Robotic vs. laparoscopic rectal cancer surgery in high BMI patients: a systematic review and meta-analysis.
Chengzheng Wang, Huaicheng Zhou
✦ AI-curated · Sources linked
In 30 seconds
This systematic review and meta-analysis compared perioperative outcomes of robotic-assisted versus laparoscopic rectal cancer surgeries in patients with high BMI (≥ 28 kg/m²). Analyzing data from five studies involving 700 robotic and 2102 laparoscopic cases, the results indicated that robotic surgery had a significantly lower conversion rate and shorter hospital stay, while laparoscopic surgery had a shorter operative time.
Key findings
- Robotic surgery had a significantly lower conversion rate compared to laparoscopic surgery (P < 0.05).
- Laparoscopic surgery was approximately 30 minutes faster than robotic surgery (P < 0.05).
- Robotic surgery resulted in a significantly shorter length of hospital stay than laparoscopic surgery (P < 0.05).
- No significant differences were found in harvested lymph nodes or postoperative complications.
Why it matters
Understanding the comparative outcomes of robotic versus laparoscopic surgery in high BMI patients can guide surgical decision-making and optimize patient care, particularly in a population that may face increased surgical risks.