Department of Gynaecological Oncology, Royal Marsden Hospital, London, UK.
St George's University of London, London, UK.
Int J Med Robot. 2017 Dec;13(4). doi: 10.1002/rcs.1851. Epub 2017 Aug 1.
Evidence has been systematically assessed comparing robotic with standard laparoscopy for treatment of endometrial cancer.
A search of Medline, Embase and Cochrane databases was performed until 30th October 2016.
Thirty-six papers including 33 retrospective studies, two matched case-control studies and one randomized controlled study were used in a meta-analysis. Information from a further seven registry/database studies were assessed descriptively. There were no differences in the duration of surgery but days stay in hospital were shorter in the robotic arm (0.46 days, 95%CI 0.26 to 0.66). A robotic approach had less blood loss (57.74 mL, 95%CI 38.29 to 77.20), less conversions to laparotomy (RR = 0.41, 95%CI 0.29 to 0.59), and less overall complications (RR = 0.82, 95%CI 0.72 to 0.93). A robotic approach had higher costs ($1746.20, 95%CI $63.37 to $3429.03).
A robotic approach has favourable clinical outcomes but is more expensive.
已经对比较机器人辅助腹腔镜和标准腹腔镜治疗子宫内膜癌的证据进行了系统评估。
截至 2016 年 10 月 30 日，对 Medline、Embase 和 Cochrane 数据库进行了检索。
36 篇论文，包括 33 篇回顾性研究、2 篇配对病例对照研究和 1 篇随机对照研究，被用于荟萃分析。还对另外 7 项来自注册/数据库的研究进行了描述性评估。手术持续时间无差异，但机器人组的住院天数更短（0.46 天，95%CI 0.26 至 0.66）。机器人方法出血量更少（57.74 毫升，95%CI 38.29 至 77.20），中转开腹手术更少（RR=0.41，95%CI 0.29 至 0.59），总体并发症更少（RR=0.82，95%CI 0.72 至 0.93）。机器人方法的成本更高（1746.20 美元，95%CI 63.37 美元至 3429.03 美元）。
机器人方法具有良好的临床结局，但更昂贵。
Zotero 插件
