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Comparative clinical outcomes of robot-assisted liver resection versus laparoscopic liver resection: A meta-analysis

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  • Lilong Zhang
  • Qihang Yuan
  • Yao Xu
  • Weixing Wang

Abstract

Background: As an emerging technology, robot-assisted surgical system has some potential merits in many complicated endoscopic procedures compared with laparoscopic surgery. But robot-assisted liver resection is still a controversial problem on its advantages compared with laparoscopic liver resection. We aimed to perform the meta-analysis to assess and compare the clinical outcomes of robot-assisted and laparoscopic liver resection. Methods: We searched PubMed, Cochrane Library, Embase databases, Clinicaltrials, and Opengrey through March 24, 2020, including references of qualifying articles. English-language, original investigations in humans about robot-assisted and laparoscopic hepatectomy were included. Titles, abstracts, and articles were reviewed by at least 2 independent readers. Continuous and dichotomous variables were compared by the weighted mean difference (WMD) and odds ratio (OR), respectively. Results: Of 936 titles identified in our original search, 28 articles met our criteria, involving 3544 patients. Compared with laparoscopy, the robot-assisted groups had longer operative time (WMD: 36.93; 95% CI, 19.74–54.12; P

Suggested Citation

  • Lilong Zhang & Qihang Yuan & Yao Xu & Weixing Wang, 2020. "Comparative clinical outcomes of robot-assisted liver resection versus laparoscopic liver resection: A meta-analysis," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-20, October.
    • Handle: RePEc:plo:pone00:0240593
    DOI: 10.1371/journal.pone.0240593
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    2. Lei Liu & Zhiwei Wang & Songqi Jiang & Bingfeng Shao & Jibing Liu & Suqing Zhang & Yilong Zhou & Yuan Zhou & Yixin Zhang, 2013. "Perioperative Allogenenic Blood Transfusion Is Associated with Worse Clinical Outcomes for Hepatocellular Carcinoma: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-10, May.
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