A comprehensive review and meta-analysis comparing robot-assisted and laparoscopic adrenalectomy in individuals with obesity.

IF 2.2 3区医学 Q2 SURGERY

Journal of Robotic Surgery Pub Date : 2024-08-28 DOI:10.1007/s11701-024-02084-5

Jun-Ming Wang, Zhi-Kai Dai, Sha-Dan Li, Ting-Ting Zhou, Jian-Wei Zhang, You-Guang Zhao

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引用次数: 0

Abstract

This meta-analysis aimed to compare the efficacy of robot-assisted vs. laparoscopic adrenalectomy in individuals with obesity. We performed an extensive review of the PubMed, Embase, and Cochrane Library databases for research on adrenalectomy in individuals with obesity up to August 2024. Only studies comparing robot-assisted surgery with laparoscopic surgery were included. Only articles written in English were included. We utilized established criteria for inclusion and exclusion, concentrating on randomized controlled trials and cohort studies. The ROBINS-I instrument was employed to assess the bias risk in non-randomized control studies. Review Manager 5.4.1 was utilized to conduct the meta-analysis. The final analysis incorporated four retrospective cohort studies with a total of 492 individuals with obesity (261 receiving RA and 231 undergoing LA). The results showed that RA was linked to a shorter duration of hospitalization and less estimated blood loss in comparison to LA. Nonetheless, there were no notable distinctions between the two surgical methods in terms of OT, laparotomy conversion rates, overall postoperative complications, or death rates after surgery. In conclusion, RA is a reliable and safe choice for individuals with obesity. It offers notable advantages over LA in terms of LOHS and EBL.

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对肥胖症患者进行机器人辅助肾上腺切除术和腹腔镜肾上腺切除术的全面回顾和荟萃分析。

这项荟萃分析旨在比较机器人辅助肾上腺切除术与腹腔镜肾上腺切除术对肥胖症患者的疗效。我们广泛查阅了 PubMed、Embase 和 Cochrane Library 数据库中截至 2024 年 8 月有关肥胖症患者肾上腺切除术的研究。仅纳入了比较机器人辅助手术与腹腔镜手术的研究。仅纳入以英语撰写的文章。我们采用既定的纳入和排除标准，重点关注随机对照试验和队列研究。我们使用 ROBINS-I 工具来评估非随机对照研究的偏倚风险。采用 Review Manager 5.4.1 进行荟萃分析。最终分析纳入了四项回顾性队列研究，共涉及 492 名肥胖症患者（261 人接受 RA 治疗，231 人接受 LA 治疗）。结果显示，与 LA 相比，RA 的住院时间更短，估计失血量更少。尽管如此，两种手术方法在OT、开腹手术转换率、总体术后并发症或术后死亡率方面并无明显区别。总之，对于肥胖症患者来说，RA 是一种可靠、安全的选择。在LOHS和EBL方面，它比LA具有明显优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Robotic Surgery SURGERY-

CiteScore

4.20

自引率

8.70%

发文量

145

期刊介绍： The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.