Carlotta Imholz, Lisanne Grünherz, Nicole Lindenblatt
Department of Plastic and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.
Faculty of Medicine, University of Zurich, Zurich, Switzerland.
J Surg Oncol. 2025 Jan;131(1):62-71. doi: 10.1002/jso.27866. Epub 2024 Sep 10.
Robotic-assisted lymphatic reconstruction has gained increasing interest over the past few years.
The aim of this study was to systematically investigate the benefits of robotic-assisted lymphatic surgery based on currently published literature.
A systematic review evaluating the feasibility, surgical aspects, and both objective and subjective improvements in patients with impairment of the peripheral or central lymphatic system was performed according to the PRISMA guidelines. The review was registered on PROSPERO.
The literature search yielded 328 articles after the removal of duplicates, followed by a full-text review of the 29 articles, out of which a total of 11 relevant articles were deemed eligible. Among these, seven used a retrospective design and four a prospective design. All studies included confirmed the feasibility of robotic-assisted lymphatic surgery and reported promising results concerning both technical aspects and patient-related outcomes. However, currently, only a limited number of studies directly compare the robotic-assisted approach to the manual approach, and these studies have limited statistical analyses.
Despite the heterogeneous measurands, all studies showed the feasibility of robotic-assisted lymphatic surgery, and seven provided promising data on patient-related outcomes. Additional studies are needed to further identify future directions in robotic-assisted lymphatic surgery.
在过去几年中，机器人辅助淋巴重建越来越受到关注。
本研究的目的是基于当前已发表的文献系统地探讨机器人辅助淋巴手术的益处。
根据PRISMA指南，对评估外周或中枢淋巴系统受损患者的可行性、手术方面以及客观和主观改善情况进行了系统评价。该评价已在PROSPERO上注册。
去除重复项后，文献检索得到328篇文章，随后对29篇文章进行了全文审查，其中共有11篇相关文章被认为符合要求。其中，7项采用回顾性设计，4项采用前瞻性设计。所有纳入研究均证实了机器人辅助淋巴手术的可行性，并报告了在技术方面和患者相关结局方面的良好结果。然而，目前只有少数研究直接将机器人辅助方法与手动方法进行比较，且这些研究的统计分析有限。
尽管测量指标存在异质性，但所有研究均显示了机器人辅助淋巴手术的可行性，7项研究提供了有关患者相关结局的有前景的数据。需要进一步开展研究以确定机器人辅助淋巴手术未来的发展方向。
