Robotic surgery versus Laparoscopic surgery for anti-reflux and hiatal hernia surgery: a short-term outcomes and cost systematic literature review and meta-analysis

• Tipo: Outra Publicação em Revista Científica Internacional
• Data: 2024

Autores

Gonçalves Costa, D (Autor) Outra; Barbosa, JP (Autor) Outra; Quesado, R (Autor) Outra; Lopes, V (Autor) FMUP; José Barbosa (Autor) FMUP

Revista

A Revista está pendente de validação pelos Serviços Administrativos.

Título: LANGENBECKS ARCHIVES OF SURGERY

Vol. 409

ISSN: 1435-2443

Editora: Springer

Indexação

ISI Web of Knowledge - 1 Citação

Scopus - 0 Citações

Outras Informações

ID Authenticus: P-010-GSQ

DOI: 10.1007/s00423-024-03368-y

Abstract (EN): PurposeThe 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.MethodsA 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.ResultsFourteen 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.ConclusionThis 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.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 12