PDF(Pubmed)
Abstract：
UNASSIGNED: Robotic-assisted surgery is one of the novel minimally invasive surgical techniques for the treatment of gynecological malignancies. The aim of this systematic review and meta-analysis was to compare the outcomes of robot-assisted vs. conventional laparoscopy for para-aortic lymphadenectomy (PAL) in patients with gynecological malignancies.
UNASSIGNED: An electronic search in PubMed, Scopus, Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar databases was performed for articles, published up to 01st November 2021. Outcomes including operating time (OT), total blood loss (TBL), length of stay (LOS), and complication rate (CR) in robot-assisted vs. conventional laparoscopy were investigated.
UNASSIGNED: A total of nine studies (7 non-RCTs and 2 RCTs) involving 914 participants were included. Of them, 332 patients underwent robotic laparoscopy (robotic group) and 582-conventional laparoscopy (conventional laparoscopy group). A significant decrease in TBL (MD = -149.1; 95% CI: -218.4 to -79.91) [ml] was observed in the robotic group as compared to the conventional laparoscopy group. However, no significant difference was noted for OT, CR, and LOS in the overall findings. Further subgroup analysis showed that the robotic group had a lower OT in mixed histological populations and studies reporting on the extraperitoneal approach. The lower chance of TBL was observed in mixed histological populations and studies involving extraperitoneal approach, Caucasian population, and non-RCTs design.
UNASSIGNED: Robotic laparoscopy has a significant advantage over the conventional laparoscopy approach for PAL in gynecological malignancies. Further prospective observational studies embedded with a large sample size are needed to validate our findings.
UNASSIGNED: An electronic search in PubMed, Scopus, Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar databases was performed for articles, published up to 01st November 2021. Outcomes including operating time (OT), total blood loss (TBL), length of stay (LOS), and complication rate (CR) in robot-assisted vs. conventional laparoscopy were investigated.
UNASSIGNED: A total of nine studies (7 non-RCTs and 2 RCTs) involving 914 participants were included. Of them, 332 patients underwent robotic laparoscopy (robotic group) and 582-conventional laparoscopy (conventional laparoscopy group). A significant decrease in TBL (MD = -149.1; 95% CI: -218.4 to -79.91) [ml] was observed in the robotic group as compared to the conventional laparoscopy group. However, no significant difference was noted for OT, CR, and LOS in the overall findings. Further subgroup analysis showed that the robotic group had a lower OT in mixed histological populations and studies reporting on the extraperitoneal approach. The lower chance of TBL was observed in mixed histological populations and studies involving extraperitoneal approach, Caucasian population, and non-RCTs design.
UNASSIGNED: Robotic laparoscopy has a significant advantage over the conventional laparoscopy approach for PAL in gynecological malignancies. Further prospective observational studies embedded with a large sample size are needed to validate our findings.
摘要：
UASSIGNED：机器人辅助手术是治疗妇科恶性肿瘤的新型微创手术技术之一。这项系统评价和荟萃分析的目的是比较机器人辅助与妇科恶性肿瘤患者行主动脉旁淋巴结清扫术（PAL）的常规腹腔镜检查。
未经评估：在PubMed中进行电子搜索，Scopus,Cochrane中央对照试验登记册（中央），谷歌学者数据库是为文章执行的，发布至2021年11月01日。结果包括运行时间(OT)，总失血量（TBL），停留时间(LOS)和并发症发生率（CR）在机器人辅助与对常规腹腔镜检查进行了研究。
UNASSIGNED：共纳入9项研究（7项非随机对照试验和2项随机对照试验），涉及914名参与者。其中,332例患者接受了机器人腹腔镜检查（机器人组）和582例常规腹腔镜检查（常规腹腔镜组）。与传统腹腔镜组相比，机器人组的TBL显着降低（MD=-149.1；95％CI：-218.4至-79.91）[ml]。然而,OT没有显著差异，CR,和LOS在总体调查结果中。进一步的亚组分析表明，机器人组在混合组织学人群中的OT较低，并且研究报告了腹膜外途径。在混合组织学人群和涉及腹膜外入路的研究中观察到TBL的机会较低，白种人,和非RCT设计。
UNASSIGNED：机器人腹腔镜在妇科恶性肿瘤中与传统的腹腔镜方法相比具有显著优势。需要进一步的包含大样本量的前瞻性观察研究来验证我们的发现。
未经评估：在PubMed中进行电子搜索，Scopus,Cochrane中央对照试验登记册（中央），谷歌学者数据库是为文章执行的，发布至2021年11月01日。结果包括运行时间(OT)，总失血量（TBL），停留时间(LOS)和并发症发生率（CR）在机器人辅助与对常规腹腔镜检查进行了研究。
UNASSIGNED：共纳入9项研究（7项非随机对照试验和2项随机对照试验），涉及914名参与者。其中,332例患者接受了机器人腹腔镜检查（机器人组）和582例常规腹腔镜检查（常规腹腔镜组）。与传统腹腔镜组相比，机器人组的TBL显着降低（MD=-149.1；95％CI：-218.4至-79.91）[ml]。然而,OT没有显著差异，CR,和LOS在总体调查结果中。进一步的亚组分析表明，机器人组在混合组织学人群中的OT较低，并且研究报告了腹膜外途径。在混合组织学人群和涉及腹膜外入路的研究中观察到TBL的机会较低，白种人,和非RCT设计。
UNASSIGNED：机器人腹腔镜在妇科恶性肿瘤中与传统的腹腔镜方法相比具有显著优势。需要进一步的包含大样本量的前瞻性观察研究来验证我们的发现。
