Cutting-edge choices: comparative outcomes of laparoscopic vs robotic cholecystectomy-a systematic review.
En Qing Lim, Zeeshan Razzaq
✦ AI-curated · Sources linked
In 30 seconds
This systematic review and meta-analysis compared laparoscopic cholecystectomy (LC) and robotic-assisted cholecystectomy (RAC) for benign gallbladder disease. Six studies were analyzed, revealing that RAC significantly reduced the odds of conversion to open surgery (OR 0.10, 95% CI 0.01-0.94; p = 0.04), although it was associated with longer operative times. Overall, LC remains the more established approach.
Key findings
- RAC was associated with significantly lower odds of conversion to open surgery than LC (OR 0.10, 95% CI 0.01-0.94; p = 0.04).
- RAC had longer operative times compared to LC in the available data.
- No significant difference was found in postoperative length of stay (MD 0.38 days, 95% CI -0.06 to 0.82; p = 0.09).
- Most studies indicated RAC was more costly than LC, though findings varied.
Why it matters
Understanding the comparative outcomes of LC and RAC is crucial for clinicians to make informed decisions regarding surgical techniques for gallbladder disease, balancing efficacy, cost, and patient recovery.
What to keep in mind
The findings on conversion rates were based on sparse retrospective data, and pain outcomes were reported using non-standardized measures.