.62). Conclusion: We found that the potential benefits of perioperative and short-term outcomes for RS than for CLS. For a more accurate understanding of RS for colonic cancer patients, robust comparative studies and randomized clinical trials are required.

AB - Purpose: Reports from several case series have described the feasibility and safety of robotic surgery (RS) for colonic cancer. Experience is still limited in robotic colonic surgery, and a few meta-analysis has been conducted to integrate the results for colon cancer specifically. We conducted a systematic review of the available evidence comparing the surgical safety and efficacy of RS with that of conventional laparoscopic surgery (CLS) for colonic cancer. Methods: We searched English databases (MEDLINE, Embase, and Cochrane Library), and Korean databases (KoreaMed, KMbase, KISS, RISS, and KisTi). Dichotomous variables were pooled using the risk ratio, and continuous variables were pooled using the mean difference (MD). Results: The present study found that the RS group had a shorter time to resumption of a regular diet (MD, -0.62 days; 95% CI, -0.97 to -0.28), first passage of flatus (MD, -0.44 days; 95% CI, -0.66 to -0.23) and defecation (MD, -0.62 days; 95% CI, -0.77 to -0.47). Also, RS was associated with a shorter hospital stay (MD, -0.69 days; 95% CI, -1.12 to -0.26), a lower estimated blood loss (MD, -19.49 mL; 95% CI, -27.10 to -11.89) and a longer proximal margin (MD, 2.29 cm; 95% CI, 1.11-3.47). However, RS was associated with a longer surgery time (MD, 51.00 minutes; 95% CI, 39.38-62.62). Conclusion: We found that the potential benefits of perioperative and short-term outcomes for RS than for CLS. For a more accurate understanding of RS for colonic cancer patients, robust comparative studies and randomized clinical trials are required.

KW - Colonic neoplasms

KW - Robotic surgical procedures

UR - http://www.scopus.com/inward/record.url?scp=84973140849&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84973140849&partnerID=8YFLogxK

U2 - 10.4174/astr.2016.90.6.328

DO - 10.4174/astr.2016.90.6.328

M3 - Article

AN - SCOPUS:84973140849

VL - 90

SP - 328

EP - 339

JO - Annals of Surgical Treatment and Research

JF - Annals of Surgical Treatment and Research

SN - 2288-6575

IS - 6

ER -