Robotic pancreaticoduodenectomy provides better histopathological outcomes as compared to its open counterpart: a meta-analysis

The aim of this meta-analysis was to evaluate whether robotic pancreaticoduodenectomy (PD) may provide better clinical and pathologic outcomes compared to its open counterpart. The Pubmed, EMBASE, and Cochrane Library were systematically searched. Overall postoperative morbidity and resection margin...

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Bibliographic Details
Published in:Scientific reports 2021-02, Vol.11 (1), p.3774-3774, Article 3774
Main Authors: Da Dong, Xiang, Felsenreich, Daniel Moritz, Gogna, Shekhar, Rojas, Aram, Zhang, Ethan, Dong, Michael, Azim, Asad, Gachabayov, Mahir
Format: Article
Language:English
Subjects:
692/308/409
692/4020/1503/1712
692/4020/1503/1712/1713
692/4020/2741/416
692/4028/546
Humanities and Social Sciences
Humans
Length of Stay
Lymph nodes
Lymphatic system
Margins of Excision
Meta-analysis
Morbidity
multidisciplinary
Operative Time
Pancreatectomy - methods
Pancreaticoduodenectomy
Pancreaticoduodenectomy - methods
Pancreaticoduodenectomy - mortality
Postoperative Complications - prevention & control
Postoperative Complications - surgery
Robotic surgery
Robotic Surgical Procedures - methods
Robotic Surgical Procedures - trends
Robotics
Robotics - methods
Science
Science (multidisciplinary)
Surgical site infections
Surgical Wound Infection - prevention & control
Treatment Outcome
Wound infection
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Summary:The aim of this meta-analysis was to evaluate whether robotic pancreaticoduodenectomy (PD) may provide better clinical and pathologic outcomes compared to its open counterpart. The Pubmed, EMBASE, and Cochrane Library were systematically searched. Overall postoperative morbidity and resection margin involvement rate were the primary endpoints. Secondary endpoints included operating time, estimated blood loss (EBL), incisional surgical site infection (SSI) rate, length of hospital stay (LOS), and number of lymph nodes harvested. Twenty-four studies totaling 12,579 patients (2,175 robotic PD and 10,404 open PD were included. Overall postoperative mortality did not significantly differ [OR (95%CI) = 0.86 (0.74, 1.01); p = 0.06]. Resection margin involvement rate was significantly lower in robotic PD [15.6% vs. 19.9%; OR (95%CI) = 0.64 (0.41, 1.00); p = 0.05; NNT = 23]. Operating time was significantly longer in robotic PD [MD (95%CI) = 75.17 (48.05, 102.28); p 
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-021-83391-x