Cargando…

Comparison between robotic and laparoscopic inguinal hernia repair in Caucasian patients: a systematic review and meta-analysis

BACKGROUND: Laparoscopic and robotic techniques allow surgeons to dissect and observe the groin area from the inside out, this study was to evaluate and compare the effects and safety of robotic inguinal hernia repair (R-IHR) and laparoscopic inguinal hernia repair (L-IHR) in Caucasian patients. MET...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhao, Fenglin, Wang, Baoshan, Chen, Jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8184425/
https://www.ncbi.nlm.nih.gov/pubmed/34164519
http://dx.doi.org/10.21037/atm-21-2126
_version_ 1783704585853992960
author Zhao, Fenglin
Wang, Baoshan
Chen, Jie
author_facet Zhao, Fenglin
Wang, Baoshan
Chen, Jie
author_sort Zhao, Fenglin
collection PubMed
description BACKGROUND: Laparoscopic and robotic techniques allow surgeons to dissect and observe the groin area from the inside out, this study was to evaluate and compare the effects and safety of robotic inguinal hernia repair (R-IHR) and laparoscopic inguinal hernia repair (L-IHR) in Caucasian patients. METHODS: We searched the full texts of studies comparing R-IHR and L-IHR in multiple databases. Meta-, sensitivity, and bias analyses of the included literature were performed with Review Manager 5.2, and forest plots were drawn. The joint estimate of the risk ratio (RR) and the mean difference (MD) of the 95% confidence interval (CI) was used as a measure of the effect size. RESULTS: This meta-analysis included 8 eligible studies involving 1,379 Caucasian patients with inguinal hernia (IH). No significant difference was found in pain score (MD =1.52, 95% CI, −0.30, 3.35, P=0.10; I(2)=97%), length of hospital stay (MD =0.14, 95% CI, −0.03, 0.30, P for overall effect =1.63, I(2)=0%), or complications (RR =1.24 with 95% CI, 0.94, 1.63, P for overall effect =0.13, I(2)=0%) between R-IHR and L-IHR. However, there was significant difference in operative time between R-IHR and L-IHR (MD =17.17, 95% CI, 6.32, 28.03, P=0.002; I(2)=84%). DISCUSSION: This meta-analysis revealed only minor differences between R-IHR and L-IHR in terms of clinical effects and safety in Caucasian patients, although R-IHR has a longer operative time than L-IHR. Both R-IHR and L-IHR are suitable to treat Caucasian patients with IH.
format Online
Article
Text
id pubmed-8184425
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher AME Publishing Company
record_format MEDLINE/PubMed
spelling pubmed-81844252021-06-22 Comparison between robotic and laparoscopic inguinal hernia repair in Caucasian patients: a systematic review and meta-analysis Zhao, Fenglin Wang, Baoshan Chen, Jie Ann Transl Med Original Article BACKGROUND: Laparoscopic and robotic techniques allow surgeons to dissect and observe the groin area from the inside out, this study was to evaluate and compare the effects and safety of robotic inguinal hernia repair (R-IHR) and laparoscopic inguinal hernia repair (L-IHR) in Caucasian patients. METHODS: We searched the full texts of studies comparing R-IHR and L-IHR in multiple databases. Meta-, sensitivity, and bias analyses of the included literature were performed with Review Manager 5.2, and forest plots were drawn. The joint estimate of the risk ratio (RR) and the mean difference (MD) of the 95% confidence interval (CI) was used as a measure of the effect size. RESULTS: This meta-analysis included 8 eligible studies involving 1,379 Caucasian patients with inguinal hernia (IH). No significant difference was found in pain score (MD =1.52, 95% CI, −0.30, 3.35, P=0.10; I(2)=97%), length of hospital stay (MD =0.14, 95% CI, −0.03, 0.30, P for overall effect =1.63, I(2)=0%), or complications (RR =1.24 with 95% CI, 0.94, 1.63, P for overall effect =0.13, I(2)=0%) between R-IHR and L-IHR. However, there was significant difference in operative time between R-IHR and L-IHR (MD =17.17, 95% CI, 6.32, 28.03, P=0.002; I(2)=84%). DISCUSSION: This meta-analysis revealed only minor differences between R-IHR and L-IHR in terms of clinical effects and safety in Caucasian patients, although R-IHR has a longer operative time than L-IHR. Both R-IHR and L-IHR are suitable to treat Caucasian patients with IH. AME Publishing Company 2021-05 /pmc/articles/PMC8184425/ /pubmed/34164519 http://dx.doi.org/10.21037/atm-21-2126 Text en 2021 Annals of Translational Medicine. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Zhao, Fenglin
Wang, Baoshan
Chen, Jie
Comparison between robotic and laparoscopic inguinal hernia repair in Caucasian patients: a systematic review and meta-analysis
title Comparison between robotic and laparoscopic inguinal hernia repair in Caucasian patients: a systematic review and meta-analysis
title_full Comparison between robotic and laparoscopic inguinal hernia repair in Caucasian patients: a systematic review and meta-analysis
title_fullStr Comparison between robotic and laparoscopic inguinal hernia repair in Caucasian patients: a systematic review and meta-analysis
title_full_unstemmed Comparison between robotic and laparoscopic inguinal hernia repair in Caucasian patients: a systematic review and meta-analysis
title_short Comparison between robotic and laparoscopic inguinal hernia repair in Caucasian patients: a systematic review and meta-analysis
title_sort comparison between robotic and laparoscopic inguinal hernia repair in caucasian patients: a systematic review and meta-analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8184425/
https://www.ncbi.nlm.nih.gov/pubmed/34164519
http://dx.doi.org/10.21037/atm-21-2126
work_keys_str_mv AT zhaofenglin comparisonbetweenroboticandlaparoscopicinguinalherniarepairincaucasianpatientsasystematicreviewandmetaanalysis
AT wangbaoshan comparisonbetweenroboticandlaparoscopicinguinalherniarepairincaucasianpatientsasystematicreviewandmetaanalysis
AT chenjie comparisonbetweenroboticandlaparoscopicinguinalherniarepairincaucasianpatientsasystematicreviewandmetaanalysis