Journal
ANZ JOURNAL OF SURGERY
Volume 89, Issue 3, Pages 165-170Publisher
WILEY
DOI: 10.1111/ans.14690
Keywords
laparoscopic liver resection; open liver resection; robotic hepatectomy; robotic liver resection; systematic review
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Background To date, there are few studies comparing the outcomes of robotic hepatectomy (RH) versus open hepatectomy (OH). We report the first systematic review and meta-analysis comparing the outcomes of RH versus OH. Methods A systemic review was performed of all comparative studies of RH versus OH that reported the perioperative outcome(s) of interest. Results Seven retrospective cohort studies were included. There was no significant difference in patients' baseline characteristics. RH was associated with a longer operation time (mean difference (MD) 61.47 min; 95% confidence interval (CI) (7.03, 115.91); P = 0.03), shorter hospital stay (MD -2.57 days; 95% CI (-3.31, -1.82); P < 0.001), lower costs, less overall (risk ratio (RR) 0.63; 95% CI (0.46, 0.86); P = 0.004), minor (RR 0.64; 95% CI (0.43, 0.95); P = 0.03) and major (RR 0.45; 95% CI (0.22, 0.94); P = 0.03) post-operative complications compared to OH. Conclusion RH had superior perioperative outcomes and was not cost prohibitive compared to OH, but had longer operation times.
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