Comparison of laparoscopic and robotic surgery for inflammatory bowel disease: a systematic review and meta-analysis - PubMed
5 hours ago
- #Inflammatory bowel disease
- #Robotic surgery
- #Laparoscopic surgery
- Refractory inflammatory bowel disease (IBD) often requires surgery, with ulcerative colitis (UC) typically needing proctocolectomy and Crohn's disease (CD) often requiring multiple surgeries, most commonly ileocecal resection (ICR).
- Minimally invasive approaches like laparoscopy and robotic surgery offer faster recovery and fewer complications, with laparoscopy being established and robotic surgery showing potential.
- A systematic review and meta-analysis compared robotic and laparoscopic techniques in IBD surgery, analyzing 15 papers with outcomes from 13,225 patients.
- Robotic surgery had higher operative times but reduced conversion rates compared to laparoscopy across different procedures (ICR, subtotal colectomy, and IPAA).
- Outcomes for overall, surgical, and medical complications were comparable between robotic and laparoscopic approaches.
- Robotic surgery showed a slight advantage in hospital stay reduction for some procedures.
- The study concludes that robotic surgery has a slight advantage over laparoscopy in IBD patients but notes limited evidence and the need for cost analysis to justify higher expenses.