PDF(Pubmed)
Abstract：
OBJECTIVE: The objective of this study is to compare the operative time, intraoperative complications, length of stay, readmission rates, overall complications, mortality, and cost associated with Robotic Surgery (RS) and Laparascopic Surgery (LS) in anti-reflux and hiatal hernia surgery.
METHODS: A comprehensive literature search was conducted using MEDLINE (via PubMed), Web of Science and Scopus databases. Studies comparing short-term outcomes and cost between RS and LS in patients with anti-reflux and hiatal hernia were included. Data on operative time, complications, length of stay, readmission rates, overall complications, mortality, and cost were extracted. Quality assessment of the included studies was performed using the MINORS scale.
RESULTS: Fourteen retrospective observational studies involving a total of 555,368 participants were included in the meta-analysis. The results showed no statistically significant difference in operative time, intraoperative complications, length of stay, readmission rates, overall complications, and mortality between RS and LS. However, LS was associated with lower costs compared to RS.
CONCLUSIONS: This systematic review and meta-analysis demonstrates that RS has non-inferior short-term outcomes in anti-reflux and hiatal hernia surgery, compared to LS. LS is more cost-effective, but RS offers potential benefits such as improved visualization and enhanced surgical techniques. Further research, including randomized controlled trials and long-term outcome studies, is needed to validate and refine these findings.
METHODS: A comprehensive literature search was conducted using MEDLINE (via PubMed), Web of Science and Scopus databases. Studies comparing short-term outcomes and cost between RS and LS in patients with anti-reflux and hiatal hernia were included. Data on operative time, complications, length of stay, readmission rates, overall complications, mortality, and cost were extracted. Quality assessment of the included studies was performed using the MINORS scale.
RESULTS: Fourteen retrospective observational studies involving a total of 555,368 participants were included in the meta-analysis. The results showed no statistically significant difference in operative time, intraoperative complications, length of stay, readmission rates, overall complications, and mortality between RS and LS. However, LS was associated with lower costs compared to RS.
CONCLUSIONS: This systematic review and meta-analysis demonstrates that RS has non-inferior short-term outcomes in anti-reflux and hiatal hernia surgery, compared to LS. LS is more cost-effective, but RS offers potential benefits such as improved visualization and enhanced surgical techniques. Further research, including randomized controlled trials and long-term outcome studies, is needed to validate and refine these findings.
摘要：
目的：本研究的目的是比较手术时间，术中并发症,逗留时间,再入院率，整体并发症,死亡率,与机器人手术（RS）和腹腔镜手术（LS）在抗反流和食管裂孔疝手术相关的费用。
方法：使用MEDLINE（通过PubMed）进行了全面的文献检索，WebofScience和Scopus数据库。纳入了比较RS和LS在抗反流和食管裂孔疝患者中的短期结局和成本的研究。操作时间数据;并发症,逗留时间,再入院率，整体并发症,死亡率,并提取了成本。使用MINORS量表对纳入研究进行质量评估。
结果：在荟萃分析中纳入了14项回顾性观察研究，共涉及555,368名参与者。结果显示手术时间差异无统计学意义，术中并发症,逗留时间,再入院率，整体并发症,和死亡率介于RS和LS之间。然而,与RS相比，LS的成本较低。
结论：本系统综述和荟萃分析表明，RS在抗反流和食管裂孔疝手术中的短期预后不差，与LS相比。LS更具成本效益，但RS提供了潜在的好处,如改善的可视化和增强的手术技术.进一步研究,包括随机对照试验和长期结局研究，需要验证和完善这些发现。
方法：使用MEDLINE（通过PubMed）进行了全面的文献检索，WebofScience和Scopus数据库。纳入了比较RS和LS在抗反流和食管裂孔疝患者中的短期结局和成本的研究。操作时间数据;并发症,逗留时间,再入院率，整体并发症,死亡率,并提取了成本。使用MINORS量表对纳入研究进行质量评估。
结果：在荟萃分析中纳入了14项回顾性观察研究，共涉及555,368名参与者。结果显示手术时间差异无统计学意义，术中并发症,逗留时间,再入院率，整体并发症,和死亡率介于RS和LS之间。然而,与RS相比，LS的成本较低。
结论：本系统综述和荟萃分析表明，RS在抗反流和食管裂孔疝手术中的短期预后不差，与LS相比。LS更具成本效益，但RS提供了潜在的好处,如改善的可视化和增强的手术技术.进一步研究,包括随机对照试验和长期结局研究，需要验证和完善这些发现。
