Abstract：
Aortic lymph node metastases are a relative common finding in locally advanced cervical cancer. Minimally invasive surgery is the preferred approach to perform para-aortic lymph nodal staging to reduce complications, hospital stay, and the time to primary treatment. This meta-analysis (CRD42022335095) aimed to compare the surgical outcomes of the two most advanced approaches for the aortic staging procedure: conventional laparoscopy (CL) versus robotic-assisted laparoscopy (RAL). The meta-analysis was conducted according to the PRISMA guideline. The search string included the following keywords: \"Laparoscopy\" (MeSH Unique ID: D010535), \"Robotic Surgical Procedures\" (MeSH Unique ID: D065287), \"Lymph Node Excision\" (MeSH Unique ID: D008197) and \"Aorta\" (MeSH Unique ID: D001011), and \"Uterine Cervical Neoplasms\" (MeSH Unique ID: D002583). A total of 1324 patients were included in the analysis. Overall, 1200 patients were included in the CL group and 124 patients in the RAL group. Estimated blood loss was significantly higher in CL compared with RAL (p = 0.02), whereas hospital stay was longer in RAL compared with CL (p = 0.02). We did not find significant difference for all the other parameters, including operative time, intra- and postoperative complication rate, and number of lymph nodes excised. Based on our data analysis, both CL and RAL are valid options for para-aortic staging lymphadenectomy in locally advanced cervical cancer.
摘要：
主动脉淋巴结转移是局部晚期宫颈癌的相对常见发现。微创手术是进行主动脉旁淋巴结分期以减少并发症的首选方法。住院,以及初级治疗的时间。这项荟萃分析（CRD42022335095）旨在比较两种最先进的主动脉分期手术方法的手术结果：传统腹腔镜（CL）与机器人辅助腹腔镜（RAL）。根据PRISMA指南进行荟萃分析。搜索字符串包括以下关键字：\"Laparoschy\"（MeSH唯一ID：D010535），“机器人外科手术”（MeSH唯一ID：D065287），“淋巴结切除”（MeSH唯一ID：D008197）和“主动脉”（MeSH唯一ID：D001011），和“子宫颈肿瘤”（MeSH唯一ID：D002583）。共有1324名患者被纳入分析。总的来说,CL组包括1200例患者，RAL组包括124例患者。与RAL相比，CL的估计失血量明显更高（p=0.02），而与CL相比，RAL的住院时间更长（p=0.02）。我们没有发现所有其他参数的显著差异，包括手术时间,术中和术后并发症发生率，和切除的淋巴结数量。根据我们的数据分析,CL和RAL均是局部晚期宫颈癌主动脉旁分期淋巴结清扫术的有效选择.
