Robot-assisted versus laparoscopic distal pancreatectomy: an updated systematic review and meta-analysis including patient subgroups and meta-regression analyses - PubMed
2 hours ago
- #Distal pancreatectomy
- #Meta-analysis
- #Robotic surgery
- RDP shows lower blood loss, fewer conversions to open surgery, and fewer unplanned splenectomies compared to LDP.
- RDP has longer operative time but shorter hospital length of stay, with comparable postoperative morbidity and mortality.
- Oncologic outcomes, including R0 resection rates, are similar between RDP and LDP, though lymph node yield differences were not significant in sensitivity analysis.
- Costs are higher for RDP, but selective use in complex or high-risk cases is supported, with cost-effectiveness needing further study.
- The meta-analysis included 64 studies with 15,790 patients, using random-effects models and subgroup analyses, including for PDAC.