Robot-assisted versus conventional laparoscopic surgery in the treatment of advanced stage endometriosis: a meta-analysis

Chen, Shaohui; Li, Zhaoai; Du, Xiuping

doi:10.12891/ceog3133.2016

Cited by 18 publications

(8 citation statements)

References 24 publications

(39 reference statements)

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“…They found a slightly longer surgical time with robotic surgery (106 vs. 101 min) and did not observe significant differences in blood loss, intraoperative or post-operative complications, and conversion rate to laparotomy with both interventions. Furthermore, the improvement in quality of life was similar in both groups at the 6-month follow-up 24 .…”

Section: Endometriosismentioning

confidence: 68%

“…Chen et al 24 conducted a meta-analysis of patients operated on for endometriosis, including studies that, like that by Soto et al 23 , evaluated the same parameters, and found a longer surgical time in the robot group than in the group with conventional laparoscopy, with no significant differences in both groups regarding estimated blood loss, complication rate, and hospitalization days. Thus, the benefits of robotic surgery versus conventional laparoscopy for the treatment of endometriosis should continue to be studied 24 .…”

Section: Endometriosismentioning

confidence: 99%

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Robotic surgery in gynecology: A review of literature

Rivas-López¹,

Sandoval-García-Travesí²

2023

CIRUE

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Background: Robotic surgery carries with it the potential to transform laparoscopic surgery by providing, for the 1 st time, instruments with distal ends that mimic the intricate movements of the human hand while at the same time providing the surgeon with a high-definition, three-dimensional view of the operative field. Objective: The objective of the study was to describe the clinical application of robotic surgery in benign gynecological conditions, as well as the components of the Da Vinci Si robotic system, analyzing the advantages and disadvantages of this type of surgical approach that it provides to the patient and in turn to the surgeon. Methods: Review of the literature in PubMed and UpToDate where the keywords of our review were searched. Inclusion criteria: articles of cases or series containing the sections of the application of robotic surgery in gynecology and clinical results. Results: We found 50 scientific articles that included in their titles the key words of our review. Twenty-two articles were discarded, 14 because they were inaccessible, 3 because they were published in bulletins without an impact factor, and 5 because no information was obtained about the researcher's results, their volume, visibility, and structure. A total of 28 articles were chosen for this review. Conclusions: Robotic surgery has evolved to be a separate field, with enormous potential for future development. The results show until now that this technology is applicable and capable of offering an adequate treatment to selected patients.

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Section: Endometriosismentioning

confidence: 68%

Section: Endometriosismentioning

confidence: 99%

Robotic surgery in gynecology: A review of literature

Rivas-López¹,

Sandoval-García-Travesí²

2023

CIRUE

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“…In addition to previous studies, we examined operating room time as a new outcome [ 27 – 29 ]. However, we obtained similar results for all other perioperative outcomes.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted laparoscopy does not have demonstrable advantages over conventional laparoscopy in endometriosis surgery: a systematic review and meta-analysis

Csirzó,

Kovács,

Szabó

et al. 2023

Surg Endosc

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Background Endometriosis is a chronic condition affecting 6–10% of women of reproductive age, with endometriosis-related pain and infertility being the leading symptoms. Currently, the gold standard treatment approach to surgery is conventional laparoscopy (CL); however, the increasing availability of robot-assisted surgery is projected as a competitor of CL. This study aimed to compare the perioperative outcomes of robot-assisted laparoscopy (RAL) and CL in endometriosis surgery. Objectives We aimed to compare the effectiveness and safety of these two procedures. Methods A systematic search was conducted in three medical databases. Studies investigating different perioperative outcomes of endometriosis-related surgeries were included. Results are presented as odds ratios (OR) or mean differences (MD) with 95% confidence intervals (CI). Results Our search yielded 2,014 records, of which 13 were eligible for data extraction. No significant differences were detected between the CL and RAL groups in terms of intraoperative complications (OR = 1.07, CI 0.43–2.63), postoperative complications (OR = 1.3, CI 0.73–2.32), number of conversions to open surgery (OR = 1.34, CI 0.76–2.37), length of hospital stays (MD = 0.12, CI 0.33–0.57), blood loss (MD = 16.73, CI 4.18–37.63) or number of rehospitalizations (OR = 0.95, CI 0.13–6.75). In terms of operative times (MD = 28.09 min, CI 11.59–44.59) and operating room times (MD = 51.39 min, CI 15.07–87.72;), the RAL technique remained inferior. Conclusion RAL does not have statistically demonstrable advantages over CL in terms of perioperative outcomes for endometriosis-related surgery. Graphical abstract

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“…Many studies have shown that RAL is a feasible and safe alternative to LPS for the treatment of endometriosis (5,(18)(19)(20)(21). A systematic review from Restaino et al (5) and the prospective randomized trial LAROSE (19) confirmed that RAL and LPS are superimposable in terms of blood loss, complication rate, hospital stay, and both significantly improved pain and QoL after intervention.…”

Section: Robotic-assisted Laparoscopy and Endometriosismentioning

confidence: 98%

“…A systematic review from Restaino et al (5) and the prospective randomized trial LAROSE (19) confirmed that RAL and LPS are superimposable in terms of blood loss, complication rate, hospital stay, and both significantly improved pain and QoL after intervention. One of the major concerns about RAL is the possible increase in operative time compared to LPS (5,20,22). Docking time represents critical factors in determining the operation time (17).…”

Section: Robotic-assisted Laparoscopy and Endometriosismentioning

confidence: 99%

New technologies in the surgical management of endometriosis

Massimello

Sardo²,

Bifulco³

et al. 2023

abtpn

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Introduction: Endometriosis is a very common disease that affects up to 10% of the female population. Although medical therapy represents the first-line treatment for endometriosis, it does not always manage to control symptoms. Laparoscopy represents the standard surgical treatment in endometriosis. Robotic-assisted laparoscopy is an innovative mini-invasive surgical technique. Its application in gynecological surgery and in endometriosis has increased in the last decade. Our purpose is to offer an overview of the role of robotic-assisted laparoscopy in the surgical treatment of endometriosis. Methods: We evaluated studies dealing with the new technique in surgery for endometriosis with a focus on robotic surgery. We performed a compressive literature research on PubMed and the Cochrane Library in December 2022. Expert opinion: Robotic-assisted surgery is a feasible and safe approach to endometriosis surgery and is superimposable to laparoscopy in terms of complication rate, blood loss, hospitalization, and long-term improvement of symptoms. The effect of robotic-assisted surgery on operative time is still contradictory and needs to be further investigated. Robotic-assisted laparoscopic surgery can provide particular benefit in the management of women with severe endometriosis secondary to its advantage in surgical precision and ergonomics. Indocyanine green fluorescence angiography could be useful to assist in the vascularization of ureters and bowel anastomosis, to prevent postoperative complication and leakage.

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Robot-assisted versus conventional laparoscopic surgery in the treatment of advanced stage endometriosis: a meta-analysis

Cited by 18 publications

References 24 publications

Robotic surgery in gynecology: A review of literature

Robotic surgery in gynecology: A review of literature

Robot-assisted laparoscopy does not have demonstrable advantages over conventional laparoscopy in endometriosis surgery: a systematic review and meta-analysis

New technologies in the surgical management of endometriosis

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