Location
Suwanee, GA
Start Date
3-5-2022 1:00 PM
End Date
3-5-2022 4:00 PM
Description
Background: Laparoscopic cholecystectomy (LC) remains the gold standard management of benign gallbladder disease. The adoption of the robotic platform that offers high-resolution 3- dimensional images, dexterity, better range of motion, and precise control in comparison to laparoscopic cholecystectomy (LC) into general practice is still lacking. Recent data on the safety and efficacy of Robotic cholecystectomy (RC) in comparison to LC has not yet been analyzed. The aim of this study is to evaluate the effectiveness and safety of RC compared to LC for gallbladder disease from articles published after 2017.
Methods: A systematic review was conducted using EMBASE, PubMed, and Cochrane Library databases (from December 2017 to September 2021) to identify comparative studies investigating the safety and efficacy of RC in comparison to LC. The outcomes analyzed include operative times, estimated blood loss (EBL), length of hospital stay (LOS), intraoperative and postoperative complication rates, bile leaks, and conversion to open and/or conventional laparoscopy. Results are expressed as differences in means with standard deviation (SD) and odds ratio (OR). Statistical analysis was done using random-effects meta-analysis to compare the mean difference (MD) and OR of the separate groups (Comprehensive Meta-Analysis Version 3.3.070 software; Biostat Inc., Englewood, NJ).
Results: Fourteen studies were quantitatively assessed and included in this meta-analysis. A total of 3,196,661 patients were included, with 43,202 patients who underwent RC and 3,148,234 patients who underwent LC. RC had longer operative times (MD= 18.86 min, 95% CI [5.17-32.19], p=0.007) but shorter LOS (MD= -0.25 days, 95% CI [-0.44 - -0.06], p=0.009) when compared to LC. Estimated Blood Loss (EBL) (p= 0.09), operative complications (p= 0.57), conversions (p= 0.14), and bile leak (p= 0.10) were similar between both groups.
Conclusion: Robotic Cholecystectomy is as safe and efficacious as Laparoscopic Cholecystectomy with a shorter length of stay in the hospital.
Embargo Period
5-31-2022
Included in
Robotic versus Laparoscopic Cholecystectomy: A Meta-Analysis
Suwanee, GA
Background: Laparoscopic cholecystectomy (LC) remains the gold standard management of benign gallbladder disease. The adoption of the robotic platform that offers high-resolution 3- dimensional images, dexterity, better range of motion, and precise control in comparison to laparoscopic cholecystectomy (LC) into general practice is still lacking. Recent data on the safety and efficacy of Robotic cholecystectomy (RC) in comparison to LC has not yet been analyzed. The aim of this study is to evaluate the effectiveness and safety of RC compared to LC for gallbladder disease from articles published after 2017.
Methods: A systematic review was conducted using EMBASE, PubMed, and Cochrane Library databases (from December 2017 to September 2021) to identify comparative studies investigating the safety and efficacy of RC in comparison to LC. The outcomes analyzed include operative times, estimated blood loss (EBL), length of hospital stay (LOS), intraoperative and postoperative complication rates, bile leaks, and conversion to open and/or conventional laparoscopy. Results are expressed as differences in means with standard deviation (SD) and odds ratio (OR). Statistical analysis was done using random-effects meta-analysis to compare the mean difference (MD) and OR of the separate groups (Comprehensive Meta-Analysis Version 3.3.070 software; Biostat Inc., Englewood, NJ).
Results: Fourteen studies were quantitatively assessed and included in this meta-analysis. A total of 3,196,661 patients were included, with 43,202 patients who underwent RC and 3,148,234 patients who underwent LC. RC had longer operative times (MD= 18.86 min, 95% CI [5.17-32.19], p=0.007) but shorter LOS (MD= -0.25 days, 95% CI [-0.44 - -0.06], p=0.009) when compared to LC. Estimated Blood Loss (EBL) (p= 0.09), operative complications (p= 0.57), conversions (p= 0.14), and bile leak (p= 0.10) were similar between both groups.
Conclusion: Robotic Cholecystectomy is as safe and efficacious as Laparoscopic Cholecystectomy with a shorter length of stay in the hospital.