Robotic surgery vs laparoscopic surgery in patients with diagnosis of endometriosis: a systematic review and meta-analysis
This meta-analysis of five studies found robotic surgery to be safe and feasible for endometriosis treatment, with no significant differences in blood loss, complications, or hospital stay compared to laparoscopic surgery, though operating time was longer.
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This systematic review and meta-analysis compared robotic-assisted laparoscopic surgery (RAS) with conventional laparoscopic surgery (LPS) for patients diagnosed with endometriosis, using searches of PubMed, Embase, Cochrane, and CINAHL from January 1995 to March 2019. Five comparative studies totaling 1527 patients were included, and pooled outcomes showed no significant differences between RAS and LPS in blood loss, complication rates, or hospital stay. The meta-analysis found that RAS had a higher weighted mean operating time than LPS. The paper’s stated limitation is that only five comparative studies met inclusion criteria, and among them operating time differed while other perioperative outcomes did not. This paper is centrally about endometriosis — it directly meta-analyzes safety and efficacy outcomes of robotic versus laparoscopic surgery specifically in endometriosis patients.
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