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Robot-Assisted Laparoscopic Hysterectomy vs Traditional Laparoscopic Hysterectomy: Five Metaanalyses
Journal of Minimally Invasive Gynecology, 11/03/2011
Evidence Based Medicine
Scandola M et al. – In conclusion, compared with traditional laparoscopic hysterectomy, robot–assisted laparoscopic hysterectomy was associated with shorter length of stay (LOS) and fewer postoperative complications and conversions to laparotomy; there were no differences in estimated blood loss (EBL) and operative time. These results confirm that robot–assisted laparoscopy has less deletorious effect on hospital, society, and patient stress and leads to better intervention quality.
Methods- A search of PubMed, Medline, Embase, and Science citation index online databases yielded a total of 605 studies.
- After a systematic review, authors proceeded with meta-analysis of 14 articles for EBL, with a summary effect of -0.61 (95% confidence interval [CI], -42.42 to 46.20); 20 for operative time, with a summary effect of 0.66 (95% CI, -15.72 to 17.04); 17 for LOS, with a summary effect of -0.43 (95% CI, -0.68 to -0.17); 15 for conversion to laparotomy (odds ratio, 0.50; 95% CI, 0.31 to 0.79 with a random model); and 14 for postoperative complications (odds ratio, 0.69; 95% CI, 0.43 to 1.09 with a random model).
