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Robotic vs laparoscopic total mesorectal excision for rectal cancers: has a paradigm change occurred? A systematic review by updated meta‐analysis
Aim The debate about the oncological adequacy, safety and efficiency of robotic vs laparoscopic total mesorectal excision for rectal cancers continues. Therefore, an updated, traditional and cumulative meta‐analysis was performed with the aim of assessing the new evidence on this topic. Method A sys...
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Published in: | Colorectal disease 2020-11, Vol.22 (11), p.1506-1517 |
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Main Authors: | , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Aim
The debate about the oncological adequacy, safety and efficiency of robotic vs laparoscopic total mesorectal excision for rectal cancers continues. Therefore, an updated, traditional and cumulative meta‐analysis was performed with the aim of assessing the new evidence on this topic.
Method
A systematic search of the literature for data pertaining to the last 25 years was performed. Fixed‐ and random‐effects models were used to cumulatively assess the accumulation of evidence over time.
Results
Patients with a significantly higher body mass index (BMI), tumours located approximately 1 cm further distally and more patients undergoing neoadjuvant therapy were included in the robotic total mesorectal excision (RTME) cohort compared with those in the laparoscopic total mesorectal excision (LTME) cohort [RTME, mean difference (MD) = 0.22 (0.07, 0.36), P = 0.005; LTME, MD = −0.97 (−1.57, 0.36), P |
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ISSN: | 1462-8910 1463-1318 |
DOI: | 10.1111/codi.15084 |