Table 8.
Short-term postoperative outcomes of robotic versus laparoscopic surgery
Reference | Short-term postoperative outcomes |
||||||||
---|---|---|---|---|---|---|---|---|---|
Duration of hospital stay (days)* |
Surgical-site infection (%)§ |
Total complications (%)§ |
|||||||
Robotic | Laparoscopic | P | Robotic | Laparoscopic | P | Robotic | Laparoscopic | P | |
RCTs | |||||||||
Olavarria et al.20 | 0 | 0 | 0.82 | 0 | 1.7 | 1.00 | 21.5 | 19.0 | 0.80 |
Petro et al.21 | 25 h (10–30)† | 10 h (8–31)† | 0.17 | – | – | – | 5.1 | 8.3 | > 0.99 |
Studies with propensity matching | |||||||||
Altieri et al.23 | Median difference (robotic versus laparoscopic): −1 day | < 0.001 | – | – | – | 14.60 | 20.35 | 0.013 | |
LaPinska et al.30 | 2(7) | 4(13) | < 0.001 | 0.76 | 0.97 | 0.716 | 10.5 | 11.5 | 0.613 |
Song et al.36¶ | 3.0(2.4) | 3.2(3.0) | 0.67 | 0.0 | 0.0 | 1.00 | 17.0 | 24.5 | 0.21 |
Studies without propensity matching | |||||||||
Armijo et al.13 | 2 (1–4)† | 3 (2–4)† | n.s. | 1.7 (0.8, 3.4) | 0.7 (0.5, 0.9) | < 0.05 | 7.3 (5.1, 10.1) | 3.5 (3.1, 4.0) | < 0.050 |
Chen et al.26 | 0.49 (0–3)‡# | 0.21 (0–1)‡# | 0.09 | 0 | 3.03 | 0.458 | 7.7 | 9.1 | 1 |
Coakley et al.14 | 3.5(3.6) | 3.4(2.6) | 0.211 | 0.85 | 0.47 | 0.234 | 20.24 | 18.73 | –†† |
Gonzalez et al.28 | 2.5(4.1) | 3.7(6.6) | 0.461 | 2 | 0 | –†† | 3.0 | 10.4 | 0.084 |
Khorgami et al.29 | 2.9(3.1) | 2.7(1.9) | –†† | – | – | – | – | – | – |
Lu et al.31 | 0.1(0.5) | 0.2(0.9) | 0.294 | – | – | – | 2.3 | 9.2 | 0.046 |
Mudyanadzo et al.33 | 1.3(0.1) | 1.7(0.2) | n.s.‡‡ | – | – | – | – | – | – |
Walker et al.38** | 1.4(0.4) | 0.7(0.3) | 0.09‡‡ | 0 | 6.8 | < 0.01 | – | – | – |
Zayan et al.40 | 22.1 (9.4–33.7) h† | 46.3 (26.3–65.6) h† | 0.044 | – | – | – | – | – | – |
Values are mean(s.d.), unless indicated otherwise; values are †median (i.q.r.) and
median (range);
values in parentheses are 95 per cent confidence intervals.
Conference abstract.
Reported only for those who required admission in the robotic (14) and laparoscopic (7) groups. n.s., Not significant.
Unmatched data presented, as study propensity-matched for limited outcomes.
Outcome significant when risk difference calculated;
utcome not significant when risk difference calculated.