Meta-analysis of robotic versus open pancreaticoduodenectomy in all patients and pancreatic cancer patients

PurposesTo compare perioperative outcomes of robotic pancreaticoduodenectomy (RPD) to open pancreaticoduodenectomy (OPD) using evidence from cohort studies. MethodsOutcomes of interest include operative time, blood loss, R0 resection rate, lymph nodes harvested, overall complication rate, pancreatic...

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Bibliographic Details
Published in:Frontiers in surgery 2022-10, Vol.9, p.989065-989065
Main Authors: Fu, Yibo, Qiu, Jiangdong, Yu, Yiqi, Wu, Danning, Zhang, Taiping
Format: Article
Language:English
Subjects:
meta-analysis
open pancreaticoduodenectomy
outcome
pancreatic cancer
robotic pancreaticoduodenectomy
Surgery
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Summary:PurposesTo compare perioperative outcomes of robotic pancreaticoduodenectomy (RPD) to open pancreaticoduodenectomy (OPD) using evidence from cohort studies. MethodsOutcomes of interest include operative time, blood loss, R0 resection rate, lymph nodes harvested, overall complication rate, pancreatic fistula rate, delayed gastric emptying rate and 90-day mortality. Results6 prospective studies and 15 retrospective studies were included. Five of these studies were limited to patients with pancreatic cancer. Operative time was significantly longer in RPD (WMD: 64.60 min; 95% CI: 26.89 to 102.21; p = 0.001). Estimated blood loss was lower in RPD (WMD: -185.44 ml; 95% CI: -239.66 to -131.21; p 
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2022.989065