Robotic colectomy with CME versus laparoscopic colon resection with or without CME for colon cancer: a systematic review and meta-analysis

This systematic review with meta-analysis aimed to compare the robotic complete mesocolon excision (RCME) to laparoscopic colectomy (LC) with (LCME) or without CME (LC non-CME) in postoperative outcomes, harvested lymph nodes and disease-free survival. We performed a systematic review with meta-anal...

Full description

Saved in:
Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2023-02, Vol.105 (2), p.113-125
Main Authors: Oweira, H, Reissfelder, C, Elhadedy, H, Rahbari, N, Mehrabi, A, Fattal, W, Khan, J S, Chaouch, M A
Format: Article
Language:English
Subjects:
Colectomy - adverse effects
Colonic Neoplasms - pathology
Colonic Neoplasms - surgery
Humans
Laparoscopy - adverse effects
Lymph Node Excision
Operative Time
Review
Robotic Surgical Procedures - adverse effects
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This systematic review with meta-analysis aimed to compare the robotic complete mesocolon excision (RCME) to laparoscopic colectomy (LC) with (LCME) or without CME (LC non-CME) in postoperative outcomes, harvested lymph nodes and disease-free survival. We performed a systematic review with meta-analysis according to PRISMA 2020 and AMSTAR 2 guidelines. The literature search yielded seven comparative studies including 677 patients: 269 patients in the RCME group and 408 in the LC group. The pooled analysis concluded to a lower conversion rate in the RCME group (OR=0.17; 95% CI [0.04, 0.74], =0.02). There was no difference between the two groups in terms of morbidity (OR=1.03; 95% CI [0.70, 1.53], =0.87), anastomosis leakage (OR=0.83; 95% CI [0.18, 3.72], =0.81), bleeding (OR=1.90; 95% CI [0.64, 5.58], =0.25), wound infection (OR=1.37; 95% CI [0.51, 3.68], =0.53), operative time (mean difference (MD)=36.32; 95% CI [-24.30, 96.93], =0.24), hospital stay (MD=-0.94; 95% CI [-2.03, 0.15], =0.09) and disease-free survival (OR=1.29; 95% CI [0.71, 2.35], =0.41). In the subgroup analysis, the operative time was significantly shorter in the LCME group than RCME group (MD=50.93; 95% CI [40.05, 61.81],
ISSN:0035-8843
1478-7083
DOI:10.1308/rcsann.2022.0051