Qiao Wu#, Dan Zhao#, Wenfei He#, Yuanbo Yang, Lin Deng, Lei Zheng, Yu Liu, Jiajie Fang, Yun Pang, Songlin Feng, Peng Jing, Can Zhang, Junzuo Liao, Kejun Zhou and Cheng Wang*
Department of Pediatric Surgery, Affiliated Hospital of Sichuan Medical College, China
#These authors contributed equally to this work
Objective: To compare the postoperative outcomes between robotic techniques and laparoscopic approach for the management of choledochal cyst through a meta-analysis. Methods: PubMed, the Cochrane Central Search Library, and Embase were applied to retrieved related studies that compared the outcomes of laparoscopic surgery for choledochal cyst to robotic technique. The main outcomes include blood loss, postoperative complications, operative time and length of stay. Results: There was no significant difference in blood loss, operative time, and rate of complication between robot group and laparoscopy group. The length of stay in robot group was significant shorter than that in laparoscopy group (MD= -0.62, 95% CI -1.17 to -0.07, p<0.03, I2=81%). Conclusion: Robot techniques were as safe and feasibility as conventional laparoscopy for the management of Choledochal cysts, with similar blood loss, operative time, and rate of complication. But patients treated with robot techniques had shorter length of stay.
Wu Q, Zhao D, He W, Yang Y, Deng L, Zheng L, et al. Laparoscopic Versus Robot Techniques for the Choledochal Cyst in Children: An Initial Meta- Analysis. Clin Surg. 2022; 7: 3486.