重新定义精确度:一项比较机器人辅助手术与腹腔镜手术在结直肠癌中的随机对照试验的系统评价和荟萃分析。

IF 1.9 3区 医学 Q3 ONCOLOGY
Marcílio de Oliveira Filho, Miguel Chaves Lenzi, Pedro Emanuel Carneiro de Lima, Marina Azevedo Amaral, Phillip Anderson Silva Avelino, Pedro Laguardia Almeida, Altair Pereira de Melo Neto, Dante L S Souza, Eurico Cleto Ribeiro de Campos
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引用次数: 0

摘要

微创方法,如腹腔镜手术(LS)和机器人辅助手术(RAS)已经改变了结直肠癌(CRC)的治疗。本系统综述和荟萃分析评估了包含2758例患者的9项随机对照试验,比较RAS和LS在围手术期、肿瘤和长期预后方面的差异。RAS显示较长的手术时间,但也有好处,如降低转换率,更大的淋巴结回收,更低的环切缘(CRM)阳性。两种技术均显示出相当的安全性、死亡率和总并发症发生率。虽然RAS具有一定的优势,但需要进一步的研究来确定其成本效益和长期肿瘤影响。试验注册:PROSPERO CRD420251025102。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Redefining Precision: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Comparing Robotic-Assisted Versus Laparoscopic Surgery in Colorectal Cancer.

Minimally invasive approaches such as laparoscopic surgery (LS) and robotic-assisted surgery (RAS) have transformed colorectal cancer (CRC) management. This systematic review and meta-analysis evaluated nine randomized controlled trials encompassing 2,758 patients to compare RAS and LS regarding perioperative, oncological, and long-term outcomes. RAS showed longer operative time but yielded benefits such as reduced conversion rates, greater lymph node retrieval, and lower circumferential resection margin (CRM) positivity. Both techniques demonstrated comparable safety, mortality, and overall complication rates. While RAS presents certain advantages, further research is required to determine its cost-effectiveness and long-term oncological impact. Trial Registration: PROSPERO CRD420251025102.

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来源期刊
CiteScore
4.70
自引率
4.00%
发文量
367
审稿时长
2 months
期刊介绍: The Journal of Surgical Oncology offers peer-reviewed, original papers in the field of surgical oncology and broadly related surgical sciences, including reports on experimental and laboratory studies. As an international journal, the editors encourage participation from leading surgeons around the world. The JSO is the representative journal for the World Federation of Surgical Oncology Societies. Publishing 16 issues in 2 volumes each year, the journal accepts Research Articles, in-depth Reviews of timely interest, Letters to the Editor, and invited Editorials. Guest Editors from the JSO Editorial Board oversee multiple special Seminars issues each year. These Seminars include multifaceted Reviews on a particular topic or current issue in surgical oncology, which are invited from experts in the field.
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